Author/Editor		Strgar, Mojca; Macura Višić, Nada
Title		Dejavniki, ki vplivajo na uvajanje periferne intravenozne kanile - primerjava med internistično in pediatrično prvo pomočjo v Splošni bolnišnici Jesenice
Translated title		Peripheral vein access determinental factors - adoult and pediatric aid units comparison in Jesenice General hospital
Type		članek
Source		In: Moč za spremembe - medicinske sestre in babice smo v prvih vrstah zdravstvenega sistema : zbornik prispevkov z recenzijo Ljubljana : Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Nacionalni center za strokovni, karierni in osebnostni razvoj medicinskih sester in babic
Publication year		2013
Volume		str. 389-395
Language		slv
Abstract		Uvod: Periferne intravenozne kanile so v moderni zdravstveni praksi nepogrešljive. Opredeljene so kot kratki periferni intravenozni katetri, ki se običajno vstavijo v veno na podlahti ali spodnjem delu roke. Preko periferne intravenozne kanile pacientu apliciramo zdravila, hranilne snovi, tekočino ter kri in krvne nadomestke; aplikacija teh snovi je bistven del zdravljenja pacientov. Na vstavitev periferne intravenozne kanile v urgentnih ambulantah vpliva veliko dejavnikov, s katerimi se dipl.m.s. srečujejo vsakodnevno. V zdravstveni negi v Splošni bolnišnici Jesenice smo definirali dejavnike, ki izkustveno vplivajo na oteženo in večkratno uvajanje. Želeli smo ugotoviti, če definirani dejavniki vplivajo na oteženo in večkratno uvajanje periferne intravenozne kanile ter jih s pregledom tuje in domače literature primerjati. Metoda: Raziskavo smo izvedli na podlagi beleženja števila uvajanj ter definiranih dejavnikov, ki izkustveno vplivajo na večkratno število uvajanj periferne intravenozne kanile na standardiziran obrazec. Statistična analiza podatkov je obdelana s pomočjo programa Microsoft Excel 2003. Rezultati: Skupno je bilo v obeh enotah opazovano 108 uvajanj periferne intravenozne kanile pri pacientih, ki so imeli enega izmed opredeljenih dejavnikov tveganja. Največji odstotek večkratnih ponavljanj v obeh enotah je bilo pri kriteriju dehidracija, v pediatrični urgentni ambulanti v 64,50 odstotkih in v internistični urgentni ambulanti 46,70. Razprava: Pomembna je ugotovitev, da so opazovani kriteriji primerljivi s primerjavo kriterijev, ki so definirani kot oteževalni v drugih raziskavah. Raziskava potrjuje, da je dehidracija pri pacientih okoliščina, ki v veliki meri vpliva na uvajanje periferne intravenozne kanile.Introduction: Peripheral intravenous cannulas are indispensable in modern medical practice. They are defined as the short peripheral intravenous catheters, which are usually inserted into a vein in the forearm or lower part of the arm. Medication, nutrients, fluid, blood and blood substitutes are administered to the patient via a peripheral intravenous cannula; the application of these substances is an essential part of the treatment of patients. The insertion of peripheral intravenous cannula in emergency surgeries is affected by many factors, which nurses face every day. In health care in the Jesenice General Hospital we defined the factors which have an impact on experienced, difficult and numerous insertions. We wanted to find out what the factors that affect the difficulty and repeated insertion of the peripheral intravenous cannula are, and compare them through a review of literature sources. Method: The survey was conducted on the basis of logging the number of insertions and the defined factors that affect the multiple numbers of insertions of peripheral intravenous cannulas in a standardised form. The statistical analysis of the data was processed using Microsoft Excel 2003. Results: Altogether there were 108 insertions of peripheral intravenous cannula with patients suffering from one of the defined risk factors in two wards. The highest percentage of numerous repetitions in both wards were found with the criteria dehydration, in a childrens emergency surgery amounting to 64.5 per cent and in the internal emergency surgery amounting to 46.7 per cent. Discussion and conclusions: The conclusion that the examined criteria are comparable to the compared criteria which are defined as difficult in other researches is very important. The research has confirmed that dehydration in patients is a circumstance which greatly affects the insertion of peripheral intravenous cannula.
Keywords		zdravstena nega aktivnosti zdravstvene nege diplomirane medicinske sestre periferna intravenozna kanila nursing nursing activities nurses peripheral intravenous cannula