非計畫性重新安置周邊靜脈留置導管之相關因素

本研究目的在瞭解內科病患非計畫性重新安置周邊靜脈留置導管之相關因素。研究採用前瞻性之觀察研究方法，自民國98年6月1日至民國98年11月10日。在南部某一醫學中心的9個內科病房，採立意取樣，總共210位病患及105位護理人員參與本研究。研究結果顯示，非計畫性重新安置周邊靜脈留置導管比率佔43.8％，是否非計畫重新安置周邊靜脈留置導管會因為有無注射大量點滴及注射後有無以酒精優碘溶液消毒穿刺的皮膚而呈顯著差異。經由多變項邏輯式迴歸分析發現，注射大量點滴為非計畫性重新安置周邊靜脈留置導管之主要預測因子，勝算比（odds ratio, OR）為1.97。本研究結果可以作為日後周邊靜脈留置導管注射之照護品質指標。

關鍵字

非計畫性重新安置周邊靜脈導管；大量點滴；護理

並列摘要

The purpose of this study was to explore predictors for the medical patients̛unplanned replacement of peripheral intravenous catheters. An observational and propctive study, Since June 1, 2009 to November 10, 2009, with a purposive sampling, a total of 210 patients and 105 nurses, in a medical center involving nine medical wards was recruited in southern Taiwan. The results showed that unplanned replacement rate of peripheral intravenous catheters accounted for 43.8%; whether unplanned replacement peripheral intravenous catheter or not was significantly different with either injection of a large volume of solution or not, or either application of alcohol povidone-iodine solution for the sterilizing puncture of the skin or not. with multivariate logistic regression analysis, it showed that injection of a large volume of solution was the determinant for unplanned replacement of peripheral intravenous catheters. The odds ratio (odds ratio, OR) was 1.97. The results of this study could provide an indicator for unplanned replacement of peripheral intravenous catheters in order to enhance the quality of nursing care for the peripheral intravenous catheter.