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        정맥주사시 무균적처치가 정맥염예방에 미치는 영향에 관한 연구

        익계숙,이순분,우금명,주종애 병원간호사회 1996 임상간호연구 Vol.2 No.-

        The purpose of this study was to emphasize the aseptic dressing technique needs to prevent phlebitis caused by intravenous catheter insertion. The study was a quasi-experimental study to evaluate for prevention of phlebitis between the control group and the model group. Aseptic dressing technique applied to the model group only. The control group data was collected from 42 In patients from 4 different medical unit who had medical diagnoses from January 2, 1994 to February 28, 1994. The model group data was collected from 47 In patients who also had medical diagnoses from March 1, 1994 to April 30, 1994. The control group used paper tape on the Ⅳ site and the model group used sterile gauze dressing which was changed every 24 hrs. Based on the elements of infusion solution, we divided into 2 groups. General solution group with certain medication such as electrolytes, antibiotics and chemotherapy group with anti-cancer drug. We also compared the phlebitis rate between those 2 groups. We used the Chrystal C.Scale's severity assessment system. The data was analyzed by the SPSS program. The results of the study were as follow ; 1. The complication rate of the infusion therapy were significant between two groups(P=.0282). Out of 42 cases in control group, clotting was 7.1%, infiltration was 16.7%, phlebitis was 59.5% and out of 47 cases in model group, clotting was 31.9%, infiltration was 10.6% and phlebitis was 34%. This shows that aseptic technique contributed to decrease the Ⅳ phlebitis and also the size of the catheter could be another factor. The bigger size tends to increase the phlebitis. 2. The complication rate of Ⅳ therapy in the control group were significant between the general solution group and the chemotherapy group(P=.0259) which was opposite in the model group(P=.2728). 3. The phlebitis rate in the infusion therapy didn't show any significance in both chemotherapy and general solution group. 4. The phlebitis rate after catheter insertion was significant between the control group and the model group(P=.0454). 5. The degree of phlebitis was not significant between the control group and the model group(P=.1505). Phlebitis is one of the most common clinical complication of I.V. therapy. However, the phlebitis rate in I.V. therapy depends on the aseptic treatment of Ⅳinsertion site. Hopefully, this study results can contribute to make policies and procedures to provide the safe Ⅳ therapy.

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