The Risk Factors of Phlebitis in The Installation of Intravent Catalysts

Hajar Acintya Farah, Bambang Sarwono, Heru Supriyatno

Abstract


Background: A hospital is a health service facility that allows nosocomial infections, namely phlebitis. Phlebitis is a complication of intravenous catheter placement that is characterized by redness, pain, swelling, and fever. The high rate of phlebitis in various countries is due to the risk factors that predispose to the incidence of phlebitis due to intravenous catheter placement.

Objective: This study aims to determine the risk factors for phlebitis in intravenous catheter placement.

Methodology: This study uses an observational analytic method with a cohort design. The study was conducted on 27 February - 14 March 2020 with 22 samples taken using purposive accidental sampling in the inward and RST surgery Dr. Soedjono Magelang. The instrument used was an observation sheet designed by researchers that had been tested by experts and a standard operational checklist for infusion. Data analysis uses a chi-square test and multiple logistic regression.

Results: The incidence of phlebitis was 7 respondents (31.8%) and the associated risk factors were the type of infusion fluid (RR = 4.37 CI 95% 1.09-17.58; p-value 0.020). While the factors of age, sex, nutritional status, chronic diseases, types of injection drugs, insertion location, duration of installation, nurse skills, installation techniques, and catheter size were not related to the incidence of phlebitis (p-value> 0.05).

Conclusion: Although several factors are not related to the incidence of phlebitis, these factors can be a support for the incidence of phlebitis.

 


Keywords


phlebitis; intravenous catheter; risk factors

Full Text:

PDF

References


Abdul-Hak, C. K., & Barros, Â. F. (2014). The Incidence of Phlebitis in a Medical Clinical Unit. Texto & Contexto - Enfermagem, 23(3), 633–638. https://doi.org/10.1590/0104-07072014000900013

Akbar, N. M. F. H., & Isfiandiari, M. A. (2018). Pengaruh Karakteristik Pasien yang Terpasang Kateter Intravena terhadap Kejadian Flebitis. Jurnal Berkala Epidemologi, 6, 1–8. https://doi.org/10.20473/jbe.v6i12018.

Alexander, M. (2014). Core Curriculum for Infusion Nursing (Fourth, Vol. 10; A. Corrigan, L. . . Gorski, & L. Phillips, Eds.). Philadelphia: Wolters Kluwer Health| Lippincott Williams & Wilkins.

Anand, L., W, V. L., Chishi, L., Chyne, I. D., Gandhimathi, M., & Borgohain, U. (2020). Risk Factors of Phlebitis in Adult Patients of Tertiary Teaching Hospital of North-Eastern India. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 9(2), 27–39. https://doi.org/10.9790/1959-0902022739

Anggita, S. D. (2018). Analisa Faktor-Faktor terhadap Kejadian Plebitis pada Pasien yang Mendapatkan Terapi Cairan Intravena". Sekolah Tinggi Ilmu Keseatan Insan Cendekia Medika Jombang.

Astle, B. J., Duggleby, W., Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2019). Canadian Fundamentals of Nursing (6th ed.). Milton, Canada: Elsevier Inc Canada.

Aziz, W. A., Hafid, M. A., & Alip, M. (2016). Pengaruh Teknik Steril Terapi Cairan Intravena terhadap Kejadian Phlebitis di Ruang Perawatan RSUD Sinjai". 1(2005), 36–40.

Budiarti, K. D., Subagja, Y., & Ratnasari, D. (2018). “Pengaruh Penanganan Flebitis dengan Lidah Buaya terhadap Penurunan Flebitis di RSIH Tahun 2018.” Journal of Higher Nervous Activity, (3), 117–123. https://doi.org/10.7868/s0044467718030061

Enes, S. M. S., Opitz, S. P., Faro, A. R. M. da C., & Pedreira, M. da L. (2016). Phlebitis Associated with Peripheral Intravenous Catheters in Adults Admitted to Hospital in the Western Brazilian Amazon. Journal of School of Nursing, 50(2), 261–269. https://doi.org/http://dx.doi.org/10.1590/S0080-623420160000200012

Erdogan, B. C., & Denat, Y. (2016). The Development of Phlebitis and Infiltration in Patients with Peripheral Intravenous Catheters in the Neurosurgery Clinic and Affecting Factors. International Journal of Caring Sciences, 9(2), 619–629.

