Special Topics：Pediatric Intravenous Therapy
Current status and complications risk analysis on the utilization of peripheral intravenous catheters in hospitalized children in Class Ⅲ children's specialized hospitals
Wu Xinyi, Bai Zhiyuan, Xu Yang, Feng Jun, Yu Zhen, Ye Xuefen, Yu Yajuan, Liu Hairong
Published 2020-01-06
Cite as Chin J Mod Nurs, 2020, 26(1): 21-25. DOI: 10.3760/cma.j.issn.1674-2907.2020.01.005
Abstract
ObjectiveTo investigate the utilization of peripheral intravenous catheter (PIVC) in hospitalized children in Class Ⅲ specialized children's hospitals, aiming to discover existing issues of PIVC in order to provide reference for clinical nurses and nurse administer to improve the quality on intravenous therapy and to avoid potential risk.
MethodsThis study uses the field survey method. From July 23rd to 31st, 2018, 25 Class Ⅲ children's specialized hospitals were first sampled in 23 provinces, municipalities, and autonomous regions of the country by the convenient sampling method. The cluster sampling method was then used to select all the pediatric patients with PIVCs admitted to the hospital on the date of investigation. A self-designed 'Cross-sectional Questionnaire for Pediatric Patients with PIVC' was used for survey, and images and data were analyzed. SPSS 17.0 software was used to statistically analyze the data.
ResultsIn this study, 8 635 cases of PICVs were investigated, and the utilization rate of PICVs accounted for 86.9% (8 635/9 942) of all venipuncture tools. Among these cases, 4 665 (54.0%) cases' puncture sites were at the dorsal side of the hand, and 1 234 (14.3%) were at the head. Among the PIVCs, 45.8% (3 954/8 635) were safety PIVCs. And 54.6% (4 712/8 635) of the PIVCs were di (2-ethylhexyl) phthalate (DEHP) free products. The incidence rate of PICV related complications was 7.9% (682/8 635) . Univariate analysis and multivariate logistic regression analysis showed that the PIVC time, IV site, dressing fixation problems, catheter maintenance problems, and patient age were risk factors for PIVC related complications (P<0.05) .
ConclusionsPIVC is the widely used among pediatric patients. The IV site is mainly at the dorsal side of the hand, followed by head and wrist. The selection of material and type of PIVC still require further improvement to ensure the safety of pediatric intravenous therapy. Nursing measures should be taken during the use of PIVC to identify the risk factors at early stage and intervene effectively, which can reduce the occurrence of complications.
Key words:
Children; Complications; Peripheral intravenous catheters; Risk factors
Contributor Information
Wu Xinyi
Nursing Department, National Center for Children's Health, China
Beijing Children's Hospital, Capital Medical University, Beijing 100045, China
Bai Zhiyuan
Department of Traditional Chinese Medicine, National Center for Children's Health, China
Beijing Children's Hospital, Capital Medical University, Beijing 100045, China
Xu Yang
Nursing Department, Harbin Children's Hospital, Harbin 150010, China
Feng Jun
Department of Hematology, Kunming Children's Hospital, Kunming 650034, China
Yu Zhen
Nursing Department, Children's Hospital of Soochow University, Suzhou 215025, China
Ye Xuefen
Infusion Room, Hangzhou Children's Hospital, Hangzhou 310014, China
Yu Yajuan
NICU, Changchun Children's Hospital, Changchun 130061, China
Liu Hairong
Nursing Department, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, Beijing 101320, China
