Paper Information

Journal:   JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS)   AUGUST-SEPTEMBER 2007 , Volume 9 , Number 3 (38); Page(s) 33 To 38.
 
Paper: 

EFFECT OF TOPICAL PIROXICAM GEL AND WARM WET COMPRESS ON THE PHLEBITIS DUE TO INDWELLING PERIPHERAL INTRAVENOUS CATHETER

 
 
Author(s):  HAJI HOSSEINI F.*, BEHESHTI Z., NAZARI ROGHAYEH, REZAEI ROZITA, HAJI AHMADI M.
 
* AMOL MIDWIFERY & NURSING FACULTY
 
Abstract: 
BACKGROUND AND OBJECTIVE: Phlebitis is a common complication of IV catheters that is associated with serious side effects. Recommended care procedures like applying a warm, wet compress could not decrease the severity of phlebitis in a short period of time. The aim of this study was to determine the effect of the topical piroxicam on the phlebitis due to IV catheters and compare its effect with a standard method like warm wet compress.
METHODS: This clinical trial study was performed on 180 patients who had phlebitis due to IV catheters at two hospitals in Amol. The samples were randomly divided into three equal groups: wet warm compress, topical piroxicam gel and control. The site of IV catheters was assessed until phlebitis developed. Then, catheters replaced and inserted in another site. In intervention groups, piroxicam gel (2×4 cm=2.5 mg) and warm, wet compress (20 min) were applied in phlebitis sites every 8 hours for three days. Control group didn't receive the intervention. Severity of phlebitis was recorded before intervention and every day until three days on the basis of phlebitis five degree scale.
FINDINGS: In this study, 31.1% of subjects had phlebitis on their wrist, 30% on arm, 26.1% on hand back and 12.8% on their antecubital sites. There were no statistically significant differences between age, geneder, phlebitis sites and severity of phlebitis before intervention in three groups (p>0.05). Average of severity of phlebitis before intervention was 2.48 in piroxicam group, 2.48 in warm wet compress group and 2.40 in control group which reach to 0.00, 0.18, and 0.52 in third day in three groups, respectively. ANOVA test showed that there was a significant difference between the effect of curative methods and control group that piroxicam gel was more effective.
CONCLUSION: Topical piroxicam gel can be effective in treatment of phlebitis due to indwelling peripheral intravenous catheter and even more effective than an accepted method like wet warm compress.
 
Keyword(s): WARM WET COMPRESS, TOPICAL PIROXICAM GEL, PHLEBITIS, PERIPHERAL INTERAVENOUS CATHETER
 
References: 
  • ندارد
 
  Persian Abstract Yearly Visit 196
 
Latest on Blog
Enter SID Blog