Fitriyanti, S. (2015). Faktor yang Mempengaruhi Terjadinya Phlebitis di Rumah Sakit Bhayangkara TK II. H.S. Samsoeri Mertojoso Surabaya". Jurnal Berkala Epidemiologi, 3(2), 217–229. Retrieved from https://media.neliti.com/media/publications/75635-ID-none.pdf

Gargar, A. P., Cutamora, J. C., & Abocejo, F. T. (2017). Phlebitis, Infiltration, and Localized Site Infection Among Patients with Peripheral Intravenous Catheters. Europian Scientific Journal, 13(18), 148–170. https://doi.org/10.19044/esj.2017.v13n18p148

Jirkovsky, D., Hlavacova, M., Nikodemova, H., & Tomova, S. (2014). Nursing Procedures and Interventions Textbook for Bachelor’s And Master’s" (1st ed.). Praha, Ceska Republika: Fakultni nemocnice v Motole.

Lee, S., Kim, K., & Kim, J. S. (2019). A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients. International Journal of Environmental Research and Public Health, 16(18). https://doi.org/10.3390/ijerph16183412

Milutinović, D., Simin, D., & Zec, D. (2015). Risk Factor for Phlebitis: a Questionnaire Study of Nurses’ Perception. Revista Latino-Americana de Enfermagem, 23(4), 677–684. https://doi.org/10.1590/0104-1169.0192.2603

Mohammed, E. K., & James, S. (2018). a Cross Sectional Study to a Cross Sectional Study to Assess Nurse’s Perception of Risk Factors for Infusion Phlebitis in Selected Hospitals, Jazan, Saudi Arabia. IOSR Journal of Nursing and Health Science, 7(3), 25–30. https://doi.org/10.9790/1959-0703032530

Nadhova, G., Irasanti, S. N., & Fitriyana, S. (2019). The Relation of Nurse’ Knowledge of Phlebitis to Phlebitis Incidence. Prosiding Pendidikan Dokter, 5, 740–745.

Nito, P. J. B., Setiawati, & Murtiningsih. (2017). Relationship of Age, Gender, Location Insertion and Catheter Size of Incidence Phlebitis. Dinamika Kesehatan, 8(2), 365–375.

Nurinda, E. (2017). Obat Infusi Mempengaruhi Kejadian Flebitis pada Pasien Rawat Inap di Bangsal Umum RSUD Wonosari tahun 2017. INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal), 1(1), 1–9.

Pattola, Rakhmat, A., & Basri, M. (2013). Gambaran Kejadian Plebitis Akibat Pemasangan Infus pada Pasien di Rumah Sakit Umum Daerah Majene. Politekkes Kemenkes Makassar, 2(4), 1–7. Retrieved from http://ejournal.stikesnh.ac.id/index.php/jikd/article/download/439/320/

Pradini, P. C. A. (2016). Faktor-Faktor yang Berhubungan Dengan Kejadian Phlebitis pada Pasien Rawat Inap di RSUD Tugurejo Semarang". Jurnal Ilmu Kesehatan Masyarakat UNNES, 1, 101.

Prastika F, D., Susilaningsih, S., & Amir A, A. (2011). Kejadian Flebitis Di Rumah Sakit Umum Daerah Majalaya. 1–11.

Presiden. Rumah Sakit. , Pub. L. No. 44, 1 (2009).

Putri, I. R. R. (2016). Pengaruh Lama Pemasangan Infus dengan Kejadian Flebitis pada Pasien Rawat Inap di Bangsal Penyakit Dalam dan Syaraf Rumah Sakit Nur Hidayah Bantul. Jurnal Ners Dan Kebidanan Indonesia, 4(2), 90–94. https://doi.org/http://dx.doi.org/10.21927/jnki.2016.4(2).90-94

Rahmadani, F. (2018). Karakteristik Phlebitis Pada Pasien Rawat Inap di RSUP Haji Adam Malik Medan Tahun 2016 (Universitas Sumatera Utara). Retrieved from http://repositori.usu.ac.id/bitstream/handle/123456789/3795/140100162.pdf?sequence=1&isAllowed=y

Rizky, W. (2016). Analisis Faktor yang Berhubungan dengan Kejadian Phlebitis pada Pasien yang Terpasang Kateter Intravena di Ruang Bedah Rumah Sakit. 4(2), 102–108. Retrieved from http://ejournal.almaata.ac.id/index.php/JNKI

Rizky, W., & Supriyatiningsih. (2014). Surveillance Kejadian Phlebitis pada Pemasangan Kateter Intravena pada Pasien Rawat Inap di Rumah Sakit Ar. Bunda Prabumulih. Jurnal Ners Dan Kebidanan Indonesia, 2(1), 42–49.

