METODE FLUSHING S-A-S & TEKNIK PULSATILE PUSH PAUSE MENURUNKAN ANGKA KEJADIAN FLEBITIS KIMIA
Keywords:
flushing saline, S-A-S method, pulsatile push pause technique, chemical phlebitisAbstract
According to the cause of phlebitis; Chemical phlebitis is an inflammatory reaction that occurs in blood vessels caused by drugs and fluids that can irritate or be directly dangerous to blood vessels. The research aims to determine the effect of the Saline-Administration-Saline (S-A-S) method & pulsatile push pause technique on the incidence of chemical phlebitis levels that may be found in patients who receive concentrated drug & electrolyte therapy. This design of this study was a quasi experiment with control groups pretest-posttest design. Respondents were taken by random sampling as many as 32 patients in the Bougenvile inpatient room at Taman Husada Hospital, Bontang. Data were collected with an observation instrument sheet for phlebitis incidents. Visual Infusion Phlebitis (VIP) Score; measuring tool by Jackson (1997). Data analysis used Mann Whitney. The result showed that after the intervention, a significant difference was found in the incidence of phlebitis/phlebitis grade scores between the intervention group and the control group with a p value of 0.021 (p < 0.05). Giving flushing saline using the Saline-Administration-Saline (S-A-S) method & pulsatile push pause technique has been proven to reduce the incidence of chemical phlebitis.
References
Alexandrou, E., Carr, P., Clare, S., Caroline Cullinane, Michelle DeVries, Lisa Gorski, Carole Hallam, Steve Hill, Linda J. Kelly, Tricia Kleidon, Nicholas Mifflin, Stephen Rowley, Nancy Trick, Amanda J. Ullman, & Valya Weston. (2019). Vessel Health and Preservation: The Right Approach for Vascular Access. In Vessel Health and Preservation: The Right Approach for Vascular Access. Springer International Publishing. https://doi.org/10.1007/978-3-030-03149-7
Andersen, B. M. (2019). Practice and Theory Prevention and Control of Infections in Hospitals.
Barton, A. (2021a). Acknowledgements: The National Injectable Medicines Guide (Medusa) Advisory Board.
Barton, A. (2021b). Acknowledgements: The National Injectable Medicines Guide (Medusa) Advisory Board.
Barton, A. (2021c). Acknowledgements: The National Injectable Medicines Guide (Medusa) Advisory Board.
Braga, L. M., Parreira, P. M. dos S. D., Arreguy-Sena, C., Carlos, D. M., Mónico, L. dos S. M., & Henriques, M. A. P. (2018). Incidence rate and the use of flushing in the prevention of obstructions of the peripheral venous catheter. Texto e Contexto Enfermagem, 27(4). https://doi.org/10.1590/0104-07072018002810017
Carr, P., Higgins, N., & Cooke, M. (2017). Tools, Clinical Prediction Rules, and Algorithms for the Insertion of Peripheral Intravenous Catheters in Adult Hospitalized Patients: A Systematic Scoping Review of Literature. . Journal Hospital Medicine, 12(10).
Darmawan, I. (2008). Flebitis, Apa Penyebabnya Dan Bagaimana Cara Mengatasinya (2nd ed.). Yayasan Bina Pustaka.
Depkes. (n.d.). Pedoman Obat Suntik Dan Sitostatika.
Dharma, K. K. (2011). Metodologi Penelitian Keperawatan, Panduan Melaksanankan dan Menerapkan Hasil Penelitian Panduan Melaksanakan dan Menerapkan Hasil Penelitian. Trans Info Media.
Ferroni A, Gaudin F, Guiffant G, et al. (2014) Pulsative flushing as a strategy to prevent bacterial colonization of vascular access devices. Med Devices (Auckland, NZ).;7:379-383.
Goossens, G. A. (2015). Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit. Nursing Research and Practice, 2015, 1–12. https://doi.org/10.1155/2015/985686
Gorski, L. (2018). Phillips’s Manual of I. V. Therapeutics: Evidence-Based Practice for Infusion Therapy (7th Edition). F. A. Davis Company.
Gorski, L., Hadaway, L., Hagle, M., Mcgoldrick, M., Orr, M., & Doellman, D. (2021, February). Infusion therapy standards of practice. J Infus Nurs . The Infusion Nurses Society.
