Determinan Faktor yang Berpengaruh terhadap Kejadian Phlebitis di Rumah Sakit Bunda Pengharapan Merauke
Abstract
Phlebitis is nosocomial infection caused by microorganisms in patients during hospitalization, resulting in clinical symptoms that last at least 24 hours. The purpose was to determine the effect of determinant factors on the incidence of phlebitis. This type of research is observational using a case control design with a quantitative approach. This research was conducted at Bunda Pengharapan Hospital, Merauke. This research was conducted from April to May 2024. The sampling technique used purposive sampling and amounted to 40 respondents. The instruments used were questionnaires related to phlebitis that had been tested for validity (0.6) and reliability (0.911), as well as patient medical records. Bivariate analysis using the chi-square test and logistic regression. Factors affecting phlebitis are comorbidities, with p=0.003, infusion treatment, p=0.000 and duration of infusion, p=0.001, type of fluid, p=0.003 and dressing material, p=0.000, washing hands according to SOP, p=0.000, treatment status (repeated or new), with p=0.004. Infusion treatment factors P=0.021 and OR=22.726, meaning that the infusion treatment factor has an effect 22.7 times greater than other factors. In conclusion, only 7 factors are significant to the incidence of phlebitis, only 7 factors are significant, including comorbidities, infusion treatment, duration of infusion, type of fluid, dressing material, washing hands according to SOP, treatment status. The clinical implication was important for health workers to pay attention to these factors in an effort to prevent phlebitis in patients.
Downloads
References
Rifla C, Sni Syam M. Hospital Efforts in Fulfilling Patients’ Rights to Emergency Unit Health Services. Blantika: Multidisciplinary Journal. 2024;2(6):698–704.
Alowais SA, Alghamdi SS, Alsuhebany N, Alqahtani T, Alshaya AI, Almohareb SN, et al. Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Med Educ. 2023;23(1):689–701.
Sikora A, Zahra F. Nosocomial Infections. 2024. 1–134 p.
Cao M, Wang G, Xie J. Immune dysregulation in sepsis: experiences, lessons and perspectives. Cell Death Discov. 2023;9(1):465–76.
Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International. 2021;2(7):100117–29.
Khan HA, Baig FK, Mehboob R. Nosocomial infections: Epidemiology, prevention, control and surveillance. Asian Pac J Trop Biomed. 2017;7(5):478–82.
Raoofi S, Pashazadeh Kan F, Rafiei S, Hosseinipalangi Z, Noorani Mejareh Z, Khani S, et al. Global prevalence of osocomial infection: A systematic review and meta-analysis. PLoS One. 2023;18(1):e0274248–65. 9.
Bibiano Guillén M, Tolsdorf Rodríguez J, Nuñez-Alfonsel J, Cárdenas-Rebollo JM, Ayuso-Sacido Á. Non-Adherence to Peripheral Venous Catheter Care Protocols Significantly Decreases Patient Safety and Impacts Costs: A Retrospective Observational Study. Healthcare. 2024;12(16):1558–69.
Lisnadiyanti, Nursalam, Nani Asna Dewi, Akbar Hidayat. The Relationship Between Knowledge of Novice Nurses and The Incidence of Phlebitis In Cipto Mangunkusumo Hospital, Jakarta. Jurnal Kesehatan Komunitas. 2022;8(2):306–13.
Milutinović D, Simin D, Zec D. Risk factor for phlebitis: a questionnaire study of nurses’ perception. Rev Lat Am Enfermagem. 2015;23(4):677–84.
Vivtin Agustiani E, Santosa A. Risk factor for phlebitis in a patient with peripheral intravenous catheters: a cohort study. Proceedings Series on Health & Medical Sciences. 2020 Dec 10;1:24–9.
Dos Santos TS, Anacleto JC, Cesar VS, Lino RLB, Lino A de A, Garbuio D. Incidência de flebite e fatores relacionados em acesso venoso periférico de adultos. Enfermería Global. 2024;23(2):26–58.
El-Sharkawy AM, Sahota O, Maughan RJ, Lobo DN. The pathophysiology of fluid and electrolyte balance in the older adult surgical patient. Clinical Nutrition. 2014;33(1):6–13.
Mega N, Haritya Akbar F, Isfandiari MA. PENGARUH KARAKTERISTIK PASIEN YANG TERPASANG KATETER INTRAVENA TERHADAP KEJADIAN FLEBITIS The Influence of Patients’ Characteristics with Intravena Catheter in Phlebitis Incidence. 2018;6:1–8.
Tresierra-Ayala MÁ, García Rojas A. Association between peripheral arterial disease and diabetic foot ulcers in patients with diabetes mellitus type 2. Medicina Universitaria. 2017;19(76):123–6.
Yachmaneni A, Jajoo S, Mahakalkar C, Kshirsagar S, Dhole S. A Comprehensive Review of the Vascular Consequences of Diabetes in the Lower Extremities: Current Approaches to Management and Evaluation of Clinical Outcomes. Cureus. 2023;15(10):1–14.
Jais S. Various Types of Wounds That Diabetic Patients Can Develop: A Narrative Review. Clinical Pathology. 2023;16(1):1–6.
Poznyak A, Grechko A V., Poggio P, Myasoedova VA, Alfieri V, Orekhov AN. The Diabetes Mellitus–Atherosclerosis Connection: The Role of Lipid and Glucose Metabolism and Chronic Inflammation. Int J Mol Sci. 2020;21(5):1–13.
