A Study to Assess the Occurrence and Risk Factors of Phlebitis among Peripheral Intravenous Cannulated Patients admitted in Emergency Wards of SKIMS, Soura, Srinagar with a view to develop Phlebitis Prevention Protocol

Authors

  • Sajad Hussain Naik MSc Nursing Community Health Scholar, Mader-e-Maherban Institute of Nursing Sciences & Research, SKIMS, Soura, Srinagar, Jammu & Kashmir, India.
  • Dilshada Wani Principal, , Mader-e-Maherban Institute of Nursing Sciences & Research, SKIMS, Soura, Srinagar, Jammu & Kashmir, India.
  • Bilqis Yasmin Senior Tutor, Mader-e-Maherban Institute of Nursing Sciences & Research, SKIMS, Soura, Srinagar, Jammu & Kashmir, India.

Keywords:

Phlebitis, Risk Factors, Occurrence of Phlebitis

Abstract

Introduction: Almost half of the patients who are administered intravenous fluid infusion or blood transfusion via IV cannula insertion develop phlebitis. This study was conducted to assess the occurrence and risk factors of phlebitis among peripheral intravenous cannulated patients admitted to the emergency wards of SKIMS, Soura, Srinagar with a view to developing a phlebitis prevention protocol.
Methodology: A non-experimental descriptive research design was used for the study. A convenient sampling technique was used for the selection of 250 patients. The prepared tool (semi-structured observation
checklist) and phlebitis prevention protocol was validated by experts. Pre-testing and a pilot study was conducted on patients other than the study sample. The data collected were analysed using descriptive and inferential statistics.
Results: The results of our study showed that phlebitis occurred in more than half of the patients (58%). Among these, grade-1 phlebitis was seen in most of the patients (32.8%) and grade 4 phlebitis was seen in only 0.4%. Most of the patients developed phlebitis within the first 48 hours (26.4%) and 72 hours (20.4%) of cannulation time. There
was a significant association of phlebitis with age and gender, site of cannulation, disinfection of cannula site, size/ gauge of the cannula, infusion of ionotropic drugs and blood and its products, mode of infusion of IV fluids potassium chloride, and phenytoin, administration of piperacillin/tazobactam, vancomycin, metronidazole, and imipenem.
Conclusion: Staff nurses should be made aware of the various risk factors associated with phlebitis. Appropriate training and education programmes should be implemented.

How to cite this article:
Naik SH, Wani D, Yasmin B. A Study to Assess the Occurrence and Risk Factors of Phlebitis among Peripheral Intravenous Cannulated Patients admitted in Emergency Wards of SKIMS, Soura, Srinagar with a view to develop Phlebitis Prevention Protocol. Trends Nurs Adm Edu. 2022;11(1): 5-15.

DOI: https://doi.org/10.24321/2348.2141.202202

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Published

2022-06-16