소아 정맥주사 침윤발생 위험요인 분석

Abstract

Purpose: The study was aimed to survey the infiltration conditions of the intravenous injection in pediatric patients and analyze the risk factors related to the infiltration. Methods: The researcher developed an intravenous injection record form. The subjects were 224 children aged between newborn and 6, who had been hospitalized in a pediatric department of an university hospital. Results: The incidence of infiltrations were significantly (p<.05) related to such variables, i.e., neural diseases, hypertonic solution used for intravenous injection, drug added to the injection solution, antibiotics of the Aminoglycosides family put into the solution, anti-convulsion drug put into the solution, small movement during intravenous injection and during ordinary activities. The risk of infiltration in IV injection increased with some cases such as neural diseases almost three times more than the internal diseases, hypertonic solution 3.808 times the hypotonic one, drug added to the solution 2.439 times the normal solution, and anti-convulsion drug put into the solution 2.437 times the normal solution. In addition, those children who had less movement during IV injection suffered from the infiltration 2.102 times the children who had more movement. The hyperactive children suffered 2.265 times the normally active children. Conclusion: There is a necessity to arrange an intravenous injection guideline for pediatric patients in order to reduce the IV injection infiltration and prevent its secondary complications.