Analysis of the Relationship Between Nurses' Knowledge of Infusion Therapy with the Incidence of Phlebitis and Patient Comfort

  • Intan Permata Sari Faculty of Medicine, Dentistry and Health Sciences, Prima Indonesia University
  • Chrismis Novalinda Ginting Faculty of Medicine, Dentistry and Health Sciences, Prima Indonesia University
  • Sri Wahyuni Nasution Faculty of Medicine, Dentistry and Health Sciences, Prima Indonesia University
Keywords: Knowledge, Infusion Therapy, Phlebitis, Comfort

Abstract

Phlebitis is a complication of infusion therapy. The aspect that affects the incidence of phlebitis and comfort is the nurse's skill of infusion therapy in inserting needles in the right location, right fluid, and right standard operating procedure. Nurses' skills in the infusion insertion were influenced mainly by knowledge. The research objective was to determine the relationship the nurse's knowledge of infusion therapy with the incidence of phlebitis and comfort. This type of research-correlational analytic with cross-sectional approach. The number of samples was 60 nurses who worked in inpatients ward and 60 patients who received infusion by a nurse. The results found that 51.7% of respondents had poor knowledge, the incidence of phlebitis was 46%.7, and as much as 48.3% of respondents felt comfortable with the insertion of an infusion done by the nurse. The results of further analysis showed that there is a significant relationship between knowledge of nurses about infusion therapy with incidence of phlebitis (p = 0.000), and there is a significant association between knowledge of the nurses and patients' comfort (p = 0.000). It was recommended for nurses to improve knowledge and skills so that the infusion complications and discomfort may be prevented.

References

Abolfotouh, M. A., Salam, M., Bani-Mustafa, A. A., White, D., & Balkhy, H. H. (2014). Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics and clinical risk management, 993-1001.

Alexander, M., Corrigan, A., Gorski, L., Hankins, J., & Perucca, R. (2009). Infusion nursing: An evidence-based approach. Elsevier Health Sciences.

Arikunto, S. (2010). Prosedur Penelitian: Suatu Pendekatan Praktik (Edisi Revisi 2010 Cetakan 14) Jakarta: PT Rineka Cipta. ISBN 9789800000000.

Bindra, D. (1978). How adaptive behavior is produced: a perceptual-motivational alternative to response reinforcements. Behavioral and brain sciences, 1(1), 41-52. https://doi.org/10.1017/S0140525X00059380

Campbell, L. (1998). IV-related phlebitis, complications and length of hospital stay: 1. British Journal of Nursing, 7(21), 1304-1312. https://doi.org/10.12968/bjon.1998.7.21.5551

Dahlan, M. S. (2016). Besar sampel dalam penelitian kedokteran dan kesehatan. Jakarta: epidemiologi indonesia, 14.

Danski, M. T. R., Oliveira, G. L. R. D., Johann, D. A., Pedrolo, E., & Vayego, S. A. (2015). Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paulista de Enfermagem, 28, 517-523.

Dellinger, R. P., Levy, M. M., Carlet, J. M., Bion, J., Parker, M. M., Jaeschke, R., ... & International Surviving Sepsis Campaign Guidelines Committee. (2008). Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Critical care medicine, 36(1), 296-327.

Depkes, R. I. (2002). Standar tenaga keperawatan di rumah sakit. Jakarta: Direktorat Pelayanan Keperawatan Direktorat Jenderal Pelayanan Medik.

Finlay, T. (2008). Safe administration and management of peripheral intravenous therapy. Intravenous Therapy in Nursing Practice. Second edition. Blackwell Publishing. Oxford, 143-166.

Franzese, R. J., & Hays, J. C. (2007). Spatial econometric models of cross-sectional interdependence in political science panel and time-series-cross-section data. Political analysis, 15(2), 140-164.

Gabriel, J. (2008). Infusion therapy part one: minimising the risks. Nursing Standard (through 2013), 22(31), 51.

Gabriel, J., Bravery, K., Dougherty, L., Kayley, J., Malster, M., & Scales & Fernandes (2009). Vascular access: indications and implications for patient care: by reading this article and writing a practice profile, you can gain a certificate of learning. You have up to a year to send in your practice profile. Guidelines on how to write and submit a profile are featured at the end of this article. Nursing Standard, 19(26), 45-55.

Gayatri, D., & Handiyani, H. (2007). Hubungan jarak pemasangan terapi intravena dari persendian terhadap waktu terjadinya flebitis. Jurnal Keperawatan Indonesia, 11(1), 1-5.

Grauer, D., Cevidanes, L. S., Styner, M. A., Ackerman, J. L., & Proffit, W. R. (2009). Pharyngeal airway volume and shape from cone-beam computed tomography: relationship to facial morphology. American journal of orthodontics and dentofacial orthopedics, 136(6), 805-814.

Heeren, A. J., Singh, A. S., Zwickle, A., Koontz, T. M., Slagle, K. M., & McCreery, A. C. (2016). Is sustainability knowledge half the battle? An examination of sustainability knowledge, attitudes, norms, and efficacy to understand sustainable behaviours. International Journal of Sustainability in Higher Education, 17(5), 613-632.

INFEKSI, P. (2008). Pedoman manajerial pencegahan dan pengendalian infeksi di rumah sakit dan fasilitas pelayanan kesehatan lainnya.

Jacinto, A. K. D. L., Avelar, A. F. M., Wilson, A. M. M. M., & Pedreira, M. D. L. G. (2014). Phlebitis associated with peripheral intravenous catheters in children: study of predisposing factors. Escola Anna Nery, 18, 220-226.

Kumanyika, S. K., Obarzanek, E., Stettler, N., Bell, R., Field, A. E., Fortmann, S. P., ... & Hong, Y. (2008). Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation, 118(4), 428-464. https://doi.org/10.1161/CIRCULATIONAHA.108.189702

Plumer, A. L. (2007). Plumer's principles and practice of intravenous therapy. Lippincott Williams & Wilkins.

Pujasari, H., & Sumarwati, M. (2002). Angka kejadian flebitis dan tingkat keparahannya di ruang penyakit dalam di sebuah rumah sakit di Jakarta. Jurnal Keperawatan Indonesia.

Royal College of Surgeons of England. (1995). Annals of the Royal College of Surgeons of England (Vol. 77). Royal College of Surgeons of England.

Sastroasmoro, S. (2022). Dasar-dasar metodologi penelitian klinis.

Scales, K., & Fernandes, T. (2009). Intravenous therapy: the legal and professional aspects of practice. Nursing Standard (through 2013), 23(33), 51.

Widmar, S. B. (2012). Satisfaction with patient-centered care and self-care education in left ventricular assist device patients. Vanderbilt University.

Published
2024-03-21
How to Cite
Sari, I. P., Ginting , C. N., & Nasution , S. W. (2024). Analysis of the Relationship Between Nurses’ Knowledge of Infusion Therapy with the Incidence of Phlebitis and Patient Comfort. Journal La Medihealtico, 5(1), 185-203. https://doi.org/10.37899/journallamedihealtico.v5i1.1069