Deniz ÖZTÜRK, Banu Cihan ERDOĞAN, Nevin DOĞAN, Kadriye KIZILTEPE, Zehra Göçmen BAYKARA

Periferik İntravenöz Katater İlişkili Flebit: Nokta Prevalans Çalışması

Amaç: Flebit periferik intravenöz kateter (PİK) uygulanan hastalarda en sık görülen komplikasyondur. Bu çalışma, PİK ilişkili flebit prevalansını saptamak amacıyla gözlemsel, bir günlük ve nokta prevalans çalışması olarak yapılmıştır. Gereç ve Yöntem: Araştırma, bir eğitim ve araştırma hastanesinde yatan ve PİK uygulanan hastalar (n=402) ile yürütülmüştür. Araştırmaya başlamadan önce ilgili kurumlardan resmi izin ve etik kurul izni alınmıştır. Araştırmada veriler “PİK İlişkili Flebit Veri Toplama Formu” ve “Flebit skalası” aracılığıyla toplanmıştır. Verilerin analizinde ilgili istatistiksel yöntemler kullanılmıştır. Hastanedeki kliniklere ait yatak sayıları (n=756) belirlendikten sonra, her klinik için biri gözlemci, diğeri uygulayıcı olmak üzere iki kişilik hemşire ekipleri oluşturulmuştur. Çalışma ekibini oluşturan hemşirelere; PİK İlişkili Flebit Eğitimi ve formları nasıl dolduracaklarına dair eğitim verilmiş ve hasta sayısı kadar form dağıtılmıştır. Hemşireler aynı anda verileri toplamaya başlamıştır. Hemşirelere veri toplamaları sırasında telefonla ve klinikleri dolaşarak danışmanlık verilmiştir. Bulgular: Araştırmada hastaların %69,1’inin iç hastalıkları ve cerrahi kliniklerde yattığı ve PİK yoluyla antibiyotik tedavisi aldığı, %75,1’inin PİK’in kalış süresinin 96 saatten az olduğu, PİK uygulama bölgesinin vücudun sağ bölümünden ve en fazla ön kol ve el üstünden uygulandığı belirlenmiştir. Araştırmada flebit prevalansının %3,98 olduğu ve hastaların %3,98’inde 1. derece flebit geliştiği saptanmıştır. Sonuç: Flebit oranlarının literatür ile paralel olması ve saptanan flebit olguların henüz birinci evrede olması dikkat çekicidir. Flebit gelişimini önlemek ve flebiti erken dönemde saptamak amacıyla PİK takılan bölgenin flebit açısından düzenli aralıklarla değerlendirilmesi önerilmektedir.

Phlebitis Related To Peripheric Intravenous Catheter: A Point Prevalence Study

Objectives: Phlebitis is the most common complication in patients undergoing peripheral intravenous catheters (PIC). This study was conducted as an observational, one-day and point prevalence study for the purpose of determining the prevalence of PIC-related phlebitis. Materials and Methods: The study was carried out with patients on PIC (n=402) in a training and research hospital. Before starting the study, official permission and ethics committee approval were obtained from relevant institutions. The data in the study were collected via the “PIC- Related Phlebitis Data Collection Form” and the “Phlebitis scale”. In the analysis of data, relevant statistical methods were used. After determining the number of beds in the hospital clinics (n=756), nurse teams consisting of two individuals (one observer, one implementer) were created for each clinic. Nurses in the working team were given PIC-Related Phlebitis Training and trained on how to complete forms and the forms were distributed to each patient. Meanwhile, nurses began to collect data. In the data collection process, nurses were provided with counseling on the phone and in clinics. Results: In the study, 69.1% of the patients were hospitalized in internal diseases and surgical clinics and they received antibiotics treatment via PIC. 75.1% had PIC less than 96 hours and it was determined that PIC was mainly applied on the right side of the body and mostly over the forearm and hand. In addition, it was found that the prevalence of phlebitis was 3.98% and 3.98% of patients had developed 1st degree phlebitis. Conclusion: The fact that phlebitis rates were in parallel with the literature and phlebitis cases identified were merely in the first stage is remarkable. In order to prevent phlebitis development and to diagnose phlebitis in early period, it is recommended to evaluate the area of PIC in terms of phlebitis regularly.

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