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      말초 정맥주사를 통해 비항암제 발포성 약물을 투약한 성인 환자의 일혈 발생과 위험요인 = Factors Related to Extravasation of Non-chemotherapy Vesicant Drugs in Peripheral Vein Catheters

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      https://www.riss.kr/link?id=A105453261

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      Purpose : This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults. Method : This prospective observational study included 203 adult patients admitted to the general ward who received non-chemotherapy vesicant drug infusion treatments. Data were analyzed using frequencies, percentage, means, standard deviations, and odds ratios (ORs) from multiple logistic regressions. Results : The incidence of extravasation was 43.3%. Risk factors for intravenous extravasation included continuous injections (OR=5.35, 95% CI [1.38, 20.83]), and parenteral nutrition (OR=3.53, 95% CI [1.43, 8.73]). Conclusion : The present findings revealed that gastrointernal medicine problems, continuous injection, and parenteral nutrition were related to intravenous extravasation. Further research is necessary to reduce the incidence of extravasation related to peripheral intravenous catheterization in adults, and to prevent secondary complications. Finally, patients should be provided appropriate and continuous care based on the type of intravenous infusion.
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      Purpose : This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults. Method : This prospective observational study included 203 adult patients ...

      Purpose : This study aimed to investigate the incidence of intravenous extravasation and the risk factors associated with the use of peripheral intravenous catheters in adults. Method : This prospective observational study included 203 adult patients admitted to the general ward who received non-chemotherapy vesicant drug infusion treatments. Data were analyzed using frequencies, percentage, means, standard deviations, and odds ratios (ORs) from multiple logistic regressions. Results : The incidence of extravasation was 43.3%. Risk factors for intravenous extravasation included continuous injections (OR=5.35, 95% CI [1.38, 20.83]), and parenteral nutrition (OR=3.53, 95% CI [1.43, 8.73]). Conclusion : The present findings revealed that gastrointernal medicine problems, continuous injection, and parenteral nutrition were related to intravenous extravasation. Further research is necessary to reduce the incidence of extravasation related to peripheral intravenous catheterization in adults, and to prevent secondary complications. Finally, patients should be provided appropriate and continuous care based on the type of intravenous infusion.

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      참고문헌 (Reference)

      1 구미옥, "정맥주입요법 간호실무지침 수용개작" 병원간호사회 19 (19): 128-142, 2013

      2 김경아, "간기능검사의 이해와 적용" 대한내과학회 76 (76): 163-168, 2009

      3 Sauerland, C., "Vesicant extravasation part I: mechanisms, pathogenesis, and nursing care to reduce risk" 33 (33): 1134-1141, 2006

      4 Schulmeister, L., "Vesicant chemotherapy extravasation management" 20 (20): S6-S12, 2011

      5 Harrold, K., "The management of cytotoxic chemotherapy extravasation: a systematic review of the literature to evaluate the evidence underpinning contemporary practice" 24 (24): 771-800, 2015

      6 Dougherty, L., "The Royal Marsden manual of clinical nursing procedures" John Wiley & Sons Inc 2015

      7 Ahmed, A., "Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management" Saunders 1575-1587, 2006

      8 Hadaway, L., "Short peripheral intravenous catheters and infections" 35 (35): 230-240, 2012

      9 Fernandez-Garcia, C., "Related factors with extravasation of non-cytostatic agents in peripheral vein catheters" 27 (27): 71-78, 2017

      10 Perez Fidalgo, J. A., "Management of chemotherapy extravasation: ESMO-EONS clinical practice guidelines" 16 (16): 528-534, 2012

      1 구미옥, "정맥주입요법 간호실무지침 수용개작" 병원간호사회 19 (19): 128-142, 2013

      2 김경아, "간기능검사의 이해와 적용" 대한내과학회 76 (76): 163-168, 2009

      3 Sauerland, C., "Vesicant extravasation part I: mechanisms, pathogenesis, and nursing care to reduce risk" 33 (33): 1134-1141, 2006

      4 Schulmeister, L., "Vesicant chemotherapy extravasation management" 20 (20): S6-S12, 2011

      5 Harrold, K., "The management of cytotoxic chemotherapy extravasation: a systematic review of the literature to evaluate the evidence underpinning contemporary practice" 24 (24): 771-800, 2015

      6 Dougherty, L., "The Royal Marsden manual of clinical nursing procedures" John Wiley & Sons Inc 2015

      7 Ahmed, A., "Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management" Saunders 1575-1587, 2006

      8 Hadaway, L., "Short peripheral intravenous catheters and infections" 35 (35): 230-240, 2012

      9 Fernandez-Garcia, C., "Related factors with extravasation of non-cytostatic agents in peripheral vein catheters" 27 (27): 71-78, 2017

      10 Perez Fidalgo, J. A., "Management of chemotherapy extravasation: ESMO-EONS clinical practice guidelines" 16 (16): 528-534, 2012

      11 Infusion Nurses Society, "Infusion nursing standards of practice" 29 : S1-S138, 2016

      12 Doellman, D., "Infiltration and extravasation: update on prevention and management" 32 (32): 203-211, 2009

      13 Hadaway, L., "Infiltration and extravasation-Preventing a complication of IV catheterization" 107 (107): 64-72, 2007

      14 Woody, G., "Increasing nurse competence in peripheral intravenous therapy" 36 (36): 413-419, 2013

      15 Taylor, J. T., "Implementing an evidence-based practice project in the prevention of peripheral intravenous site infiltrations in children" 38 (38): 430-435, 2015

      16 Dougherty, L., "IV therapy: recognizing the differences between infiltration and extravasation" 17 (17): 896-901, 2008

      17 O'Grady, N. P., "Guidelines for the prevention of intravascular catheter-related infections" 39 (39): 1-34, 2011

      18 Dougherty, L., "Extravasation: prevention, recognition and management" 24 (24): 48-55, 2010

      19 Martin, S. M., "Extravasation management of nonchemotherapeutic medications" 36 (36): 392-396, 2013

      20 Goutos, I., "Extravasation injuries: a review" 39 (39): 808-818, 2014

      21 Kassne, E., "Evaluation and treatment of chemotherapy extravasation injuries" 17 (17): 135-148, 2000

      22 Wengstrom Y., "European oncology nursing society extravasation guidelines" 12 (12): 357-361, 2008

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2026 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2017-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2016-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2014-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.16 0.16 0
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