Status quo of the selection of intravenous infusion devices in hospitalized children
10.3760/cma.j.cn115682-20230725-00184
- VernacularTitle:住院患儿静脉输液装置选择的现况调查
- Author:
Qingqing ZHANG
1
;
Ying GU
;
Yingwen WANG
;
Chunmei LU
;
Meijing KONG
Author Information
1. 复旦大学护理学院，上海 200032
- Keywords:
Child;
Intravenous infusion device;
Peripheral intravenous catheter;
Central venous infusion device;
Selection;
Appropriateness;
Status quo survey
- From:
Chinese Journal of Modern Nursing
2024;30(14):1923-1927
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of intravenous (IV) infusion device selection among hospitalized children and provide direction for improving practices related to the selection of infusion devices.Methods:A total of 1 306 hospitalized children undergoing IV infusion treatment in 11 clinical departments of Children's Hospital of Fudan University in June 2021 were selected by convenience sampling. A self-developed data collection form for the selection of IV infusion devices in hospitalized children and criteria for the appropriateness of IV infusion device selection were used to survey and evaluate the appropriateness of IV infusion device selection among these children.Results:IV infusion devices were found to have been appropriately selected in 1 137 of the 1 306 children, while these devices were inappropriately selected in 169 children. The inappropriate selection was primarily due to the improper choice of peripheral intravenous catheters (PIVC), with 155 cases involving the administration of non-peripheral compatible medications through PIVC. No significant statistical difference was found in the appropriateness of IV infusion device selection between the infant group and the child and adolescent group ( P>0.05). Significant differences were observed in the appropriateness of IV infusion device selection based on different physicochemical properties of medications and the duration of therapy ( P<0.01) . Conclusions:The standardization of IV infusion device selection among hospitalized children needs improvement. It is urgent to apply evidence from the Clinical Practice Evidence- Based Guidelines for Pediatric Intravenous Therapy regarding recommendations for IV infusion device selection, to initiate evidence application projects, and to standardize the selection of IV infusion devices.
