Clinical trial NCT05714137: Reducing the Risk of Phlebitis From Peripheral Venous Catheter
Official title: Evaluation of the Effect of Proximal Massage and Fist Clenching in Reducing the Risk of Phlebitis From Peripheral Venous Catheter
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Phlebitis
Keywords: Phlebitis
Peripheric venous catheter
Nursıng Care
Palm fisting
Proximal massage
Lead sponsor: Kahramanmaras Sutcu Imam University
Sponsor class: OTHER
First posted: 2023-02-06
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: two groups
Primary purpose: PREVENTION

Brief summary: Nurses frequently use peripheral venous catheters in hospitals to provide medications and fluids for therapeutic and diagnostic purposes. Peripheral venous catheter use brought various problems, including phlebitis, infiltration, extravasation, ecchymosis, thrombophlebitis, and embolism, in addition to being a regularly utilized nursing practice. The literature used techniques like heat application, fist clenching, and proximal massage to lower the risk of thrombophlebitis and associated problems.

Detailed description: Between October and November 2022, individuals who received orthopedic care at a state hospital and had peripheral venous catheters participated in the trial as a randomized controlled experimental study. The control group received routine nursing care, while the experimental group received proximal massage and palm fist exercises. The numbers used to identify the control and experimental groups were drawn at random from a table of random numbers, and each group had 36 patients. The researcher used the "Patient Information Form," "Plebitis Risk Scale Due to Peripheral Venous Catheter," and "Plebitis Diagnostic Scale" to collect data using in-person interviews and observational methods. The p value for statistical significance is p\<0.05. Proximal massage: For a total of 5 to 10 minutes, twice daily for 4 days, between 30 seconds- 1 minute in sessions of approximately 20 strokes, a light massage is administered utilizing the palm surfaces of the fingers. Under the researcher's supervision, participants in the activity known as fist clenching squeeze a soft palm ball 20 times in each of twice a day for four days, lasting between 30 Seconds - 1 minute.

Eligibility criteria: Inclusion Criteria:

* Patients who volunteered to participate in the study,
* Who are over 18 years old,
* Having no barriers to written and verbal communication in Turkish,
* IV treatment was applied during the hospitalization period and IV treatment was recently started,
* Patients with IV cannula in the upper extremity
* In the last six months before hospitalization, IV treatment was not applied,
* A maximum of 2 IV attempts should be made on a patient.
* Patients without chronic dermatological and/or vascular disease.

Exclusion Criteria:

* Patients who did not volunteer to participate in the study, unconscious patients,
* IV attempts were made to the same patient more than 4 times in total,
* Patients with IV cannula in the lower extremity.

Primary outcomes:
measure: Phlebitis Assessment Scale
timeFrame: Within 96 hours, the development of PVC-related phlebitis will be evaluated.
Secondary outcomes:
measure: Peripheral Venous Catheter-Related Phlebitis Risk Scale
timeFrame: Within the first 24 hours, the patient will be assessed using the Peripheral Venous Catheter-Associated Phlebitis Risk Scale.
Other outcomes:
Locations:
city: Karaman
country: Turkey
facility: Kahramanmaras Sutcu Imam University
state: Kahramanmaraş
Study officials:
References:
citation: Heng SY, Yap RT, Tie J, McGrouther DA. Peripheral Vein Thrombophlebitis in the Upper Extremity: A Systematic Review of a Frequent and Important Problem. Am J Med. 2020 Apr;133(4):473-484.e3. doi: 10.1016/j.amjmed.2019.08.054. Epub 2019 Oct 10.
citation: Lv L, Zhang J. The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis. J Vasc Access. 2020 May;21(3):342-349. doi: 10.1177/1129729819877323. Epub 2019 Sep 23.
citation: Zingg W, Pittet D. Peripheral venous catheters: an under-evaluated problem. Int J Antimicrob Agents. 2009;34 Suppl 4:S38-42. doi: 10.1016/S0924-8579(09)70565-5.