| 말초 정맥주사를 통해 비항암제 발포성 약물을 투약한 성인 환자의 일혈 발생과 위험요인 |
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이종민, 이주희, 장연수, 김연희 |
1서울아산병원
2연세대학교 간호대학, 김모임 간호학연구소
3연세대학교 간호대학, 김모임 간호학연구소
4서울아산병원 간호부 |
| Factors Related to Extravasation of Non-chemotherapy Vesicant Drugs in Peripheral Vein Catheters |
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Jong Min Lee, JuHee Lee, Yeon Soo Jang, Yeon Hee Kim |
1Staff Nurse, Department of Nursing, Asan Medical Center, Seoul, Korea.
2Associate Professor, College of Nursing, Mo-Im Kim Nursing Reaserch Institute, Yonsei University, Seoul, Korea. JHL@yuhs.ac
3Assistant Professor, College of Nursing, Mo-Im Kim Nursing Reaserch Institute, Yonsei University, Seoul, Korea.
4Chief Nursing Officer, Department of Nursing, Asan Medical Center, Seoul, Korea. |
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| Abstract |
PURPOSE
This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults.
METHOD
This prospective observational study included 203 adult patients admitted to the general ward who received non-chemotherapy vesicant drug infusion treatments. Data were analyzed using frequencies, percentage, means, standard deviations, and odds ratios (ORs) from multiple logistic regressions.
RESULTS
The incidence of extravasation was 43.3%. Risk factors for intravenous extravasation included continuous injections (OR=5.35, 95% CI [1.38, 20.83]), and parenteral nutrition (OR=3.53, 95% CI [1.43, 8.73]).
CONCLUSION
The present findings revealed that gastrointernal medicine problems, continuous injection, and parenteral nutrition were related to intravenous extravasation. Further research is necessary to reduce the incidence of extravasation related to peripheral intravenous catheterization in adults, and to prevent secondary complications. Finally, patients should be provided appropriate and continuous care based on the type of intravenous infusion. |
| Key Words:
Intravenous, Extravasation, Irritants, Incidence, Risk Factors |
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