Avaliação da ocorrência do evento adverso flebite em pacientes de uma Unidade de Internação Clínica

Furlan, Maryana da Silva; Lima, Antônio Fernandes Costa

doi:10.1590/s1980-220x2020017103755

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…No Brasil, verifica-se a realização de tradução livre das escalas publicadas em outros países e outras línguas, ou a utilização de definições e critérios próprios para avaliação de flebite, ou, ainda, os autores não descrevem a escala usada no estudo (10)(11)(12)18) .…”

Section: Introductionunclassified

Escala Portuguesa de Flebite: adaptação transcultural, validade e confiabilidade para uso no Brasil

Braga,

Mota,

Queiroz

et al. 2023

Rev. Eletr. Enferm.

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Objetivos: Adaptar a Escala Portuguesa de Flebite para a cultura brasileira e verificar as propriedades psicométricas da versão adaptada. Métodos: Estudo metodológico envolvendo análise da equivalência semântica, cultural e idiomática para adaptação transcultural, cognitive debriefing, verificação da consistência interna e validade de construto. Equivalência foi analisada utilizando percentual de acordos. Validade de construto foi testada utilizando análise fatorial exploratória. A confiabilidade foi avaliada pela consistência interna (α de Cronbach e Ω de McDonald). Resultados: No processo de adaptação transcultural, envolvendo dez especialistas, dois itens não alcançaram concordância ≥ 80% e sofreram ajustes conforme as sugestões recebidas. Doze participantes do cognitive debriefing aprovaram a versão adaptada. Participaram da análise de confiabilidade e de validação do construto 244 adultos em uso de cateter venoso periférico. Análise fatorial exploratória identificou um único fator incluindo todos os itens testados (dor, eritema, edema, rubor no trajeto da veia e cordão venoso palpável) e carga fatorial > 0,743. Consistência interna do conjunto de itens foi alta (α de Cronbach = 0,771 e Ω de McDonald = 0,853). Conclusão: A Escala Portuguesa de Flebite – Versão adaptada para o Brasil mostrou-se válida e confiável. Alcançou propriedades que permitem sua utilização na prática clínica, no ensino e pesquisas no país.

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Section: Introductionunclassified

Escala Portuguesa de Flebite: adaptação transcultural, validade e confiabilidade para uso no Brasil

Braga,

Mota,

Queiroz

et al. 2023

Rev. Eletr. Enferm.

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“…Phlebitis usually takes four days to develop. 3,4 Phlebitis can be caused on by a variety of mechanical, chemical, or bacterial factors and may appear alone or in combination with any of the other PIVC problems. 5 The majority of medical facilities do not strictly follow the correct PIVC procedure.…”

Section: Introductionmentioning

confidence: 99%

Time to Develop Phlebitis and Its Predictors Among Patients with Peripheral Intravenous Cannula at Public Hospitals of Bahir Dar City, Amhara, Ethiopia, 2022: A Prospective Observational Study

Lidetu Bayeh,

Yirga Birhie,

Mesfin Alene

2023

NRR

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Background: Phlebitis is an inflammation of vein and the common complication of peripheral intravenous cannula. Phlebitis leads patient to sepsis, pulmonary embolism and other serious complications that increase patient morbidity and mortality. Phlebitis-related literature is scarce in Ethiopia. Therefore, the incidence and predictors of phlebitis were the focus of this study. Methods and Materials: An institution-based prospective observational study was carried out at public hospitals of Bahir Dar city. Four hundred sixty-two patients with peripheral intravenous cannulas who were admitted to the medical ward were selected using a systematic random sampling technique. Jackson's Visual Infusion Phlebitis Scoring system was used to determine the presence of phlebitis. We used Cox proportional hazards regression model, to identify significant predictors of phlebitis. Results: In this study, 462 patients included, and 171 (37.01%) of them developed phlebitis. The median survival time of phlebitis was six days. Patients whose age group >60 years had low probability to develop phlebitis (AHR = 0.49, 95% CI 0.29-0.82), whereas chronic-diseases (AHR = 1.50, 95% CI 1.09-2.07), drugs and blood administer in one vein (AHR = 2.03, 95% CI 1.44-2.86), inappropriate cannula dressing (AHR = 1.81, 95% CI 1.31-2.51), large cannula size (AHR = 1.52, 95% CI 1.08-2.15) and longer cannula dwelling time (AHR = 7.39, 95% CI 4.12-13.32) had high probability to develop phlebitis. Conclusion:The post-peripheral intravenous cannula phlebitis that frequently affects hospitalized cannulated patients requires particular attention and follow-up for cannulated patients with known risk factors.

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A Bundle of Best Practices for Short Peripheral Venous Catheterization in Hospitalized Patients: A Scoping Review

Baptista Chaves,

Gomes,

Pereira da Costa

et al. 2024

TONURSJ

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Objective This study aims to construct a bundle of practices for short peripheral venous catheterization in hospitalized adult and older adult patients, based on best practices available in the scientific literature. Methods A methodological study was carried out in two stages: scoping review and bundle construction. The review was conducted according to the JBI recommendations for systematic reviews and meta-analyses extension for scoping reviews, answering the following question: “What are the best nursing practices for short peripheral venous catheterization in adult and older adult patients hospitalized in clinical wards?” Studies that included adult and older adult patients hospitalized in clinical wards, addressing nursing care in the management of short peripheral venous catheters to prevent iatrogenic complications, using quantitative, qualitative, or mixed methods approaches, were included. Systematic reviews, expert opinions, and gray literature were also considered. Results Nine documents published in different countries with recommendations to prevent complications of short peripheral venous catheterization were included. The bundle was constructed with 25 interventions divided into client preparation, insertion, maintenance/handling, and removal that should be followed to guide good practices in the management of short peripheral venous catheters. Conclusions Interventions for short peripheral venous catheters were identified and deemed relevant to prevent complications. There is an urgent need to develop tools to systematize care and to train healthcare teams. Thus, the importance of this paper can be seen in having built this product (bundle) that can guide the clinical practice of several nursing professionals. Research is recommended to be carried out to construct and validate bundles so that they can improve clinical nursing practice and patient care.

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Avaliação da ocorrência do evento adverso flebite em pacientes de uma Unidade de Internação Clínica

Cited by 3 publications

References 20 publications

Escala Portuguesa de Flebite: adaptação transcultural, validade e confiabilidade para uso no Brasil

Escala Portuguesa de Flebite: adaptação transcultural, validade e confiabilidade para uso no Brasil

Time to Develop Phlebitis and Its Predictors Among Patients with Peripheral Intravenous Cannula at Public Hospitals of Bahir Dar City, Amhara, Ethiopia, 2022: A Prospective Observational Study

A Bundle of Best Practices for Short Peripheral Venous Catheterization in Hospitalized Patients: A Scoping Review

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