ANALISIS PENGARUH PENGGANTIAN RUTIN PENUSUKAN KATETER INTRAVENA DAN PENGGANTIAN SET INFUSE TERHADAP TERJADINYA PLEBITIS DI RS SINT CAROLUS JAKARTA

Niluh Widani

Abstract


ABSTRAK

Pemasangan infus adalah prosedur  umum  pada pasien di rumah sakit dimana komplikasi yang umum terjadi adalah plebitis. Tujuan penelitian untuk menganalisa pengaruh penggantian rutin penusukan dan penggantian set infuse terhadap kejadian phlebitis. Metoda  penelitian   kuntitatif, desain Kohort, sample pasien dewasa diambil secara purposif sebanyak 247 sample, dilakukan pengamatan  tusukan infuse sejak pemasangan sampai   pencabutan. Data dikumpulkan menggunakan lebar observasi dan VIP score (Visual infusion phlebitis score). Hasil analisa mayoritas responden perempuan 140 (56.7%), rata-rata berusia 48.9 tahun, penyakit noninfeksi 151 (61.1%), nomor kateter iv 22: 193 (78.1%), lokasi penusukan di tangan 173 (70%), pemberian cairan isotonik 181 (73.3%), pemberian terapi bolus satu jenis 89 (36%), mendapat terapi drip 142 (57.5%), lama pemasangan 4 hari 63 (25.5%), tidak ada penggantian tusukan iv 169 (68.4%), set infuse drip diganti setiap pemberian 91 (36.8%) dan skala plebitis satu 12,6%. Analisa bivariateKendal’s tau C ada hubungan  pemberian terapi iv bolus (p=0.03), lama pemasangan kateter iv (p=0.00) terhadap terjadinya plebitis (p<0.05). Uji   Regresi logistik  didapatkan variabel independen  memberikan kontribusi kejadian plebitis sebesar 24.5%. Uji probabilitas disimpulkan responden yang tidak diganti tusukan infuse  rutin dan set drip secara rutin berisiko plebitis sebesar 100%. Diskusi: Hasil penelitian ini menyimpulkan pentingnya penggantian kateter intravena perifer  dan penggantian set infuse untuk pemberian terapi drip secara rutin untuk mencegah terjadinya plebitis. Kesimpulan: penelitian lebih lanjut menganalisa faktor risiko plebitis diluar faktor yang telah diteliti seperti faktor tetesan dan ketrampilan perawat dalam pemasangan infuse.

 

Kata kunci :Penggantian Kateter Intravena, Set Infus, Plebitis

 

ABSTRACT

The insertion of peripheral intravenous catheters  is a common practice in hospitals, where Phlebitis is the main local complication. This study attempts to analyze relationship of routine replacement Intravenous catheter insertion and routine replacement Intravenous infusion set to phlebitis. A quantitative-cohort design was used in this study.  Purposive sampling was utilized involving 247 adult patients.  The observation was conducted from insertion until intravenous catheters was retracted and the data was assessed using observation tool and VIP score (Visual infusion phlebitis score). The results found that the majority respondents were female (56.7%),  average age of 48.9 years old, diagnosed with noninfectious diseases (61.1%), utilized intravenous catheter number 22 (78.1%), hand insertion location  (70%), received isotones fluid (73.3%) with single bolus therapy (36%), received drip infusion (57.5%), duration of intravenous catheter of 4 days (25.5%), no intravenous replacement (68.4%), infusion drip replaced after therapy  (36.8%) and a  phlebitis scale of 12.6%. Kendal’s tau C statistical analysis revealed that there issignificant relationship between phlebitis  and intravenous therapy (p = 0.03), duration of intravenous catheter  (p = 0.00).  Logistic regression test showed that independent variable contributed 24.5% to phlebitis. The probability test concluded that respondents who were not replacing Intravenous catheter insertion and Intravenous infusion setregularly may develop phlebitis risk of 100%. It is implied the importance of replacement intravenous catheter and Intravenous infusion setroutinely to prevent phlebitis. For further research, it is suggested to analyze the risk factors of phlebitis such as nurse skills for intravenous catheter insertion.

Keyword:  replacement Intravenous catheter insertion,  infusion set, Phlebitis


References


DAFTAR PUSTAKA

Anabela Salgueiro Oliveira (2011) Incidence of phlebitis in patients with peripheral intravenous catheters: The influence of some risk Factors australian journal of advanced nursing

Asrin, Endang T, Upoyo A (2006) Analsis Faktor-faktor yang berpengaruh terhadap kejadian plebitis di RSUD Purbalinga. Jurnal Keperawatan Soedirman Volume 1, No.1, Juli 2006

Bolton, Deborah (2015) Clinically indicated replacement of peripheral cannulas.British Journal of Nursing . 2015 Therapy Supplement, Vol. 24, pS4-S12. 5p

Carroll Heidi, Bennett Sonya ( 2015) Guideline Peripheral intravenous catheter (PIVC) Quisland Goverment

CDHB (Centerbury Distrct Health Boarrd) (2014) Fluid and Medication Management Committee

