Thực trạng viêm tắc tĩnh mạch ở người bệnh đặt catheter tĩnh mạch ngoại biên

Peripheral venous catheters (PVCs) are indispensable medical devices, widely used for fluid administration and medication delivery in hospitalized patients. Despite their widespread application, the placement of PVCs carries a significant risk of complications, particularly phlebitis. Phlebitis, an inflammation of the vein, can lead to patient discomfort, treatment interruption, increased healthcare costs, and overall negative patient experiences. Understanding the incidence and associated risk factors of phlebitis is crucial for improving patient safety and optimizing nursing care protocols. This study aims to determine the incidence of phlebitis in patients with peripheral venous catheters and identify several related factors, providing essential data for evidence-based practice in clinical settings.

Y tá, bác sĩ, điều dưỡng viên, và nhà quản lý bệnh viện trong các khoa nội trú, đặc biệt là những người làm việc với bệnh nhân đặt catheter tĩnh mạch ngoại biên.

This prospective descriptive study utilized a longitudinal follow-up approach to investigate the status of phlebitis among 60 inpatients requiring peripheral venous catheter placement with an indwelling time exceeding 24 hours at the Internal Medicine Department 4, K Hospital, from January to March 2025. The research aimed to determine the incidence of phlebitis and identify associated risk factors. The findings revealed an overall phlebitis incidence of 18.3%. Several factors were found to be significantly related to the development of phlebitis, including the patient's age, the severity of their underlying disease, the duration of peripheral venous catheter placement, and the number of treatment courses received. Specifically, patients who were older, had their catheters in place for a longer duration, and underwent multiple treatment courses exhibited a higher risk of developing this complication. These results underscore the critical importance of close monitoring and tailored care for patients with PVCs, particularly those identified with these risk factors. The implications of this study are significant for enhancing patient safety, guiding clinical practice, and developing targeted interventions to mitigate the risk of phlebitis in hospital settings, ultimately improving the quality of patient care.