@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):166-171
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):166-171
Effect of Temperature Equalization of Intravenous Administration with Body Temperature on Occurrence of Phlebitis
ARTICLE INFO
Article Type
Original ResearchAuthors
Mojalli M (1)Pirooz A (*)
Sajjadi M (1)
(*) Student Research Committee & Medical- Surgical Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad , Iran
(1) Social Development and Health Promotion Research Center & Medical- Surgical Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Student Research Committee & Medical- Surgical Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, IranPhone: +98 (51) 57223028
Fax: +98 (51) 57223814
apirooz3ca@gmail.com
Article History
Received: December 3, 2017Accepted: May 23, 2018
ePublished: July 23, 2018
ABSTRACT
Aims
IV catheter insertion is the most common invasive hospital procedure and
its complications are costly for the health care system and patients. Phlebitis, or
inflammation of the vein, is an important cause of premature catheter failure. The
purpose of this study was to determine the effect of temperature equalization of
intravenous administration with body temperature on occurrence of phlebitis.
Materials & Methods This randomized controlled clinical trial was conducted among 106 patients admitted to internal wards of Imam Ali hospital in Sarayan, Iran in 2016 and required intravenous administration. The patients were divided randomly into intervention (53 cases) and control groups (53cases). In intervention group solutions and medications was infused by infusion pump SN-1500SERIAL at range of body normal temperature (37°c) and in control group at a mean temperature of 24°c. Insertion sites were observed every 2 hours for evidence of phlebitis according to Infusion Nursing Society Phlebitis. Data were collected by using information sheet and they were analyzed by using SPSS 22 software and T-test, Chi square test, Spearman test and regression test in Significance level less than 0.05.
Findings There were no significant differences between the two groups in terms of age, sex, education, marital status, underlying illness, addiction, BMI and mean of received volume. Also results showed no significant difference between the two groups in terms of occurrence of phlebitis (P=0.28). But it decreased at the first and second 24 hours in the intervention group.
Conclusion Although temperature equalization of intravenous administration with body temperature have low effect on occurrence of phlebitis in first and second days of intervention, but this study showed no significant evidence. Further study with lower and higher than body temperature is recommended.
Materials & Methods This randomized controlled clinical trial was conducted among 106 patients admitted to internal wards of Imam Ali hospital in Sarayan, Iran in 2016 and required intravenous administration. The patients were divided randomly into intervention (53 cases) and control groups (53cases). In intervention group solutions and medications was infused by infusion pump SN-1500SERIAL at range of body normal temperature (37°c) and in control group at a mean temperature of 24°c. Insertion sites were observed every 2 hours for evidence of phlebitis according to Infusion Nursing Society Phlebitis. Data were collected by using information sheet and they were analyzed by using SPSS 22 software and T-test, Chi square test, Spearman test and regression test in Significance level less than 0.05.
Findings There were no significant differences between the two groups in terms of age, sex, education, marital status, underlying illness, addiction, BMI and mean of received volume. Also results showed no significant difference between the two groups in terms of occurrence of phlebitis (P=0.28). But it decreased at the first and second 24 hours in the intervention group.
Conclusion Although temperature equalization of intravenous administration with body temperature have low effect on occurrence of phlebitis in first and second days of intervention, but this study showed no significant evidence. Further study with lower and higher than body temperature is recommended.
CITATION LINKS
[1]Rego Furtado LC. Incidence and predisposing factors of phlebitis in a surgery department. Br J Nurs. 2011;20(14):S16-8, S20, S22 passim.
[2]Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203.
[3]Webster J, Clarke S, Paterson D, Hutton A, van Dyk S, Gale C, et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ. 2008;337:a339.
[4]Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs. 2006;29(1 Suppl):S1-92.
[5]Unknown author. The RCoNSfIT, RCN IV Therapy Forum. 3rd Ed. London: URCo.
[6]Scales K. Intravenous therapy: a guide to good practice. Br J Nurs. 2008;17(19):S4-S12.
[7]Kalani Z, Pourmovahed Z, Vaezi AA, Vaziri SF. Assessing the risk factors of phlebitis incidence related to peripheral catheter (an analytical study). J Hosp. 2015;14(3):93-9. [Persian]
[8]Tagalakis V, Kahn SR, Libman M, Blostein M. The epidemiology of peripheral vein infusion thrombophlebitis: a critical review. Am J Med. 2002;113(2):146-51.
[9]Macklin D. Phlebitis: a painful complication of peripheral IV catheterization that may be prevented. Am J Nurs. 2003;103(2):55-60.