Rojas-sánchez, L. Z., Parra, D. I., & Camargo-figuera, F. A. (2015). Incidence and Factors Associated with The Development of Phlebitis : Results of a Pilot Cohort Study. (November). https://doi.org/10.12707/RIII13141

Salgueiro-Oliveira, A., Parreira, P., & Veiga, P. (2012). Incidence of Phlebitis in Patients with Peripheral Intravenous Catheters: The Influence of Some Risk Factors. Australian Journal of Advanced Nursing, 30(2), 32–39. Retrieved from http://www.ajan.com.au/Vol30/Issue2/4Salgueiro-Oliveira.pdf

Salma, U., Sarker, M. A. S., Zafrin, N., & Ahamed, K. S. (2019). Frequency of Peripheral Intravenous Catheter Related Phlebitis and Related Risk Factors : a Prospective Study. J Medicine, 20, 29–33. Retrieved from http://dx.doi.org/10.3329/jom.v20i1.38818

Sumara, R. (2017). Hubungan Lokasi Terapi Intravena dengan Kejadian Plebitis. Jurnal Keperawatan Muhammadiyah, 2(1). Retrieved from https://www.researchgate.net/publication/322928604_Hubungan_

Lokasi_Terapi_Intravenus_Dengan_Kejadian_Plebitis

Urbanetto, J. de S., Peixoto, C. G., & May, T. A. (2016). Incidence of Phlebitis Associated with The Use of Peripheral IV Catheter and Following Catheter Removal. Revista Latino-Americana de Enfermagem, 24, 1–9. https://doi.org/10.1590/1518-8345.0604.2746

Uslusoy, E., & Mete, S. (2008). Predisposing Factors to Phlebitis in Patients With Peripheral Intravenous Catheters : a Descriptive Study. Journal of the American Academy of Nurse Practitioners, 20, 172–180. https://doi.org/10.1111/j.1745-7599.2008.00305.x

Vidhya. (2017). Effectiveness Of Aloe Vera Gel Application Versus Magnesium Sulphate Application On Reduction Of Intravenous Phlebitis Among Adult Patients In Annammal Hospital, Kuzhithurai (Dr.M.G.R. MEDICAL UNIVERSITY). Retrieved from http://repository-tnmgrmu.ac.in/7170/1/300130817vidhya.pdf

Yeesin, A., Rojanaworarit, C., & Chansatitporn, N. (2017). Incidence of Peripheral Phlebitis and its Predictive Characteristics Infemale Inpatients Hospitalized at a Public Hospital in Thailand : a Prospective Cohort Study". International Journal On Advanced Computer Theory And Engineering (IJACTE), 6(2_3), 27–33.

Zavareh M, N., & Ghorbani, R. (2007). Peripheral Intravenous Catheter-Related Phlebitis and Related Risk Factors. Singapore Med J, 48(8), 733–736.




DOI: https://doi.org/10.31983/manr.v3i1.6081

Article Metrics

Abstract view : 972
Download PDF : 624

Refbacks

  • There are currently no refbacks.


View Statistics

Midwifery and Nursing Research (MANR) Journal (ISSN:2685-2020; e-ISSN:2685-2012), is published by Prodi Kebidanan-Keperawatan Magelang Politeknik Kesehatan Kemenkes Semarang, Jl. Perintis Kemerdekaan, Magelang Utara, Kota Magelang, Jawa Tengah 56115, Indonesia; Telp./Fax: (0293)363054

Public Services : 

 

 E-mail: manrjournal@gmail.com


Midwifery and Nursing Research (MANR) Journal by http://ejournal.poltekkes-smg.ac.id/ojs/index.php/manr

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.