Ihn Sook Jeong; Soon Mi Park; Kyung Ju Park

doi:10.4040/jkan.2016.46.4.534

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Original Article
Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children: Ihn Sook Jeong, Soon Mi Park, Kyung Ju Park; Journal of Korean Academy of Nursing 2016;46(4):534-541.
DOI: https://doi.org/10.4040/jkan.2016.46.4.534
Published online: August 31, 2016

¹College of Nursing, Pusan National University, Yangsan, Korea.

²Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, Korea.

Address reprint requests to: Jeong, Ihn Sook. College of Nursing, Pusan National University, 49 BusanDaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongnam 50612, Korea. Tel: +82-51-510-8342, Fax: +82-51-510-8308, jeongis@pusan.ac.kr

• Received: February 26, 2016 • Revised: May 3, 2016 • Accepted: May 13, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The aim of this study was to identify the effect of an observation window (OW) at peripheral intravenous (IV) catheter sites on early detection of IV infiltration among hospitalized children.
Methods
This was a retrospective observational study with history control group design. Participants were children who had IV infiltration after peripheral catheterization when hospitalized from January to May, 2014 and January to May, 2015 at a children's hospital located in Yangsan city, Korea. The 193 patients, who were hospitalized from January to May, 2014 formed the control group and did not have OW, and the 167 patients, who were hospitalized from January to May, 2015 formed the window group and had OW. Data were analyzed using χ²-test, independent samples t-test and multiple logistic regression.
Results
First stage IV infiltration was 39.5% for the window group and 25.9% for the control group, which was significantly different (p=.007). The likelihood of 2^nd stage and above IV infiltration decreased by 44% in the window group, which was significantly different (p=.014).
Conclusion
OW at the peripheral IV catheter site was found to be an effective measure in early recognition of IV infiltration. Considering the effect of OW, we recommend that nurses should make an OW with transparent dressing during stabilization of the IV catheter site in hospitalized children in clinical settings.
Keywords: Child; Intravenous infusion; Observation; Recognition

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (2015R1A2A2A04003415).

The authors declared no conflict of interest.

REFERENCES

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Figure 1

Dressing process for the observation window group and control group.

Figure 2

Distribution of infiltration stage by group.

Table 1

General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2

Catheterization–Specific Characteristics (N=360)

Table 3

Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).

Figure & Data

REFERENCES

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Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

J Korean Acad Nurs. 2016;46(4):534-541. Published online August 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.4.534

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Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

Figure 1 Dressing process for the observation window group and control group.

Figure 2 Distribution of infiltration stage by group.

Figure 1

Figure 2

Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

Table 1

General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2

Catheterization–Specific Characteristics (N=360)

Table 3

Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).

Table 1 General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2 Catheterization–Specific Characteristics (N=360)

Table 3 Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).