Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Periferik Venöz Katetere Bağlı Flebit Gelişiminin Önlenmesinde Kanıta Dayalı Hemşirelik Uygulamaları: Geleneksel Derleme
Evidence Based Nursing Practices in Preventing the Development of Phlebits Due to Peripheral Venous Catheter: Traditional Review
Tuğba DOSTa , Nuran TOSUNb
aKaramanoğlu Mehmetbey Üniversitesi Teknik Bilimler Meslek Yüksekokulu, Bitkisel ve Hayvansal Üretim Bölümü, Karaman, Türkiye
bHasan Kalyoncu Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Fakültesi, Gaziantep, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1207-16
doi: 10.5336/nurses.2023-97915
Article Language: TR
Full Text
ÖZET
 Hastanın derisi yoluyla damar lümeni içerisine kanül yerleştirilmesi işlemi olan periferik venöz kateterizasyon (PVK), hastanede yatarak tedavi olan hastalarda en sık uygulanan invaziv hemşirelik girişimlerinden birisidir. PVK doğru şekilde uygulandığında yararlı ve hastanın hayatını kurtarabilen bir uygulama iken, yanlış şekilde uygulandığında veya kateter bakımının yetersiz olduğu durumlarda flebit, infiltrasyon, ekstravazasyon, kanama, hematom, emboli, enfeksiyon gibi ciddi lokal ve sistematik komplikasyonlara neden olmaktadır. Bu komplikasyonlar arasında yer alan flebit, venin tunika intima tabakasının inflamasyonu olup, intravenöz tedavi uygulamalarında sık görülen ve önlenebilir bir komplikasyondur. Gelişen komplikasyonlar nedeniyle PVK'lerin zamanından önce çıkarılma oranı %70'lere ulaşabilmektedir. Yapılan çalışmalarda; ileri yaş, PVK uygulamalarında aseptik koşullara dikkat edilmemesi, hastaya uygulanan ilaç sayısı ve ilaç uygulama sıklığının fazla olması, asit-alkali sıvı ve asit-alkali ilaçların uygulanması, ilaç uygulamalarında hızlı infüzyon, sürekli infüzyon ve bolus yöntemiyle ilaç uygulamasının flebit gelişme riskini artırdığı; bununla beraber vialon kateterlerin ve 20-22 numaralı kateter kullanımının, PVK'nin sefalik, bazilik ve antekübital bölge venlerine uygulamasının flebit gelişme riskini azalttığı ve rutin kateter değişiminin flebit gelişme riskini etkilemediği belirlenmiştir. Ayrıca kateterin cilde sabitlenmesi, kateter uygulayan kişinin bilgi ve beceri düzeyi, set değişim süreleri gibi faktörlerin flebit gelişimini etkilediği tespit edilmiştir. Bu derlemede, periferik venöz katetere bağlı flebit gelişiminin önlenmesine yönelik kanıta dayalı hemşirelik uygulamaları açıklanmıştır.

Anahtar Kelimeler: Periferik venöz kateter; flebit; hemşirelik; kanıta dayalı hemşirelik uygulamaları
ABSTRACT
 Peripheral venous catheterization (PVC), which is the process of inserting a cannula into the vessel lumen through the patient's skin, is one of the most frequently applied invasive nursing interventions in hospitalized patients. While PVC is a useful application that can save the life of the patient when applied correctly, it causes serious local and systemic complications (phlebitis, infiltration, extravasation, bleeding, hematoma etc.) when applied incorrectly or when catheter care is insufficient. Among these complications, phlebitis is inflammation of the tunica intima layers of the vein and is a common and preventable localization in intravenous examination procedures. Due to the developing difficulties, the premature removal rate of PVCs can reach 70%. Studies have shown that factors such as advanced age, not paying attention to aseptic conditions in PVC applications, number of drugs administered to the patient and frequency of drug administration, administration of acid-alkaline liquids/drugs, some methods used in drug administration (rapid infusion, continuous infusion and bolus method)' etc. increase the risk of developing phlebitis. However, in related studies, it has been determined that use of vialon catheters and number 20-22 catheter and application of PVC to cephalic, basilic and antecubital region veins reduce the risk of developing phlebitis and that routine catheter replacement does not affect the risk of developing phlebitis. Also, it has been confirmed that factors such as fixation of catheter to skin, knowledge and skill level of person applying catheter, and set change over times affect development of phlebitis. In this review, it is explained that evidence-based nursing practices for the prevention of peripheral venous catheter-related phlebitis.

Keywords: Peripheral venous catheter; phlebitis; nursing; evidence-based nursing practice
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4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com