Joaquim Pinto, Fulgensio Cristin Gusmão, Ostelino da Silva Belo, Chusnatayaini A. The Factors Contributed of incidence phlebitis cases with patients by using cannula in National Hospital Guido Valadares Dili, Timor Leste. Journal for Quality in Public Health. 2024;7(2):182–5.
Alshagrawi S, Alhodaithy N. Determinants of hand hygiene compliance among healthcare workers in intensive care units: a qualitative study. BMC Public Health. 2024;24(1):2333–43.
Chakma SK, Hossen S, Rakib TM, Hoque S, Islam R, Biswas T, et al. Effectiveness of a hand hygiene training intervention in improving knowledge and compliance rate among healthcare workers in a respiratory disease hospital. Heliyon. 2024;10(5):e27286–94.
Ahmadipour M, Dehghan M, Ahmadinejad M, Jabarpour M, Mangolian Shahrbabaki P, Ebrahimi Rigi Z. Barriers to hand hygiene compliance in intensive care units during the COVID-19 pandemic: A qualitative study. Front Public Health. 2022;10(8):1–9.
He W, Chen X, Cheng X, Li Y, Feng B, Wang Y. Exploring the effect of novel six moments on hand hygiene compliance among hospital cleaning staff members: a quasi-experimental study. Epidemiol Infect. 2023;151(4):e73–82.
Merisa S, Bawole LY. Analisis Faktor Resiko Terhadap Kejadian Flebitis di Bangsal K, L, M2 RS PGI Cikini. JURNAL KEPERAWATAN CIKINI. 2020;1(1):22–6.
Lulie M, Tadesse A, Tsegaye T, Yesuf T, Silamsaw M. Incidence of peripheral intravenous catheter phlebitis and its associated factors among patients admitted to University of Gondar hospital, Northwest Ethiopia: a prospective, observational study. Thromb J. 2021;19(1):48–58.
Torné-Ruiz A, García-Expósito J, Bonet A, Masot O, Roca J, Selva-Pareja L. Evolution of Scientific Production on Phlebitis Secondary to Vascular Access: A 71-Year Bibliometric Analysis. Nurs Rep. 2023;13(4):1635–47.
Niculescu AG, Grumezescu AM. An Up-to-Date Review of Biomaterials Application in Wound Management. Polymers (Basel). 2022;14(3):421–32.
Gavin NC, Webster J, Chan RJ, Rickard CM. Frequency of dressing changes for central venous access devices on catheter-related infections. Cochrane Database of Systematic Reviews. 2016;2016(2):1–45.
Simões AMN, Vendramim P, Pedreira MLG. Risk factors for peripheral intravenous catheter-related phlebitis in adult patients. Revista da Escola de Enfermagem da USP. 2022;56(4):1–9.
Copyright Notice
Pernyataan Hak Cipta dan Lisensi
Dengan mengirimkan manuskrip ke Jurnal Sehat Mandiri, penulis setuju dengan kebijakan ini. Tidak diperlukan persetujuan dokumen khusus.
Hak Cipta :
Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional
Hak cipta atas artikel apa pun di Jurnal Sehat Mandiri dipegang penuh oleh penulisnya di bawah lisensi Creative Commons CC BY-NC-SA 4.0.
- Hak cipta pada setiap artikel adalah milik penulis.
- Penulis mempertahankan semua hak mereka atas karya yang diterbitkan, tak terbatas pada hak-hak yang diatur dalam laman ini.
- Penulis mengakui bahwa Jurnal Sehat Mandiri sebagai yang pertama kali mempublikasikan dengan lisensi Creative Commons Atribusi 4.0 Internasional (CC BY-NC-SA-4.0).
- Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain (misal: dikirim ke respository institusi penulis, publikasi kedalam buku, dll), dengan mengakui bahwa naskah telah terbit pertama kali pada Jurnal Sehat Mandiri.
- Penulis menjamin bahwa artikel asli, ditulis oleh penulis yang disebutkan, belum pernah dipublikasikan sebelumnya, tidak mengandung pernyataan yang melanggar hukum, tidak melanggar hak orang lain, tunduk pada hak cipta yang secara eksklusif dipegang oleh penulis.
- Jika artikel dipersiapkan bersama oleh lebih dari satu penulis, setiap penulis yang mengirimkan naskah menjamin bahwa dia telah diberi wewenang oleh semua penulis bersama untuk menyetujui hak cipta dan pemberitahuan lisensi (perjanjian) atas nama mereka, dan setuju untuk memberi tahu rekan penulis persyaratan kebijakan ini. Jurnal Sehat Mandiri tidak akan dimintai pertanggungjawaban atas apa pun yang mungkin timbul karena perselisihan internal penulis.
Lisensi :
Jurnal Sehat Mandiri diterbitkan berdasarkan ketentuan Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional (CC BY-NC-SA 4.0). Lisensi ini mengizinkan setiap orang untuk :
Menyalin dan menyebarluaskan kembali materi ini dalam bentuk atau format apapun serta menggubah, memperbaiki, dan membuat ciptaan turunan, bahkan untuk kepentingan komersial, selama mereka mencantumkan kredit kepada Penulis atas ciptaan asli.
