J Korean Acad Nurs.  2016 Aug;46(4):534-541. 10.4040/jkan.2016.46.4.534.

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

• Jeong IS
• Park SM
• Park KJ

• KMID: 2424550
• DOI: http://doi.org/10.4040/jkan.2016.46.4.534

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 2nd 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.

Keyword

Child; Intravenous infusion; Observation; Recognition

MeSH Terms

Adolescent
Bandages
Case-Control Studies
Catheterization, Peripheral/instrumentation/*methods
Child
Child, Hospitalized
Child, Preschool
Clinical Competence
Extravasation of Diagnostic and Therapeutic Materials/*prevention & control
Female
Humans
Infant
Infusions, Intravenous/adverse effects
Logistic Models
Male
Odds Ratio
Retrospective Studies

Figure

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

• 

  Figure 2 Distribution of infiltration stage by group.

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