Effects of skin temperature monitoring in risk warning of amiodarone induced phlebitis
10.3760/cma.j.cn115682-20231201-02360
- VernacularTitle:皮肤温度监测在胺碘酮致静脉炎风险预警中的应用研究
- Author:
Zheng HUANG
1
;
Yang ZHANG
;
Haiyan YAN
Author Information
1. 郑州大学第一附属医院心血管内科，郑州 450000
- Keywords:
Phlebitis;
Amiodarone;
Skin temperature monitoring;
Risk warning
- From:
Chinese Journal of Modern Nursing
2024;30(15):2047-2050
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the correlation between skin temperature and amiodarone induced phlebitis, and explore the application value of this indicator monitoring in phlebitis warning.Methods:From February 2021 to January 2023, convenience sampling was used to select 254 patients treated with amiodarone in the Department of Cardiovascular of the First Affiliated Hospital of Zhengzhou University. The correlation between relative skin temperature difference and the occurrence of phlebitis was observed. Kaplan-Meier survival curve and COX proportional hazards regression model were used to compare the risk of phlebitis with different relative skin temperature differences.Results:There was a positive correlation between the relative skin temperature difference and the occurrence of phlebitis ( P<0.01) . The optimal cutoff value of relative skin temperature for predicting phlebitis was 0.4℃, with an area under the receiver operating characteristic curve of 0.708, a 95% confidence interval ( CI) of (0.64, 0.78) , a Jordan index of 0.353, a sensitivity of 74.47%, and a specificity of 70.99%. Patients were divided into low-risk and high-risk groups using the optimal cutoff value, and the risk of phlebitis in the high-risk group was 5.25 times of that in the low-risk group [hazard ratio ( HR) : 5.25, 95% CI (3.76, 9.45) , P<0.01] . Conclusions:Skin temperature monitoring can effectively predict the amiodarone induced phlebitis.Medical and nursing staff should closely monitor skin temperature at the puncture site in order to detect temperature warning signals early and prevent the occurrence of phlebitis.