Cicolini G, et.al (2014) Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours: a large multi-centre prospective study.J Adv Nurs. 2014 Nov;70(11):2539-49. doi: 10.1111/jan.12403. Epub 2014 Mar 31

Claire M Rickard1, Damhnat McCann, Jane Munnings, Matthew R McGrail( 2010) Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial Rickard et al. BMC Medicine 2010, 8:53

Fitriyanti Sepvi (2015) Faktor yang Mempengaruhi Terjadinya Phlebitis Di rumah sakit Bhayangkara tk ii. H.S. Samsoeri Mertojoso Surabaya Jurnal Berkala Epidemiologi, Vol. 3, No. 2 Mei 2015: 217–229

G. Ray-Barruel, D. F. Polit, J. E. Murfield, and C. M. Rickard,(2014) “Infusion phlebitis assessment measures: a systematic review,”Journal of Evaluation in Clinical Practice, vol. 20, no. 2, pp. 191–202, 2014.

Infusion Nursing Society (INS) (2011) Infusion Nursing Standars of Practice. Journal of Infusion Nursing. 29,SI-90

Li Xiang-Feng (2016) Nurses’ perception of risk factor for infusion phelebitis: a cross-sectional survey. Journals elsevier.com/chines-nursing-researc

Mary Alexander (2011) Infusion Nurses Society. Infusion Nursing

Macklin D (2003) Phlebitis, a painful complicationof peripheral IV catheterization that may be prevented. American Journal of Nursing; 103: 2,55-60.

Marsh Nicole (2015) Securement methods for peripheral venous catheters

to prevent failure: a randomised controlled pilot trial. J Vasc Access 2015; 16 (3): 237-244

M. C. Wallis, M. McGrail, J. Webster et al.,(2014) “Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial,” Infection Control and Hospital Epidemiology, vol. 35, no. 1, pp. 63–68, 2014.

Ninik Lindayanti, Priyanto (2013) Hubungan Antara Tehnik Insersi dan Lokasi Pemasangan Kateter Intravena dengan Kejadian Phlebitis di RSUD ambarawa Jp Keperawatan dd 2013

Osei-Tutu E, Tuoyire D A, Debrah S, Ayetey H (2015) Peripheral Intravenous Cannulation and Phlebitis Risk at Cape Teaching Hospital Vol. 4, No. 1 Postgraduate Medical Journal of Ghana

Pasalioglu Kadriye Burcu, Kaya Hatice 2 (2014)Catheter indwell time and phlebitis

development during peripheral intravenous catheter administration

Potter dan Perry. 2006. Buku Ajar Fundamental Keperawatan : Konsep, Proses dan Praktik. Vol 2. Jakarta: EGC

R. L. Stuart, D. R. Cameron, C. Scott et al., (2013) “Peripheral intravenous catheter-associated staphylococcus aureus bacteraemia: more than 5 years of prospective data from two tertiary health services,” Medical Journal of Australia, vol. 198, no. 10, pp. 551– 553, 2013.

Royal College of Nursing (2010). Standards for Infusion Therapy. London: Royal College of Nursing.

Rickard Claire M (2015) Intravascular device administration sets:replacement after standard versus prolonged use in hospitalised patients—a study protocol for a randomised controlled trial (The RSVP Trial) http://bmjopen.bmj.com/

Rohani (2015) Hubungan Lama Pemasangan Infus dengan Terjadinya Plebitis di RS Husada Jakarta 2015 jurnal ilmiahwidya Volume 3 Nomor 4 Agustus -Desember 2016

Ray-Barruel Gillian, PolitDenise F,Jenny E. Murfield Claire M. Rickard (2013) Infusion Phlebitis Assessment Measures: a systematic review. Journal of Evaluation in Clinical Practice ISSN 1365-2753

Siti, rusnawati (2015) Analisis Faktor Risiko Terjadinya Phlebitis di RSUD Puri Husada Tembilahan.Masters thesis, UPT. Perpustakaan Unand.

Trianiza Efi (2013) Faktor-faktor Penyebab Kejadian Phlebitis di Ruang Rawat InapRSUD Cengkareng (tesis)

Uzun S.(2012) Intravenous fluid therapy, In: Fundamentals of Nursing, Nursing Science and Art. Asti AT, Karadağ A.(Ed.). Akademi Press and Publishing, Istanbul. 2012.

Wahyu Rizky, (2016).Analisis Faktor yang Berhubungan dengan Kejadian Phlebitis pada Pasien yang Terpasang Kateter Intravena di Ruang Bedah Rumah Sakit Ar. Bunda Prabumulih JNKI, Vol. 4, No. 2, Tahun 2016, 102-108

Webster J, Osborne S, Rickard CM et al. (2014) Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database of Systematic Reviews issue 4: CD007798

Webster J, Osborne S, Rickard CM, New K (2015) Replacing a peripheral venous catheter when clinically indicated versus routine replacement Cochrene library, 14 Agustus 2015




DOI: http://dx.doi.org/10.32419/jppni.v3i1.48

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