دورية أكاديمية

The effect of a pushing technique with normal saline on peripheral intravenous catheter placement success in paediatric haematology and oncology: A randomized controlled trial.

التفاصيل البيبلوغرافية
العنوان: The effect of a pushing technique with normal saline on peripheral intravenous catheter placement success in paediatric haematology and oncology: A randomized controlled trial.
المؤلفون: Gürcan M; Paediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey. Electronic address: meltemgurcan@akdeniz.edu.tr., Karataş N; Paediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey. Electronic address: nimetkaratas@akdeniz.edu.tr., Kaya A; Paediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey. Electronic address: aylakaya@akdeniz.edu.tr., Turan SA; Paediatric Nursing Department, Faculty of Nursing, Akdeniz University, Antalya, Turkey. Electronic address: sevcanatay@akdeniz.edu.tr., Güler E; Paediatric Hematology and Oncology Department, Akdeniz University Hospital, Akdeniz University, Antalya, Turkey. Electronic address: elifguler@akdeniz.edu.tr.
المصدر: European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2024 Aug; Vol. 71, pp. 102656. Date of Electronic Publication: 2024 Jul 02.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 100885136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2122 (Electronic) Linking ISSN: 14623889 NLM ISO Abbreviation: Eur J Oncol Nurs Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Edinburgh ; New York : Churchill Livingstone, c1998-
مواضيع طبية MeSH: Catheterization, Peripheral*/adverse effects , Catheterization, Peripheral*/methods , Saline Solution*/administration & dosage, Humans ; Female ; Male ; Child ; Child, Preschool ; Infant ; Adolescent ; Neoplasms/therapy ; Neoplasms/drug therapy ; Infant, Newborn
مستخلص: Purpose: The aim of the present study is to determine the effect of the pushing technique with saline on the success of peripheral IV catheter placement in a paediatric haematology and oncology sample.
Methods: The randomized controlled trial was conducted among 60 paediatric haematology and oncology patients aged between 0 and 17. The participants were randomly assigned to two peripheral intravenous catheter placement groups (intervention group, n:30, control group, n:30). Each patient was evaluated with the Difficult Intravenous Access (DIVA) score before being included in the study. Each patient was assessed using the Personal Information Form for Children and Catheter Registration Form.
Results: The average age of the children was 86.4 months (SD = 60.0); 36.7% were female. The pushing technique with saline significantly increased the success of placing a peripheral IV catheter on the first attempt in the intervention group compared to the control group (F = 42.391, p = 0.000). The number of attempts during peripheral IV catheter placement significantly decreased in the intervention group compared with the control group (t = -5.676, p = 0.000). Complications were less in the intervention group compared with the control group (χ2 = 24.438, p = 0.000). The procedure time was significantly shorter in the intervention group compared with the control group (t = -4.026, p = 0.000).
Conclusion: The pushing technique with saline is an effective method to increase the first attempt success rate, decrease the number of attempts, reduce the procedure time, and reduce the complications during peripheral intravenous catheter placement procedures in paediatric haematology and oncology patients with difficult intravenous access.
Trial Registration: This study was registered at ClinicalTrials.gov (NCT05685290 & date of first recruitment: January 3, 2023) https://clinicaltrials.gov/ct2/show/NCT05685290.
Competing Interests: Declaration of competing interest The authors declare no conflict of interest.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Catheter placement; Clinical practice; Nursing; Paediatric haematology and oncology; Peripheral catheter; Randomized controlled trial
سلسلة جزيئية: ClinicalTrials.gov NCT05685290
المشرفين على المادة: 0 (Saline Solution)
تواريخ الأحداث: Date Created: 20240713 Date Completed: 20240720 Latest Revision: 20240831
رمز التحديث: 20240901
DOI: 10.1016/j.ejon.2024.102656
PMID: 39002409
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2122
DOI:10.1016/j.ejon.2024.102656