The effectiveness of a non-tourniquet procedure on peripheral intravenous catheterization in older patients: A pilot study

BÜYÜKYILMAZ F., Sendir M., KUŞ B., Guclu H. Y.

CONTEMPORARY NURSE, vol.56, no.5-6, pp.405-416, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 56 Issue: 5-6
  • Publication Date: 2020
  • Doi Number: 10.1080/10376178.2020.1801351
  • Journal Name: CONTEMPORARY NURSE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Page Numbers: pp.405-416
  • Keywords: aging, catheterization, pain, peripheral, phlebitis, tourniquets
  • Yozgat Bozok University Affiliated: Yes

Abstract

Background:In an older population, insertion of peripheral intravenous catheterizations (PIVCs) are more difficult because of specific problems. Aim:This study aimed to determine the initial efficacy of non-tourniquet procedure during insertion of PIVC in older patients. Design/Methods:This quasi-experimental study was conducted in 78 older patients. The initial efficacy of non-tourniquet procedure was tested during insertion of PIVC. Results:This study showed that similar pain intensity scores immediately after inserting the PIVC (p>0.05). The first-attempt success and dwell time in non-tourniquet procedure older patients were be higher/longer and phlebitis scores were lower than the control group (p<0.05). Conclusions:To increase the success of PIVC first-attempt, a longer dwell time, and lower phlebitis scores in older patients, nurses should insert PIVCs at an almost flat degree and stabilize the vein without a tourniquet. Impact statement:The non-tourniquet procedure will lead to the long dwell time and using safely of PIVC in older patients.