Clinical effect of catheter fixation device in fixing venous indwelling needle / 中国中西医结合急救杂志

ABSTRACT

Objective To study the effect of clinically applying catheter fixing device to fix indwelling needle in vein. Methods From July to September 2015, 3 725 patients using ordinary transparent dressing to fix the venous indwelling needle for infusion were assigned in the traditional fixed group, while from November 2015 to January 2016, 3 615 patients applying catheter for fixation and using dressing A type ventilation glue to fix intravenous indwelling needle for infusion were taken as a new fixed group. The detachment rate of venous indwelling needle from tube, rate of again paste film change due to the curl of film edge, the incidence of medical adhesive-related skin injury (MARSI), rate of allergy to medical paste, rate of nurse again fixing the tail of the venous indwelling needle and rate of patient satisfaction in two groups were observed. Results The detachment rate of intravenous indwelling needle from tube [0 vs. 0.75% (28)], rate of again changing paste film [1.55% (56) vs. 11.3% (421)], incidence of MARSI [0 vs. 0.72% (27)], rate of allergy to medical paste [0.06% (2) vs. 0.72% (27)], rate of nurse again fixing venous indwelling needle tail [3.54% (128) vs. 57.5% (2 141)] of new fixed group were obviously less than those of traditional fixed group, the difference being statistical significant (all P < 0.05); the rate of patients' satisfaction of new fixed group was significantly higher than that in traditional fixed group [96.0% (3 576/3 725) vs. 78.6% (2 841/3 615),χ2= 98.135, P = 0.015], the difference being statistically significant (P < 0.05). Conclusion Patients using catheter fixation device to fix venous indwelling needle for infusion can protect the blood fluently flowing through the vascular pathway, avoid inducing the occurrence of complications due to poor fixation, reduce the amount of nurse workload and elevate the rate of patients' satisfaction.