Factors involved in long-term complications after use of peripheral intravenous lines (PIV)

2.50
Hdl Handle:
http://hdl.handle.net/10755/155753
Type:
Presentation
Title:
Factors involved in long-term complications after use of peripheral intravenous lines (PIV)
Abstract:
Factors involved in long-term complications after use of peripheral intravenous lines (PIV)
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Lundgren, A.
P.I. Institution Name:University of Kalmar
Title:Faculty of Health Science
Objective: The general aim for the dissertation was to study the way nurses plan, take care of inform and document a peripheral intravenous cannulae (PIV) line related to complications, and to give a basis for quality assurance (QA) in surgery and internal medicine wards and for present study to identify risk factors for catheter-related inflammation/infection, thrombophlebitis (Th) and long-term complications which can be influenced by many factors related both to the wards and patients as bad routines, hygienic and technical performance, inappropriate cannulatime in situ, unsatisfactory care, handling and supervision etc. Risk-factors in relation to patients themselves can be dependent on age, altered host immune defense, underlying diseases, general condition etc. (Perucca & Micek 1993, Maki 1994). Design- methods: Three hundred patients, who had a total of 501 peripheral intravenous veincannulae placements, were followed. The patients with remaining complications exceeding five days were selected and included in the study (n=100). A mean age of years was 61 + 18.5. Different diagnostic categories were followed as cardiopulmonary diseases, diabetes, stroke, cerebral vascular diseases, blood diseases, cancer, etc. The patients with complications after removal of the cannula had been told in the hospital to carefully observe and register complications and report these to the observer. After discharge from the hospital the patients were contacted either through home visits or by regular telephone for semi-structured interviews, first daily and later weekly, until they were judged to be free from complications. Analysis of the nurses care and handling, documentation, and information to the patients were evaluated using previously developed scales which was constructed in order to minimize bias, and were guided by carefully prepared classifications. Findings. Of 100 patients studied group A (n=33) received complications including redness, tenderness/pain and a moderately swollen insertion area and group B (n=67) had additional problems with inflamed, swollen, painful purulent area/site of different degrees as well as the development of hard veins/cords. Risk factors found for catheter-related inflammation/infection and long-term complications were unsatisfactorily documented cannulae and its area, vague information to patients, drugs with divergent pH-values, inappropriate cannula time in situ, fever and lower quantities of fluid. For patients with hard vein/cord advanced age, unsatisfactory care and handling were added as strong factors. Discomfort reported by the patients could be directly referred to technical mistakes or/and bad routines. Common negative factors, found in more than 90% of the case were medications with divergent pH-values, unsatisfactory documentation and vague information, severe thrombophlebitis and inappropriate size. These were the most frequent, and for patients with hard vein/cord, unsatisfactory care and handling and lower quantities of fluid and nutrition were also added. Conclusion. Insertion of a peripheral cannula should always be related to needs and be based on the diagnosis, secure in treatment, supervise, care and handling, information and documentation. The formulated goals of the wards, confirmation of routines in connection to use of a peripheral cannula/line, workout of criteria as well as perform of the task, information and documentation, imply reduced problems for the patients. Patients with weakened immune-defense, advanced age and complicated underlying diseases should be given special attention. Professionally performed care and handling, and staff attitudes to the task and research findings are some important factors to minimize long-term complications and decrease costs for both patients and health care. Implications: Nursing care demands special competence and relevant knowledge to enable nurses to assess and give satisfactory care in relation to patients´ needs. Good nursing care should include prevention of pain and discomfort, be planned and implemented in a secure way, and also follow research and development in this area so that new knowledge and experience can be brought into the profession.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors involved in long-term complications after use of peripheral intravenous lines (PIV)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/155753-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors involved in long-term complications after use of peripheral intravenous lines (PIV)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lundgren, A.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kalmar</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Faculty of Health Science</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">annalundgren@spray.se</td></tr><tr><td colspan="2" class="item-abstract">Objective: The general aim for the dissertation was to study the way nurses plan, take care of inform and document a peripheral intravenous cannulae (PIV) line related to complications, and to give a basis for quality assurance (QA) in surgery and internal medicine wards and for present study to identify risk factors for catheter-related inflammation/infection, thrombophlebitis (Th) and long-term complications which can be influenced by many factors related both to the wards and patients as bad routines, hygienic and technical performance, inappropriate cannulatime in situ, unsatisfactory care, handling and supervision etc. Risk-factors in relation to patients themselves can be dependent on age, altered host immune defense, underlying diseases, general condition etc. (Perucca &amp; Micek 1993, Maki 1994). Design- methods: Three hundred patients, who had a total of 501 peripheral intravenous veincannulae placements, were followed. The patients with remaining complications exceeding five days were selected and included in the study (n=100). A mean age of years was 61 + 18.5. Different diagnostic categories were followed as cardiopulmonary diseases, diabetes, stroke, cerebral vascular diseases, blood diseases, cancer, etc. The patients with complications after removal of the cannula had been told in the hospital to carefully observe and register complications and report these to the observer. After discharge from the hospital the patients were contacted either through home visits or by regular telephone for semi-structured interviews, first daily and later weekly, until they were judged to be free from complications. Analysis of the nurses care and handling, documentation, and information to the patients were evaluated using previously developed scales which was constructed in order to minimize bias, and were guided by carefully prepared classifications. Findings. Of 100 patients studied group A (n=33) received complications including redness, tenderness/pain and a moderately swollen insertion area and group B (n=67) had additional problems with inflamed, swollen, painful purulent area/site of different degrees as well as the development of hard veins/cords. Risk factors found for catheter-related inflammation/infection and long-term complications were unsatisfactorily documented cannulae and its area, vague information to patients, drugs with divergent pH-values, inappropriate cannula time in situ, fever and lower quantities of fluid. For patients with hard vein/cord advanced age, unsatisfactory care and handling were added as strong factors. Discomfort reported by the patients could be directly referred to technical mistakes or/and bad routines. Common negative factors, found in more than 90% of the case were medications with divergent pH-values, unsatisfactory documentation and vague information, severe thrombophlebitis and inappropriate size. These were the most frequent, and for patients with hard vein/cord, unsatisfactory care and handling and lower quantities of fluid and nutrition were also added. Conclusion. Insertion of a peripheral cannula should always be related to needs and be based on the diagnosis, secure in treatment, supervise, care and handling, information and documentation. The formulated goals of the wards, confirmation of routines in connection to use of a peripheral cannula/line, workout of criteria as well as perform of the task, information and documentation, imply reduced problems for the patients. Patients with weakened immune-defense, advanced age and complicated underlying diseases should be given special attention. Professionally performed care and handling, and staff attitudes to the task and research findings are some important factors to minimize long-term complications and decrease costs for both patients and health care. Implications: Nursing care demands special competence and relevant knowledge to enable nurses to assess and give satisfactory care in relation to patients&acute; needs. Good nursing care should include prevention of pain and discomfort, be planned and implemented in a secure way, and also follow research and development in this area so that new knowledge and experience can be brought into the profession.</td></tr></table>en_GB
dc.date.available2011-10-26T14:08:32Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T14:08:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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