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Current status of peripheral intravenous catheter (pivc) insertion andmanagement in pediatric patients and related factors at the pediatrics center,Thai Nguyen National Hospital
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Objective: To assess the current status of peripheral intravenous catheter (PIVC) insertion, maintenance, and management in pediatric patients, and to identify associated factors.
Subjects and methods: A prospective study was conducted comprising 323 observations of PIVC insertion and care in children at the Pediatric Center, Thai Nguyen National Hospital.
Results: 52.4% of cases were classified as having difficult venous access, and only 20.7% were rated as “good” for venous access. In 98.8% of observations, nursing performance in the PIVC insertion protocol was rated “good”; 1.2% were “fair,” and none were “poor.” Mild pain or slight erythema at the insertion site occurred in 52.9% of children. The mean PIVC dwell time was 3 days. Child age, nursing experience, management of difficulties encountered, and procedure duration were each significantly associated with venous access quality (p < 0.05). Phlebitis was significantly associated with child age, nursing experience, troubleshooting, and dressing tubing condition (p < 0.05).
Conclusions: Despite high protocol adherence, achieving venous access in children remains challenging; child age, nursing experience, procedure time, difficulty management are key correlates. Strengthen technical training in PIVC for clinical nurses and standardize with rigorous monitoring of insertion and care processes. Integrate routine Visual Infusion Phlebitis (VIP) scoring into nursing records to enable early complication alerts and catheter replacement at predefined thresholds.
Chi tiết bài viết
Từ khóa
PIVC insertion, peripheral intravenous catheter, phlebitis, children
Tài liệu tham khảo
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