Abstract：
Peripheral intravenous catheters (PIVCs) are the most commonly used invasive devices in acute care hospitals, with nurses being primarily responsible for the insertion and care of these devices. This point prevalence study aimed to describe current PIVC status and nursing documentation in a large, regional health care system and to explore variables associated with PIVC complications. The study was conducted with adult inpatients. There were 665 PIVCs included in the study. Dressings were clean, dry, and intact in 83% of observations; only 2.7% did not have a transparent dressing. Thirty-one percent of PIVCs were inserted in areas of flexion. Median dwell time was 2.39 days (± 2.36 days), with upper arm sites having the longest dwell time. Overall inter-rater reliability (IRR) for an infiltration or phlebitis score of 0 was high (97.4% and 92%, respectively). However, overall agreement was only 77.16% for infiltration and 40.07% for phlebitis, with significant disagreement as scores increased. Study findings support that there was strong compliance with the Infusion Nurses Society\'s (INS) Infusion Therapy Standards of Practice vascular access practice recommendations; however, opportunities to improve infiltration/phlebitis assessment and documentation exist.
摘要：
外周静脉导管（PIVC）是急性护理医院中最常用的侵入性设备，护士主要负责这些设备的插入和护理。这项点患病率研究旨在描述当前的PIVC状态和护理文档，区域卫生保健系统，并探讨与PIVC并发症相关的变量。这项研究是对成年住院患者进行的。该研究包括665个PIVC。敷料是干净的，干,在83％的观察中完好无损；只有2.7％的人没有透明的敷料。31%的PIVC插入屈曲区域。中位停留时间为2.39天（±2.36天），上臂部位停留时间最长。浸润或静脉炎评分为0的总体评分者间可靠性（IRR）较高（97.4%和92%，分别)。然而,总体一致性只有77.16%的浸润和40.07%的静脉炎,随着分数的增加，分歧很大。研究结果支持输注护士协会(INS)的输注治疗实践标准血管通路实践建议有很强的合规性;然而,存在改善渗透/静脉炎评估和记录的机会。
