Current status and complications risk analysis on the utilization of peripheral intravenous catheters in hospitalized children in Class Ⅲ children's specialized hospitals
10.3760/cma.j.issn.1674-2907.2020.01.005
- VernacularTitle:三级儿童专科医院住院患儿外周留置针应用现状及其并发症风险因素分析
- Author:
Xinyi WU
1
;
Zhiyuan BAI
;
Yang XU
;
Jun FENG
;
Zhen YU
;
Xuefen YE
;
Yajuan YU
;
Hairong LIU
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院护理部 100045
- Keywords:
Children;
Complications;
Peripheral intravenous catheters;
Risk factors
- From:
Chinese Journal of Modern Nursing
2020;26(1):21-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the utilization of peripheral intravenous catheter (PIVC) in hospitalized children in Class Ⅲ specialized children's hospitals, aiming to discover existing issues of PIVC in order to provide reference for clinical nurses and nurse administer to improve the quality on intravenous therapy and to avoid potential risk.Methods:This study uses the field survey method. From July 23rd to 31st, 2018, 25 Class Ⅲ children's specialized hospitals were first sampled in 23 provinces, municipalities, and autonomous regions of the country by the convenient sampling method. The cluster sampling method was then used to select all the pediatric patients with PIVCs admitted to the hospital on the date of investigation. A self-designed 'Cross-sectional Questionnaire for Pediatric Patients with PIVC' was used for survey, and images and data were analyzed. SPSS 17.0 software was used to statistically analyze the data.Results:In this study, 8 635 cases of PICVs were investigated, and the utilization rate of PICVs accounted for 86.9% (8 635/9 942) of all venipuncture tools. Among these cases, 4 665 (54.0%) cases' puncture sites were at the dorsal side of the hand, and 1 234 (14.3%) were at the head. Among the PIVCs, 45.8% (3 954/8 635) were safety PIVCs. And 54.6% (4 712/8 635) of the PIVCs were di (2-ethylhexyl) phthalate (DEHP) free products. The incidence rate of PICV related complications was 7.9% (682/8 635) . Univariate analysis and multivariate logistic regression analysis showed that the PIVC time, IV site, dressing fixation problems, catheter maintenance problems, and patient age were risk factors for PIVC related complications ( P<0.05) . Conclusions:PIVC is the widely used among pediatric patients. The IV site is mainly at the dorsal side of the hand, followed by head and wrist. The selection of material and type of PIVC still require further improvement to ensure the safety of pediatric intravenous therapy. Nursing measures should be taken during the use of PIVC to identify the risk factors at early stage and intervene effectively, which can reduce the occurrence of complications.
