Investigation of the impact of different peripheral intravenous catheter placement positions on the incidence of phlebitis and catheter Longevity in adult patients hospitalized in selected hospitals in Arak

Document Type : Original article

Authors

1 Master's Student in Nursing, Student Research Committee, Arak University of Medical Sciences, Arak, Iran

2 Master's in Nursing, Department of Nursing, Malayer School of Medical Sciences, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

3 Assistant Professor, Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.

4 Nursing Instructor, School of Nursing, Arak University of Medical Sciences, Arak, Iran.

10.22038/nnj.2025.80941.1454

Abstract

Background and Aims: Peripheral venous catheters are the most common method of peripheral vascular access. Despite their wide therapeutic applications, their placement may be associated with various complications. The aimed to investigate the effect of different positions of peripheral venous catheter placement on the incidence of phlebitis and catheter longevity in adult patients hospitalized in Arak.
Methods: This descriptive cross-sectional study was conducted in Arak. Participants in the study were divided into four groups based on the placement site of their peripheral catheters: median cubital vein, cephalic vein, antebrachial median vein, and dorsal metacarpal vein. Phlebitis was assessed every 12 hours using the Jackson Visual Phlebitis Scale. Data analysis was performed using SPSS version23. The significance level was considered 0.05.
Results: A total of 299 patients participated in this study. The majority of patients were male and admitted to general wards. The findings of this study showed that the duration of peripheral venous catheter placement in patients' hands varied depending on the anatomical site (P = 0.010). Specifically, in 25% of patients, the catheter placed in the median cubital vein had a longevity of less than 12 hours, while this rate was only 8.43%, 2.99%, and 6.49% for the cephalic, median, and dorsal hand veins, respectively. Also, there was no significant relationship between the placement site of peripheral venous catheters and phlebitis (P = 0.724).
Conclusion: the catheter placed in the median cubital vein had less longevity compared to other anatomical sites. However, no significant difference was reported in terms of the catheter placement site and phlebitis. 

Keywords

References

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Navid No
Volume 27, Issue 91
December 2024
Pages 1-13

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