EFFECT OF INTERVENTIONS ON REDUCING THE RISK OF THROMBOPHLEBITIS AMONG IV CANNULATED PATIENTS.
- M.Sc. (Nursing) Student, Department of Medical Surgical Nursing, M.M College of Nursing, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana, India.
- Professor, Department of Medical Surgical Nursing, M.M College of Nursing, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana, India.
- Assistant Professor, Department of Community Health Nursing, M.M College of Nursing, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana, India.
- Principal cum Professor, M.M. College of Nursing, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana, India.
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A quasi experimental study was done to assess the effect of proximal massage, palm fisting and hot application on reducing the risk of thrombophlebitis among 105 IV cannulated patients admitted in selected hospital of Ambala Haryana. The sample was selected by purposive sampling technique and divided into four groups: PFG (15), PMG (30), HAG (30) and CG (30). The interventions used were palm fisting exercise, proximal massage, and hot application. Data was collected by using VIP scale and VRS scale. Findings revealed that pre test and post test phlebitis mean rank scores at 3rd day were 2.00 (Z=-1.73, p=0.08), 5.00 (Z=-2.89, p=0.00), 6.00 (Z=-3.13, p=0.00) and 8.04 (Z=-3.3, p=0.00) in PFG, HAG, PMG and CG respectively and pain scores were 5.50 (Z=-3.05, p=0.00), 7.00 (Z=-3.29, p=0.00), 4.50 (Z=-2.59, p=0.01) and 8.50 (Z=-3.63, p=0.00) in PFG, PMG, HAG, and CG respectively. There was an association of risk of thrombophlebitis with method of drug administration (ᴎ=1, p=0.04) and with use of anticoagulant drugs (ᴎ=1, p=0.04) in PFG group and pain score with method of drug administration (ᴎ=5.0, p=0.05) in PFG and age (ᴪ=10.48, p=0.01) in CG. The use of hot application was most effective and palm fisting exercise was least effective.
- Anjum U, Sharma V, Tamang EL, Ahwal SN. Effectiveness of Palm Fisting Exercise on Occurrence of Thrombophlebitis among the IV Cannulated Patients Receiving Chemotherapy ? A Selected Hospital of Delhi. Int. J. Nurs. Midwif. Res. 2017;4 (3):61?5.
- Chemocare vesicants [Internet]. Accessed on 14.03.2015.Available from: URL: http://www.Chemocare.com
- Curran ET, Coia JE, Gilmour H. Multi centre research surveillance project to reduce infections/phlebitis associated with peripheral vascular catheters. J Hosp Infect. 2000. 46(3):194-202.
- Daud A, Mohamad F, Noorkhairina S. Incidence of Phlebitis among Adult Patients with Peripheral Intravenous Catheter in an East Coast Hospital Malaysia. Int J Care Sch [Internet]. 2018; 1(2):5?8. Available from: http://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/62/13
- Erdogan BC, Denat Y. The Development of Phlebitis and Infiltration in Patients with Peripheral Intravenous Catheters in the NeurosurgeryClinic and Affecting Factors. International journal of caring nursing. 2016;9(2):619?29.
- Ethel O, Tuoyire DA, Debrah SA. Peripheral intravenous cannulation and phlebitis risk peripheral intravenous cannulation and phlebitis risk at Cape. Postgraduate Medical Journal of Ghana. 2015;(December). 2(1):11-18.
- Kaur M, Kaur S, Patel FD. Effect of moist heat therapy? on the visibility and palpability of peripheral veins before peripheral venous cannulation of patients undergoing chemotherapy. 2011; (3).
- Kaur P, Thakur R, Kaur S, Bhalla A. Assessment of risk factors of phlebitis amongst intravenous cannulated patients. Nursing and Midwifery Research; 2011; 7(3):106-114.
- Lanbeck P, Odenholt I, Paulsen O. Antibiotics differ in their tendency to cause infusion phlebitis: A prospective observational study. Scand J Infect Dis. 2002;34(7):512?9
- Maria S, Enes S, Opitz SP. Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon. Journal of School of Nursing. 2016; 50(2):261?9.
- Nyika ML, Mukona HD, Zvinavashe M. Factors Contributing to Phlebitis Among Adult Patients Admitted in the Medical-Surgical Units of a Central Hospital in Harare, Zimbabwe. Journal of Infusion Nursing. 2018; 41(2): 96-102.
- Packialakshmi K, Vidhya T. Effectiveness of Warm Compress in the Management of Complications among Patients with peripheral. Int J Pharma Bio Sci. 2017; 8(4):208?13.
- Parreira P. Incidence of phlebitis in patients with peripheral intravenous catheters : The influence of some risk factors. Aust J Adv Nurs 2013;30(2):32-9. Available from: http://www.ajan.com.au/Vol30/Issue2/4Salgueiro-Oliveira.pdf.
- Rajappa T, Malviya SD. Comparison of heparinoid and ichthammol glycerine application on patients with phlebitis. International Journal of Current Research; 2015 April; 7(04): 14615-14620.
- Saini R, Agnihotri M, Gupta A, Walia I. Epidemiology of Infiltration and Phlebitis. Int. J. Nurs. Midwif. Res.2011; (1):22?33.
- Saji J, Korula SV, Mathew A, Mohan L. The incidence of thrombophlebitis following the use of peripheral intravenous cannula. IOSR- JDMS.2015 June; 14(6):01-04.
- Scales K. Vascular access: a guide to peripheral venous cannulation. Nursing standard. 2005 Aug 17-23; 19 (49):48-52.
- Shilpa, M Kaur, M Kaur. A Quasi Experimental Study to Assess the Effect of Hot Application on Phlebitis among Patients on Intravenous Therapy at Selected Hospitals , Jalandhar , Punjab , International Journal of Nursing Education . 2015; 7(4):11?14.
- Singh R, Bhandary S, Pun KD. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU Teaching Hospital. Kathmandu Univ Med J. 2008;6 (24):443?7.
- Soysal S, Topacoglu H, Karcioglu O, Serinken M, Koyuncu N, Sarikaya S. Factors affecting pain in intravenous catheter placement. IJCP. 2005; 59 (93): 276-80.
- Verma P, Thakur AS, Deshmukh K, Jha Ak, Verma S. Routes of drug administration. Ijpsr. 2010 July; 1(1): 54-59.
- Waitt C, Waitt P, Pirmohamed M. Intravenous therapy. PGMJ. 2004;80(939):1?6.
Shiwani Devi, Kanika, Pooja Jaswal and Jyoti Sarin. (2019); EFFECT OF INTERVENTIONS ON REDUCING THE RISK OF THROMBOPHLEBITIS AMONG IV CANNULATED PATIENTS., Int. J. of Adv. Res., 7 (06), 965-974, ISSN 2320-5407. DOI URL: https://dx.doi.org/10.21474/IJAR01/9299
Professor, Department of Medical Surgical Nursing, M.M College of Nursing, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana, India






