Variables influencing intravenous catheter insertion difficulty and failure: An analysis of 339 intravenous catheter insertions
Variables influencing intravenous catheter insertion difficulty and failure: An analysis of 339 intravenous catheter insertions
复制标题
DOI：
10.1016/j.hrtlng.2005.04.002
复制
发表时间：
2005-09-01
期刊：
影响因子：
2.8
通讯作者：
Winslow, EH
中科院分区：
文献类型：
--
作者：
Jacobson, AF;Winslow, EH
背景：插入静脉导管(IV)是护士最常进行的侵入性操作之一。关于如何减少静脉插管的难度和失败，以及提高静脉插管的容易和成功的方法，几乎没有进行过研究。我们进行了这项研究，以确定与静脉插管困难、失败和成功相关的变量，并了解护士使用的促进静脉插管的特殊技术。方法：收集34名注册护士对住院患者339例静脉插管的数据。数据包括关于护士的信息(例如，年龄、教育程度和自我评定的电视插入技能)；患者(例如，年龄和种族)；静脉注射(例如，地点、仪表和类型)；以及静脉注射(例如，持续时间和难度)。分析数据以确定这些变量对静脉插管结果的影响。此外，护士被要求描述他们用来促进静脉插管的特殊技术。结果：总共77%的静脉插管成功。年龄较大、有较多经验、获得专科认证并在插入技能方面自评较高的护士，与年轻、经验较少和技能较差的护士相比，插管成功率显著更高(P
BACKGROUND: Inserting an intravenous catheter (IV) is one of the most frequently performed invasive procedures by nurses. Little research has been conducted on ways to reduce the difficulty and failure, and enhance the ease and success, of IV insertion. We conducted this study to determine variables associated with IV insertion difficulty, failure, and success, and to learn special techniques nurses use to facilitate IV insertion.METHODS: Data were collected on 339 IV insertions in hospitalized patients by 34 registered nurses. The data included information about the nurse (eg, age, education, and self-rated TV insertion skill); the patient (eg, age and race); the IV (eg, site, gauge, and type); and the IV insertion, (eg, duration and difficulty). Data were analyzed to determine the effects of these variables on IV insertion outcome. In addition, nurses were asked to describe special techniques they used to facilitate IV insertion.RESULTS: A total of 77% of the IV insertions were successful. Nurses who were older, had more years of experience, were certified in a specialty, and rated themselves higher in insertion skill had significantly more successful insertions than their younger and less-experienced and less-skilled counterparts (P