The Effect of Care Bundle in Preventing the Frequency of Peripheral Intravenous Catheter-Related Infiltration and Phlebitis in the Pediatric Emergency Department: A Quasi-Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Incidence of Peripheral Intravenous Catheter-Related Infiltration
研究概览
简要总结
This quasi-experimental study evaluates the effectiveness of a care bundle in preventing peripheral intravenous catheter (PIVC)-related infiltration and phlebitis in pediatric emergency department patients. The care bundle includes interventions such as nurse education, hand hygiene, aseptic techniques, and the use of antiseptic solutions (2% chlorhexidine and 70% alcohol) for PIVC insertion and maintenance. The study compares the incidence of infiltration and phlebitis between the intervention and control groups.
详细描述
This study was conducted in the Pediatric Emergency Department of Dr. Sadi Konuk Education and Research Hospital, involving 200 pediatric patients, with 100 in the intervention group and 100 in the control group. The intervention group received a care bundle, which included education on peripheral intravenous catheter management, hand hygiene, aseptic techniques, and the use of antiseptic solutions (2% chlorhexidine and 70% alcohol). The control group received standard care according to routine practice. The incidence of infiltration and phlebitis was compared between the groups, with data collected using the Visual Infusion Phlebitis Assessment Scale (VIPAS) and Pediatric Peripheral Intravenous Infiltration Scale (PPIIS).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 28 Days 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children admitted to the Pediatric Emergency Department
- •First-time peripheral intravenous catheter (PIVC) insertion Ages between 28 days to 18 years
- •At least 6 hours of observation after catheter insertion
- •Fluid administration in the observation area (e.g., 5% dextrose + 0.45% NaCl + 5/10 cc potassium)
- •Written informed consent obtained from parents/legal guardians
- •Children willing to participate in the study
排除标准
- •Children with skin problems (e.g., epidermolysis bullosa)
- •Children allergic to products used in the care bundle
- •Children who have undergone procedures that could cause catheter displacement or infiltration (e.g., lumbar puncture) Children with chronic vascular issues (e.g., vasculitis, hematologic disorders, congenital vascular anomalies)
- •Children transferred to intensive care or another department after PIVC insertion
- •Children with clinical conditions that prevent standard care bundle application (e.g., extreme agitation, inability to immobilize extremities)
研究组 & 干预措施
Intervention Group (Care Bundle)
The intervention group will receive a care bundle consisting of the following:
Nurse Education on peripheral intravenous catheter (PIVC) management.
Hand Hygiene and adherence to aseptic techniques during PIVC insertion.
Use of 2% chlorhexidine and 70% alcohol antiseptic solutions for PIVC insertion.
Hydrocolloid transparent adhesive bandage for stabilization of the catheter.
Nurses will avoid performing more than two attempts for PIVC insertion.
Aseptic technique will be strictly followed during PIVC insertion and maintenance.
干预措施: Care Bundle for PIVC Management (Behavioral)
Control Group (Standard Care)
The control group will receive standard care as per routine practice in the pediatric emergency department:
Standard peripheral intravenous catheter (PIVC) insertion procedures as performed by clinical staff.
No additional interventions such as nurse education or the specific antiseptic solutions or stabilization methods will be applied.
结局指标
主要结局
Incidence of Peripheral Intravenous Catheter-Related Infiltration
时间窗: From the time of catheter insertion to 6 hours post-insertion
The primary outcome is the incidence of PIVC-related infiltration in pediatric patients. Infiltration will be assessed using the Pediatric Peripheral Intravenous Infiltration Scale (PPIIS).
Incidence of Peripheral Intravenous Catheter-Related Phlebitis
时间窗: From the time of catheter insertion to 6 hours post-insertion.
the incidence of PIVC-related phlebitis. Phlebitis will be assessed using the Visual Infusion Phlebitis Assessment Scale (VIPAS).
次要结局
- First Attempt Success Rate for PIVC Insertion(Procedure (During initial PIVC insertion attempt.))
- Number of PIVC Insertions(At the time of PIVC insertion procedure)
- Nurse Adherence to Care Bundle Protocol(At the time of PIVC insertion procedure)
研究者
Gizem Çolak
Principal Investigator
Istanbul University - Cerrahpasa