ABSTRACT
Difficult intravenous access (DIVA) is common in intravenous insertion, appropriate DIVA management is based on precise evaluation.The development and application of DIVA assessment tool provides a reference for medical staffs to assess the patient's peripheral venous conditions and manage effectively. The DIVA assessment tools for children, adult and patients received chemotherapy were reviewed in this paper to provide the reference for evaluation,management and nursing practice of DIVA.
ABSTRACT
Objective To identify the success rate of peripheral indwelling needle puncture in pediatric patients, and analyze its influencing factors. Methods A survey was conducted in a sample of 902 pediatric patients.Personal information table of pediatric patients who receive infusionwas adopted to collect data. Results The success rate of first puncture was 85.37%(770/902), the success rate of two punctures was 95.34%(860/902). The success rate was affected by several factors, such as department, ages of the patients, condition of the veins, years of working as a nurse(OR=1.128, 2.308, 2.351, P <0.05). Conclusions Success rate of peripheral indwelling needle puncture in children still can be improved. When formulate management program, the influencing factors should be considered for management standard.