PENGARUH THE FLUSHING EFFECT OF NaCL 0,9% AGAINST PHLEBITIS INCIDENTS ON CLIENTS APPLYING PERIFER INTRAVENOUS CATHETER
Abstract
Background: Phlebitis incidents become indicator of hospital minimum service quality with standard occurrence <1.5%. If the phlebitis incidents are not managed as soon as possible, it is able to make complication and primary blood stream infectious seriously and fatal which causes the sepsis or death. The incidents can be managed by implementing nursing intervention standard operation procedure well such as one of the procedure by flushing NaCL 0,9%. Purpose: The aims of the research is to identify the flushing effect of NaCL, 0,9% against phlebitis incidents on clients applying perifer intravenous catheter. Method: research method used queasy experimental with non randomize control group pretest posttest design. This research done was at Zam-zam ward in RSUD Al IHSAN West Java Bandung Regency. Research samples were as many as 46 respondents who applied perifer intravenous catheter that divided became two groups of 23 respondents who were in intervention group and 23 respondents in control group. Phlebitis scale used PPI surveillance forms. Result: Test result of Man Whitney was obtained p value = 0,001 < α (0,05) that showed there was the difference phlebitis incident in each of intervention and control groups. Conclusion: There was the effect of NaCL 0,9% flushing against the phlebitis, consequently it is advisable to establish standard operating procedures flushing in the effort to prevent the occurrence of phlebitis.
References
2. Potter PA, Perry AG. Fundamentals of Nursing/ Nursing Skills Online Version 2.0 [Internet]. Elsevier Science Health Science Division; 2010. Available from: https://books.google.co.id/books?id=ffvfQQAACAAJ
3. O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. J Keperawatan Kebidanan - Stikes Dian Husada Mojokerto [Internet]. 2015;7 No 2(October):11. Available from: http://linkinghub.elsevier.com/retrieve/pii/S019665531100085X%5Cnpapers3://publication/doi/10.1016/j.ajic.2011.01.003
4. Sutomo. Hubungan Perawatan Infus Dengan Terjadinya Flebitis Pada Pasien Yang Terpasang Infus. J Keperawatan Kebidanan - Stikes Dian Husada Mojokerto [Internet]. 2015;7(2):57–61. Available from: https://jurnalonline.lppmdianhusada.ac.id/index.php/jkk/article/view/72
5. Duerink DO, Farida H, Nagelkerke NJD, Wahyono H, Keuter M, Lestari ES, et al. Preventing nosocomial infections: improving compliance with standard precautions in an Indonesian teaching hospital. J Hosp Infect [Internet]. 2006 Sep 1 [cited 2018 Sep 17];64(1):36–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16822581
6. Keogh S, Marsh N, Higgins N, Davies K, Rickard C. A time and motion study of peripheral venous catheter flushing practice using manually prepared and prefilled flush syringes. J Infus Nurs. 2014;
7. Berman A, Snyder SJ, Kozier B, Erb GL, Levett-Jones T, Dwyer T, et al. Kozier & Erb’s Fundamentals of Nursing Australian Edition [Internet]. Pearson Higher Education AU; 2014. Available from: https://books.google.co.id/books?id=wMWaBQAAQBAJ
8. Rosdahl CB, Kowalski MT. Textbook Of Basic Nursing Alih Bahasa Widiarti dan Tampubolon, Buku Ajar Keperawatan Dasar. 10Th ed. Jakarta: EGC; 2012.
9. Ray-Barruel G. INFECTION PREVENTION: PERIPHERAL INTRAVENOUS CATHETER ASSESSMENT AND CARE. Aust Nurs midwifery J [Internet]. 2017 Mar [cited 2018 Sep 17];24(8):34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29261251
10. Society IN, Corrigan A, Gorski L, Hankins J, Perucca R, Alexander M. Infusion Nursing - E-Book: An Evidence-Based Approach [Internet]. Elsevier Health Sciences; 2011. Available from: https://books.google.co.id/books?id=cjvH3ZzUyvgC
11. International Nosocomial Infection Control Consortium (INICC) Care Bundles to Prevent Central and Peripheral Line-Related Bloodstream Infections [Internet]. January 1. 2017 [cited 2018 Mar 23]. Available from: http://www.inicc.org/media/docs/2017-INICCBSIPreventionGuidelines.pdf
12. Gorski L, Hadaway L, Hagle ME, McGoldrick M, Orr M, Doellman D. Infusion Therapy Standards of Practice. J Infus Nurs. 2016;39(1S):S1–159.
13. Departemen Kesehatan RI. Pedoman Pencegahan dan Pengendlian Infeksi di Rumah Sakit dan Fasilitas Pelayanan Kesehatan Lainnya. Direktorat Jenderal Pelayanan Medik; 2008. 1-156 p.
14. Dougherty L et all. Standards for infusion therapy The RCN IV Therapy Forum The RCN IV Therapy Forum [Internet]. Royal college of nursing. 2010 [cited 2018 Jan 7]. p. 6–10. Available from: http://www.area-c54.it/public/royal college of nursing - standards for infusion therapy.pdf
15. Uma T, Devi MB, Mary Anthony. Effectiveness of intermittent normal saline flushing in maintaining the patency of intravenous cannula. Manipal J Nurs Heal Sci. 2016;2(January):0–4.
16. Goossens GA. Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit. Nurs Res Pract [Internet]. 2015;2015:1–12. Available from: http://www.hindawi.com/journals/nrp/2015/985686/
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