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322827

Effect of Dry Heat Application on Peripheral Intravenous Catheter Insertion Parameters and Discomfort among Patients Undergoing Chemotherapy

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Last updated: 24 Dec 2024

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Abstract

Background: Peripheral intravenous catheter (PIVC) insertion is usually technically easy and causes only mild discomfort for patients. However it could become difficult and complicated in certain situations, mainly in patients receiving chemotherapy due to the recurrent exposure to venous catheterization, in addition to the damaging effects of chemotherapeutic drugs on the vessel wall. Thus, an easy, available, and fast method is required to facilitate the venous cannula insertion. Application of heat at the PIVC insertion site is one of the beneficial methods that increase the vein visualization consequently improves the insertion of PIVC. Aim: to evaluate the effect of dry heat application on PIVC insertion parameters, and discomfort among patients undergoing chemotherapy. Design: A quasi experimental pre-posttest nonequivalent groups design was utilized. Setting: the study was carried out in the oncology department at EL-Manial University Hospitals-Egypt. Sample: A purposive sample of 70 adult male and female patients divided into two equal groups, study and control (35 patients each). Tools: four tools were utilized, Patient's demographic and Medical background data form (tool I); Vein Assessment Scale (tool II); Two questions related to the length of the procedure and number of attempts or pricks (tool III); and Discomfort visual analogue scale (tool IV). Results: the study findings indicated that there was a statistical difference between study and control groups in relation to vein assessment scores, insertion duration, and number of attempts (p- value = 0.000) for all parameters after intervention. Moreover, there was a statistical significant difference in patients' discomfort level total mean scores between the study and control groups (p- value=0.000) after intervention as well. Conclusion: study concluded that dry heat application at the IV insertion site increased vein visibility, reduced the insertion time, reduced the number of pricks, and reduced discomfort among patients receiving chemotherapy. Recommendation: the application of local heating at the insertion site for chemotherapy patients is an effective, easy, and economical way, therefore it is recommended before IV cannulation to improve patients' satisfaction and the quality of care provided.

DOI

10.21608/ejhc.2023.322827

Keywords

Heat Application, Dry heat, Intravenous catheter, vein assessment, IV insertion duration, IV insertion attempt, PIVC discomfort

Authors

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Mervat

Last Name

Mamdouh Abu Zead

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Affiliation

Lecturer - Medical-Surgical Nursing-Faculty of Nursing - Cairo University-Egypt

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First Name

Mohammed

Last Name

Abdu Alla Hassan

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Affiliation

Professor of oncology- Oncology Department- Faculty of Medicine, Cairo University. Egypt

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First Name

Amel

Last Name

Saeid Mahmoud

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Affiliation

Assistant Professor-Medical-Surgical Nursing, Faculty of Nursing- Cairo University-Egypt. College of Nursing -King Saud bin-Abdulaziz University for Health Sciences, Al-Ahsa. Saudi Arabia

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Volume

14

Article Issue

2

Related Issue

40375

Issue Date

2023-06-01

Receive Date

2023-10-24

Publish Date

2023-06-01

Page Start

1,187

Page End

1,198

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_322827.html

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https://ejhc.journals.ekb.eg/service?article_code=322827

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322,827

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Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Dry Heat Application on Peripheral Intravenous Catheter Insertion Parameters and Discomfort among Patients Undergoing Chemotherapy

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Article

Created At

24 Dec 2024