Assessment, Treatment, and Follow-Up of Phlebitis Related to Peripheral Venous Catheterisation: A Delphi Study in Spain
Por:
Torné-Ruiz, A, Reguant, M, Sanromà-Ortiz, M, Piriz, M, Roca, J, García-Expósito, J
Publicada:
1 feb 2024
Resumen:
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.
Filiaciones:
Torné-Ruiz, A:
Univ Lleida, Dept Nursing & Physiotherapy, Lleida 25199, Spain
Xarxa Assistencial Univ Manresa, Hosp Fundacio Althaia, Manresa 08243, Spain
Reguant, M:
Univ Barcelona, Dept Res Methods & Diag Educ, Barcelona 08035, Spain
Sanromà-Ortiz, M:
Univ Lleida, Dept Nursing & Physiotherapy, Lleida 25199, Spain
Ramon Llull Univ, Blanquerna Sch Hlth Sci, Barcelona 08025, Spain
Piriz, M:
Hosp Santa Creu & Sant Pau, Infect Dis Div, Barcelona 08041, Spain
Inst Recerca Hosp Santa Creu & St Pau, Barcelona 08041, Spain
Roca, J:
Univ Lleida, Dept Nursing & Physiotherapy, Lleida 25199, Spain
Biomed Res Inst Lleida, Hlth Care Res Grp GRECS, Lleida 25198, Spain
Hlth Educ Nursing Sustainabil & Innovat Res Grp GR, Lleida 25199, Spain
García-Expósito, J:
Univ Lleida, Dept Nursing & Physiotherapy, Lleida 25199, Spain
Grp Preving, Alicante 03003, Spain
Green Published, gold
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