ผลของโปรแกรมการพยาบาลเพื่อป้องกันและจัดการภาวะหลอดเลือดดำส่วนปลายอักเสบ ในผู้ป่วยได้รับยาที่มีความเสี่ยงสูงต่ออุบัติการณ์การเกิดภาวะหลอดเลือดดำส่วนปลายอักเสบ

Pattranoot Pukam; Parichat Wonggom

Authors

Pattranoot Pukam Faculty of Nursing, Khon Kaen University
Parichat Wonggom Faculty of Nursing, Khon Kaen University

Keywords:

nursing program, phlebitis, high alert drug

Abstract

Introduction: Phlebitis is a common complication of administering intravenous fluids particularly with high alert drugs.
Research objectives: To study the effects of a nursing program designed to prevent and manage peripheral phlebitis in patients receiving high alert drugs.
Research methodology: This study was quasi-experimental research with a two-group posttest design. The sample consisted of 70 patients receiving high alert drugs divided into control and experimental groups (35 patients per group), along with 28 nurses. The research instruments included: 1) A nursing program for prevention and management of phlebitis, 2) A phlebitis incidence record, 3) The phlebitis scale, 4) Adherence to nursing program observation form, and 5) Nurse satisfaction assessment form. The CVI were 1.0, 1.0, .95 and 1.0, and reliability indices were .85 and .85, respectively. Data were analyzed using descriptive statistics, relative risk and one sample t-test
Results: The research study showed that the incidence of phlebitis in the experimental group significantly differed from the control group (RR = .56, 95% CI .338 – .921, p = .031), with the experimental group having a lower incidence of .56 times. Nurses’adherence to the nursing program was the highest with a level of 90.36% (t = 6.64, p < .001) and nurse satisfaction was the highest with a level of 87.05% (t = 2.11, p <.05).
Conclusion: This study demonstrates that the nursing program can prevent and manage phlebitis from an early stage.
Implications: The nursing program should be implemented as a guideline to ensure the safety of all patients receiving high alert drugs effectively.

Downloads

Download data is not yet available.

References

Doommai N, Chiaranai C, Hamilton S. Nurse’s role in high alert drug administration. Journal of Health and Nursing Education 2021;27(2):227-40. (in Thai)

Hemachudha A. Safety in the use of high-risk drugs. Center For Continuing Pharmacy Education; 2021. (in Thai)

Infusion Nurses Society. Infusion nursing standards of practice. Journal of Infusion Nursing [Internet]. 2016 [cited 2022 Feb 1];29 Suppl1:S1-92. Available from: https://doi.org/10.1097/00129804-200601001-00001

Olivier RC, Wickman M, Skinner C, Ablir L. The impact of replacing peripheral intravenous catheters when clinically indicated on infection rate, nurse satisfaction, and costs in CCU, Step-Down, and Oncology Units. American journal of infection control [Internet]. 2021 [cited 2022 Jan 22];49(3):327–32. Available from: https://doi.org/10.1016/j.ajic.2020.07.036

Pathomjaruwat T. Prevention and management of extravasation injuries in infusion therapy. Songklanagarind Journal of Nursing 2017;37(2):169–81. (in Thai)

Sakvalysakul P, Siriwongprom U. The effect of clinical nursing practice guideline for prevention extravasation from norepinephrine injection. Christian University Journal 2019 [cited 2021 Dec 18];25(2):92–108. (in Thai)

Kleidon TM, Cattanach P, Mihala G, Ullman AJ. Implementation of a pediatric peripheral intravenous catheter care bundle: a quality improvement initiative. Journal of Pediatrics and Child Health [Internet]. 2019 [cited 2022 Jun 20];55(10):1214–23. Available from: https://doi.org/10.1111/jpc.14384

Udomasadaporn K, Phromrin M. Effectiveness of using the practice guideline for phlebitis and infiltration prevention from Vasopressor agents in cardiac care unit, Chiangrai Prachanukroh hospital. Lanna Public Health Journal 2017;14(1):35-45. (in Thai)

Lulie M, Tadesse A, Tsegaye T, Yesuf T, Silamsaw M. Incidence of peripheral intravenous catheter phlebitis and its associated factors among patients admitted to university of Gondar hospital, Northwest Ethiopia: a prospective, observational study. Thrombosis Journal [Internet]. 2021 [cited 2022 Jun 20];19(1):1-8. Available from: https://doi.org/10.1186/s12959-021-00301-x

Gorski L, Hadaway L, Hagle ME, McGoldrick M, Orr M, Doellman D. Infusion therapy standards of practice reviewers. Journal of Infusion Nursing [Internet]. 2021 [cited 2022 Feb 1];44(1):1–224. Available from: https://library.ins1.org/hai13r/3%0Ahttps://source.yiboshi.com/20170417/1492425631944540325.pdf

Chang WP, Peng YX. Occurrence of phlebitis: a systematic review and meta-analysis. Nursing Research [Internet]. 2018 [cited 2021 Dec 29];67(3):252–60. Available from: https://doi.org/10.1097/NNR.0000000000000279

Yoodee S. Effect of nursing practice guideline in patients who received norepinephrine at peripheral intravenous injection. Maharaj Nakhon Si Thammarat Medical Journal 2021;5(1):62-72. (in Thai)

Infusion Nurses Network Association. Nursing guidelines for patients receiving intravenous fluids. Bangkok: Pree-one; 2018. (in Thai)

Pukam P, Wonggom P. Development and feasibility study of clinical nursing practice guidelines for prevention and management of phlebitis among patients receiving high alert drugs. Research Center Nurse 2023;3(1):79-93. (in Thai)

Hoy, Wayne K. Educational administration: theory, research and practice. 9th ed. New York: McGraw-Hill; 2008.

Sharifi-Ardani M, Yekefallah L, Asefzadeh S, Nassiri-Asl M. Efficacy of topical chamomile on the incidence of phlebitis due to an amiodarone infusion in coronary care patients: a double blind, randomized controlled trial. Journal of Integrative Medicine 2017;15(5):373–8.

Nawamachiti T. Development of nursing record formats: focus charting record for the orthopedic surgery group at Maharat Nakhon Ratchasima hospital, Nakhon Ratchasima Province [master's thesis]. Khon Kaen: Khon Kaen University; 2014 (in Thai)

Siripukdeekan C. Boonrubpayap B. Nursing career ladder development. Journal of The Royal Thai Army Nurses 2014;15(3):75–80. (in Thai)

Bayoumi MMM, Khonji LMA, Gabr WFM. Changes in nurses’ knowledge and clinical practice in managing local IV complications following an education intervention. British Journal of Nursing [Internet]. 2022 [cited 2022 Aug 21];31(8):S24–30. Available from: https://doi.org/10.12968/bjon.2022.31.8.S24

Juytay U, Bunyamani W, Wongjantharamanee S. Development of a nursing practice guidelines to high alert drugs administration in patients with septic shock for prevention extravasation of registered nurses at Sukhothai hospital. Journal of Nursing Division 2022;49(1):161-75. (in Thai)

Tontupthai P, Vorathongchai K. Effects of a professional nurse coaching program on adherence to guidelines and reduction of error rates in the administration of high alert drugs. Journal of Nursing and Health Care 2020;38(1):59-68. (in Thai)