Effect Of The Best Evidence For Prevention And Treatment Of The First Degree Phlebitis Caused By Peripheral Intravenous Catheter

Objective The purpose of this study is to obtain the best practice program for the first degree phlebitis caused by Peripheral Intravenous Catheter based on evidence based medicine.And the positive effects of this program on the prevention and treatment of the first degree phlebitis were verified by empirical study,So as to provide scientific basis for clinical treatment of phlebitis.Methods By searching Pubmed、Cochrane、Elservier、CBM、CNKI、VIP、Wanfang database,The literature was evaluated by John Hopkins’s level of evidence and quality evaluation method and using Expert group discussion to obtain the best practice program for the first degree phlebitis caused by Peripheral Intravenous Catheter.72 hospitalized patients with the first degree phlebitis caused by Peripheral Intravenous Catheter were randomly divided into two groups,The control group and the intervention group 36 cases each.the intervention group was given general care,psychological care,and intervention with drugs,and the control group with 50%magnesium sulfate was applied after removing the ingot and raising the affected limb.In order to evaluate the time of redness regression,the time of pain extinction,the time of recovery,the related medical expenses after rehabilitation,and the recovery,excellentive and effective rate of 12h,24h,48h and 72h.Results(1)Through literature review and expert discussion,we constructed the best practice program of the first degree phlebitis including three aspects of general care,psychological care and drug care.(2)In the time of red regression,the intervention group was(28.39±15.36)hours,the control group was(38.00±28.41)hours,and the two groups of patients with the first degree phlebitis had a statistically significant difference(P<0.05).(3)In the time of pain relief,the intervention group was(15.84 ± 16.44),the control group was(24.15±16.13),and the two groups of patients with the first degree pain subsided time was statistically significant(P<0.05).(4)In the recovery time,the intervention group was(28.47± 15.30),the control group was(38.27±23.53),and the two groups of the first degree phlebitis patients recovered time was statistically significant(P<0.05).(5)The effect of 12 hours intervention on the two groups was statistically significant(P<0.05).(6)There was no statistically significant difference between the two groups on 24 hours,48 hours and 72 hours.(7)The relative medical expenses of the patients in the control group was(18.04 ± 0.25)yuan,and the intervention group was(25.73 ± 0.00)yuan.Conclusions(1)we constructed the best practice program of the first degree phlebitis including three aspects of general care,psychological care and drug care.(2)In this study,the best practice program based on evidence has obvious intervention effect on the first degree phlebitis caused by peripheral venous indwelling needle,so that the patients with the first degree phlebitis can recover more quickly.(3)The best practice program based on evidence works faster than the Magnesium Sulfate group,and reducing the pain of the patients.