Analysis of current situation and outcome differences of venous indwelling needle effusion and extravasation at different puncture sites
10.3760/cma.j.cn115682-20200401-02396
- VernacularTitle:不同穿刺部位静脉留置针渗出外渗的发生现状及结局差异分析
- Author:
Qiaofang YANG
1
;
Lingfang ZHANG
;
Xin ZHANG
;
Shan BAI
;
Fangfang DONG
Author Information
1. 华中阜外医院护理部，郑州 451464
- Keywords:
Intravenous infusions;
Infusion site;
Effusion;
Extravasation;
Clinical outcomes
- From:
Chinese Journal of Modern Nursing
2020;26(36):5023-5027
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current situation of infusion effusion and extravasation of intravenous indwelling needle, and analyze the related outcome indicators of venous effusion and extravasation, indwelling time and effusion area of 5 different infusion sites.Methods:Convenience sampling method was used to select patients hospitalized in 19 hospitals and with intravenous needles for infusion in Henan Province from January to June 2019 as the research object. The clinical infusion report form constructed by expert group discussion was used to investigate the current status and analyze the differences in outcomes of different sites. A total of 13 594 patients were investigated, and 13 284 were effectively investigated, with an effective rate of 97.72%.Results:Among 13 284 patients with intravenous indwelling needle for infusion, venous effusion and extravasation occurred in 532 cases, with an incidence of 4.00%; the incidence of effusion and extravasation of dorsal hand veins, forearm veins, upper arm veins, cephalic veins and lower limb veins were 3.92%, 3.90%, 7.54%, 2.74% and 4.69% respectively. Different puncture sites had statistically significant differences in the number of cases of effusion and extravasation, indwelling time and area of exudation and extravasation ( P<0.05) . Among them, the indwelling time of lower limb veins was the shortest and the effusion area was the largest; the dorsal hand veins had a long indwelling time and the effusion area was the smallest. Conclusions:The infusion in the lower limb vein was poor, and dorsal hand vein has the best outcome. Nurses should formulate reasonable infusion measures according to the patient's treatment plan during the infusion, strengthen inspections and preventive measures to reduce the occurrence of intravenous infusion effusion and extravasation.
