Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Incidence of Extravasation in Acute Care Hospitals and Nurses' Knowledge and Attitude toward Extravasation Prevention and Management

급성기 의료기관의 일혈 발생 현황 및 임상간호사의 일혈 예방 및 관리에 대한 지식과 태도에 관한 연구

  • Kim, Jung Yoon (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Lee, Yun Jin (Division of Nursing, Severance Hospita) ;
  • Ko, Young Ok (Department of Nursing, The Catholic University of Korea ST. Vincent's Hospital) ;
  • Cho, Hyun Jin (Department of Nursing, Pusan National University Hospital) ;
  • Kim, Hee Jung (Department of Nursing, Ajou University Hospital) ;
  • Ju, Myoung Jean (Department of Nursing, Kosin University Gospel Hospital) ;
  • Kim, Mi Jin (Department of Nursing, Inha University Hospital)
  • Received : 2022.01.28
  • Accepted : 2022.02.24
  • Published : 2022.04.30
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Abstract

Purpose: Extravasation of diagnostic and therapeutic materials might occur when the intravascular solution leaks into the surrounding tissues. Injury associated with extravasation depends on various factors. It may range from mild skin reaction to severe necrosis. However, the incidence rate for extravasation is largely unknown because of the limited reporting in Korea. Therefore, this study was conducted to identify the incidence of extravasation and nurses' attitude and knowledge of extravasation for providing high-quality nursing care. Methods: Three acute care hospitals were surveyed to estimate the occurrence of extravasation. Knowledge and attitude toward extravasation were investigated from 793 nurses working in six hospitals. Results: The incidence rate of extravasation was 0.5%. Extravasation commonly occurred in elderly patients aged 66 or older (59.9%) and internal medicine (48.2%), and it happened 13.73±20.68 days after hospitalization on average. It mostly occurred in the forearm site (52.9%) and was mainly caused by parenteral nutrition (33.6%). The mean scores of nurses' knowledge and attitude were 14.63±2.86 and 28.91±36.00, respectively. There was a significant negative correlation between the subjects' knowledge and attitude (r=-.11, p=.002). Conclusion: It is necessary to have a reporting system that can accurately monitor the occurrence of extravasation for patient safety management. In addition, it is necessary to develop a protocol that can be applied to clinical practice and a nurse education program.

Keywords

Acknowledgement

본 연구는 2020년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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