:::

詳目顯示

回上一頁
題名:成人周邊靜脈管路引起之靜脈炎相關因素探討--系統性回顧
書刊名:長庚護理
作者:方莉陳季員 引用關係陳彰惠
作者(外文):Fang, LiChen, Jih-yuanChen, Chung-hey
出版日期:2009
卷期:20:4=68
頁次:頁463-470
主題關鍵詞:靜脈炎導針成人PhlebitisCatheterAdult
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:81
周邊靜脈點滴注射是一項最常見的侵入性治療,故維護周邊靜脈注射管路為一重要議題﹔但臨床上,靜脈注射管路常因靜脈炎之關係,必須移除管路重打及照護靜脈炎的部位。本文以系統性回顧的方式,希望在已發表的文章中,整理出哪些臨床變項為成人周邊靜脈炎發生的相關因素。由Scopus、Cochrane、Elseiver Science Direct、Blackwell Synergy、Pubmed、CINAHL、Proquest Medical Library、思博網(Ceps)之中文期刊等資料庫,搜尋文獻。結果發現:靜脈導針留置時間與靜脈炎有關,且留置時間越長發生靜脈炎之機率越高﹔而靜脈導針大小並非影響周邊靜脈管路是否發生靜脈炎之因素。結論及建議:其餘變項,則因結果皆不一致(如:性別、靜脈導針大小方面、靜脈點滴使用的原因、靜脈導針注射的解剖位置、在注入靜脈導針的人員方面、年齡及診斷)或僅為單一研究之結果,證據力較低,建議未來研究應朝此方向努力,證明這些因素是否與周邊靜脈管路發生靜脈炎有關,並指出未來研究設計,應觀察靜脈注射流程﹔同時,在靜脈導針留置時間及病患年齡方面,建議分別以留置小時及將年齡以連續變項執行資料分析,則將獲得更精確結果。
Peripheral intravenous injection is the most commonly used invasive treatment, therefore, maintaining the peripheral intravenous catheters is an important issue. Phlebitis of the peripheral intravenous catheters will lead to removal of the peripheral intravenous catheters and the need of taking care of the part of the phlebitis. This systemic review was to investigate the related factors on phlebitis of peripheral intravenous catheters of adults. The literatures were searched in the following eight online electronic databases: Scopus, Cochrane, Elseiver Science Direct, Blackwell Synergy, Pubmed, CINAHL, Proquest Medical Library, and Chinese Ceps databases. The reviews showed that the longer the indwelling time was, the higher possibility of phlebitis there was. Other variables, such as, genders, catheter sizes, reasons for use of peripheral intravenous catheters, anatomic locations, the persons of venipuncture, ages, and diagnoses, were inconsistently associated with the conditions. Therefore, the level of evidence was low. Future studies could verify these inconsistent findings and investigate variables such as venipuncture procedures, etc. Indwelling time of catheters and age of the patients could be analyzed as continuous variables to improve precision.
期刊論文
1.Bregenzer, T., Conen, D., Sakmann, P,、Widmer, A. F.(1998)。Is routine replacement of peripheral intravenous catheters necessary?。Archives of Internal Medicine,158 (2),151-156。  new window
2.Catney, M. R., Hillis, S., Wakefield, B., Simpson, L., Domino, L., Keller, S., et al.(2001)。Relationship between peripheral intravenous catheter dwell time and the development of phlebitis and infiltration。Journal of Infusion Nursing,24(5),332-341。  new window
3.Chyun, D.(1989)。Patients' perceptions of Stressors in intensive care and coronary care units。Focus on Critical Care,16,206-211。  new window
4.Cornely, O. A., Bethe, U., Pauls, R.,、Waldschmidt, D.(2002)。Peripheral Telflon Catheters: Factors determining incidence of pheripheral and duration of cannulation。Infection Control and Hospital Epidermiology,23(5),249-253。  new window
5.Curran, E. T., Coia, J. E., Gilmour, H., McNamee,S.,、Hood, J.(2000)。Multi-centre research surveillance project to reduce infections/phlebitis associated with peripheral vascular catheters。The Hospital Infection,46(3),194-202。  new window
6.Grune, F., Schrappe, M., Basten, J., Wenchel, H. M., Tual, E.,、Stutzer, H.(2004)。Phlebitis rate and time kinetics of short peripheral intravenous catheters。Infection,32(1),30-32。  new window
7.Karadeniz, G. L., Kutlu, N., Tatlisumak, E. R.、Ozbakkaloge, B.(2003)。Nurses’ knowledge regarding patients with intravenous catheters and phlebitis interventions。Journal of Vascular Nursig,21(2),44-47。  new window
8.Nassaji-Zavareh, M.,、Ghorbani, R.(2007)。Peripheral intravenous catheterrelated phlebitis and related risk factors。Singapore Med journal,48(8),733-736。  new window
9.Uslusoy, E.、Mete, S.(2008)。Predisposing factors to phlebitis in patients with peripheral intravenous catheters: A descriptive study。Journal of the American Academy of Nurse Practitioners,20(4),172-180。  new window
圖書
1.邱文達、陳杰峰(2004)。實證醫學:臨床流行病學方法之應用。台北市:臺北市萬芳醫院。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE