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Assessment, Treatment, and Follow-Up of Phlebitis Related to Peripheral Venous Catheterisation: A Delphi Study in Spain.
Torné-Ruiz, Alba; Reguant, Mercedes; Sanromà-Ortiz, Montserrat; Piriz, Marta; Roca, Judith; García-Expósito, Judith.
Afiliación
  • Torné-Ruiz A; Department of Nursing and Physiotherapy, University of Lleida, 25199 Lleida, Spain.
  • Reguant M; Hospital Fundació Althaia, Xarxa Assistencial Universitària de Manresa, 08243 Manresa, Spain.
  • Sanromà-Ortiz M; Department of Research Methods and Diagnosis in Education, University of Barcelona, 08035 Barcelona, Spain.
  • Piriz M; Department of Nursing and Physiotherapy, University of Lleida, 25199 Lleida, Spain.
  • Roca J; Blanquerna School of Health Science, Ramon Llull University, 08025 Barcelona, Spain.
  • García-Expósito J; Infectious Diseases Division, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain.
Healthcare (Basel) ; 12(3)2024 Feb 01.
Article en En | MEDLINE | ID: mdl-38338263
ABSTRACT

BACKGROUND:

Phlebitis related to peripheral venous catheters (PVCs) is a common complication in patients who require these devices and can have important consequences for the patients and the healthcare system. The management and control of the PVC-associated complications is related to nursing competency. The present study aims to determine, at the national level in Spain, the consensus on the assessment, treatment, and follow-up of PVC-related phlebitis and the importance of the actions taken.

METHOD:

A three-round Delphi technique was used with clinical care nurses who are experts in the field of in-hospital intravenous treatment in Spain. For this, an online questionnaire was developed with three open-ended questions on the dimensions of phlebitis assessment, treatment, and follow-up. For the statistical analysis of the results, frequencies and percentages were used to determine consensus, and the measures of central tendency (mean, standard deviation, and the coefficient of variation) were used to rank importance. The coefficient of variation was set as acceptable at ≤30%.

RESULTS:

The final sample was 27 expert nurses. At the conclusion of round 3, actions were ranked according to their importance, with six items included in the PVC-related phlebitis assessment (symptomatology/observation, redness, the Maddox scale, induration, temperature, and pain), two in treatment (catheter removal, pentosan polysulphate sodium ointment + application of cold), and just one in follow-up (general monitoring + temperature control).

CONCLUSIONS:

There is a major disparity in relation to the PVC-related phlebitis assessment, treatment, and follow-up actions. More clinical studies are therefore needed to minimise the complications associated with the use of PVCs, given their impact on the quality of care and patient safety and their economic cost.
Palabras clave

Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: España