[10]dos Reis PE, Silveira RC, Vasques CI, de Carvalho EC. Pharmacological interventions to treat phlebitis: systematic review. J Infus Nurs. 2009;32(2):74-9.
[11]Yuanjun Q, Caifeng W. Research progress on fluids related factors induced transfusion phlebitis. Chin Nurs Res. 2011;11.
[12]Hajihosseini F, Beheshti Z, Nazari R, Rezaei R, Hajiahmadi M. Comparison of the effects of wet hot compression and topical gel of pyroxycam on perineal peritoneal catheter phlebitis. J Babol Univ Med Sci. 2007;9(3):33-8. [Persian]
[13]Pan LY, Zong Y, Tang Y. Effect of Heated mannitol on prevention of phlebitis induced by 20% mannitol intravenously infusion. J Clin Nurs. 2006;3.
[14]Maki DG, Ringer M. Risk factors for infusion-related phlebitis with small peripheral venous catheters. A randomized controlled trial. Ann Intern Med. 1991;114(10):845-54.
[15]Ashk Torab T, Soleymanian T, Farahani Borzabadi Z, Alavi Majd H, Samini M. Effects of skin disinfection by alcohol and chlorhexidine on catheter-related phlebitis: a clinical trial study. Fac Nurs Midwif Q. 2006;16(53):39-46. [Persian]
[16]Choi JS, Park ES, Jin HY, Jung SY, Park MR, Kim JE, et al. Epidemiologic study of phlebitis associated with short-term intravenous catheter: focused on 6 hospital on Seoul or Gyonggo-do, Korea. Korean J Nosocom Infect Control. 2003;8(2):95-102.
[17]Nassaji-Zavareh M, Ghorbani R. Peripheral intravenous catheter-related phlebitis and related risk factors. Singapore Med J. 2007;48(8):733-6.
[2]Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203.
[3]Webster J, Clarke S, Paterson D, Hutton A, van Dyk S, Gale C, et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ. 2008;337:a339.
[4]Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs. 2006;29(1 Suppl):S1-92.
[5]Unknown author. The RCoNSfIT, RCN IV Therapy Forum. 3rd Ed. London: URCo.
[6]Scales K. Intravenous therapy: a guide to good practice. Br J Nurs. 2008;17(19):S4-S12.
[7]Kalani Z, Pourmovahed Z, Vaezi AA, Vaziri SF. Assessing the risk factors of phlebitis incidence related to peripheral catheter (an analytical study). J Hosp. 2015;14(3):93-9. [Persian]
[8]Tagalakis V, Kahn SR, Libman M, Blostein M. The epidemiology of peripheral vein infusion thrombophlebitis: a critical review. Am J Med. 2002;113(2):146-51.
[9]Macklin D. Phlebitis: a painful complication of peripheral IV catheterization that may be prevented. Am J Nurs. 2003;103(2):55-60.
[10]dos Reis PE, Silveira RC, Vasques CI, de Carvalho EC. Pharmacological interventions to treat phlebitis: systematic review. J Infus Nurs. 2009;32(2):74-9.
[11]Yuanjun Q, Caifeng W. Research progress on fluids related factors induced transfusion phlebitis. Chin Nurs Res. 2011;11.
[12]Hajihosseini F, Beheshti Z, Nazari R, Rezaei R, Hajiahmadi M. Comparison of the effects of wet hot compression and topical gel of pyroxycam on perineal peritoneal catheter phlebitis. J Babol Univ Med Sci. 2007;9(3):33-8. [Persian]
[13]Pan LY, Zong Y, Tang Y. Effect of Heated mannitol on prevention of phlebitis induced by 20% mannitol intravenously infusion. J Clin Nurs. 2006;3.
[14]Maki DG, Ringer M. Risk factors for infusion-related phlebitis with small peripheral venous catheters. A randomized controlled trial. Ann Intern Med. 1991;114(10):845-54.
[15]Ashk Torab T, Soleymanian T, Farahani Borzabadi Z, Alavi Majd H, Samini M. Effects of skin disinfection by alcohol and chlorhexidine on catheter-related phlebitis: a clinical trial study. Fac Nurs Midwif Q. 2006;16(53):39-46. [Persian]
[16]Choi JS, Park ES, Jin HY, Jung SY, Park MR, Kim JE, et al. Epidemiologic study of phlebitis associated with short-term intravenous catheter: focused on 6 hospital on Seoul or Gyonggo-do, Korea. Korean J Nosocom Infect Control. 2003;8(2):95-102.
[17]Nassaji-Zavareh M, Ghorbani R. Peripheral intravenous catheter-related phlebitis and related risk factors. Singapore Med J. 2007;48(8):733-6.