Guanche-Sicilia, A., Begoña Sánchez-Gómez, M., Elisa Castro-Peraza, M., Ángel Rodríguez-Gómez, J., Gómez-Salgado, J., & Duarte-Clíments, G. (2021). Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective. https://doi.org/10.3390/healthcare
Hadaway, L., Beiningen, G., Bennett, G., Bjerke, N., Debaun, B., Flanagan, E., Slavish, S., & Soule, B. (2009). Flushing vascular access catheters: Risks for infection transmission. In Advisory Board In this issue (Vol. 4, Issue 2). www.infectioncontrolresource.orgwww.saxetesting.com
Infusion Nurses Society. (2016). Supplement to Infusion Therapy Standards of Practice. Journal of Infusion Nursing, 39(1S). www.journalofinfusionnursing.com
Keller, A. (2022, November 3). IV Flush Syringe Complications. Drugwatch.
Keogh, S., Shelverton, C., Flynn, J., Mihala, G., Mathew, S., Davies, K. M., Marsh, N., & Rickard, C. M. (2020). Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: A stepped wedge cluster randomised trial. BMC Medicine, 18(1). https://doi.org/10.1186/s12916-020-01728-1
Lulie, M., Tadesse, A., Tsegaye, T., Yesuf, T., & Silamsaw, M. (2021). Incidence of peripheral intravenous catheter phlebitis and its associated factors among patients admitted to University of Gondar hospital, Northwest Ethiopia: a prospective, observational study. Thrombosis Journal, 19(1). https://doi.org/10.1186/s12959-021-00301-x
NHMRC. (2019). Australian Guidelines for the Prevention and Control of Infection in Healthcare.
Notoatmodjo, S. (2010). Metodologi penelitian kesehatan. Rineka Ciota.
Notoatmodjo, S. (2012). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta, 131.
Nursalam. (2015). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis (4th ed.).
Nyika, M. L., Mukona, D., & Zvinavashe, M. (2018). Factors Contributing to Phlebitis among Adult Patients Admitted in the Medical-Surgical Units of a Central Hospital in Harare, Zimbabwe. Journal of Infusion Nursing, 41(2), 96–102. https://doi.org/10.1097/NAN.0000000000000265
Parreira, P., Vicente, R., Bernardes, R. A., Sousa, L. B., Serambeque, B., Costa, P., Braga, L. M., Mónico, L., & Salgueiro-Oliveira, A. (2020). The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses. Heliyon, 6(8). https://doi.org/10.1016/j.heliyon.2020.e04579
Perdir RSUD Taman Husada Bontang. (2022). Panduan Penerapan 6 Sasaran Keselamatan Pasien.
Permenkes. (2017). Permenkes 27 Tahun 2017 tentang Pedoman Pencegahan dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan.
Perry & Potter. (2010). Fundamental Keperawatan (7th ed.). Salemba Medika.
Perry, A. G., & Potter, P. A. (2011). Clinical Nursing Skills and Techniques. Elsevier Mosby.
Ribeiro, G. da S. R., Campos, J. F., & Silva, R. C. da. (2022a). What do we know about flushing for intravenous catheter maintenance in hospitalized adults? In Rev Bras Enferm (Vol. 75, Issue 5).
Ribeiro, G. da S. R., Campos, J. F., & Silva, R. C. da. (2022). What do we know about flushing for intravenous catheter maintenance in hospitalized adults? In Revista brasileira de enfermagem (Vol. 75, Issue 5, p. e20210418). NLM (Medline). https://doi.org/10.1590/0034-7167-2021-0418
Smeltzer, B. (2002). (2002). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth (8th ed.).
Sugiono. (2013). Buku Metode Penelitian Sugiyono | PDF (Vol. 19). https://id.scribd.com/document/391327717/Buku-Metode-Penelitian-Sugiyono#
Sugiyono. (2013). Metodologi Penelitian Kunatitatif, Kualitatif dan R & D. Alfabeta.
Susiyanti, Artana, I. W., Kusuma, A. A. N. N., & Yuntari, G. A. K. (2022). Korelasi Bundle Phlebitis Dengan Kejadian Phlebitis Di Ruang Rawat Inap Rumah Sakit. Jurnal Keperawatan Priority, 5(1).
Wahyuni, N. (2022). Hubungan Kepatuhan Perawat Dalam Menerapkan Sasaran Keselamatan Pasien Dengan Kejadian Phlebitis Pada Pasien Rawat Inap Di Rsud Tidar Kota Magelang.
Wasserman, S., & Messina, angeliki. (2018). Guide To Infection Control In The Healthcare Setting Bundles in Infection Prevention and Safety.
Zingg, W., & Pittet, D. (2009). Peripheral venous catheters: an under-evaluated problem.International Journal of Antimicrobial Agents, 34, 38–42. https://doi.org/https://doi.org/10.1016/S0924-8579(09)70565-5.
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