A study to assess the effect of hot fomentation on thrombophlebitis among patients undergoing intravenous therapy admitted in the selected hospitals of Guwahati, Assam

Julismita Deka, A. Dutta
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Abstract

Thrombophlebitis is contemplated as an adverse event resulting from iv therapy. Thrombophlebitis can occur due to mechanical, chemical and infective causes which lead to pain, inflammation, infiltration, injuring a nerve as well as extravasation, ecchymosis, hematoma, thrombosis and embolism are also common. To assess the effect of hot fomentation on thrombophlebitis among patients undergoing intravenous therapy.: For this study quantitative research approach was adapted and using true experimental pre-test - post-test control group design the study was conducted. Total sample 60 (30 for experimental and 30 samples for control group) were selected by simple random sampling technique was used and among patients with thrombophlebitis getting IV therapy in Medical Ward at GMCH, Assam. Modified visual infusion phlebitis scale was used to assess pre-test level of thrombophlebitis and post-test level of thrombophlebitis. Intervention was given over the site of thrombophlebitis and evaluated on the 4 day. : Findings showed that in experimental group mean pre-test thrombophlebitis score was 11.07±3.062 and in post-test mean thrombophlebitis score was 6.47±1.871 with mean difference was 4.60. In control group mean post-test thrombophlebitis score was 10.70±2.693 and in experimental group mean post-test thrombophlebitis score was 6.47±1.871 with mean difference was 4.23. The comparison was tested using unpaired t test with obtained (t=7.072) was statistically significant at p<0.05 level. Result revealed that hot fomentation was effective on level of thrombophlebitis among patients received intravenous therapy in experimental group as compared to control group. Hot fomentation is effective to reduce thrombophlebitis caused due to intravenous therapy.
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在阿萨姆邦古瓦哈提选定医院接受静脉治疗的患者中,评估热发酵对血栓性静脉炎影响的研究
血栓性静脉炎被认为是静脉治疗引起的不良事件。血栓性静脉炎可由机械性、化学性和感染性原因引起,引起疼痛、炎症、浸润、损伤神经以及外渗,淤斑、血肿、血栓形成和栓塞也很常见。目的:探讨热热法治疗静脉血栓性静脉炎的疗效。本研究采用定量研究方法,采用真正的实验前测-后测对照组设计。采用简单随机抽样方法,选取在阿萨姆邦GMCH内科病房接受静脉注射治疗的血栓性静脉炎患者60例(试验组30例,对照组30例)。采用改良目视输注静脉炎量表评定血栓性静脉炎试验前水平和试验后水平。对血栓性静脉炎部位进行干预,并于第4天进行评估。结果显示,实验组血栓性静脉炎术前平均评分为11.07±3.062,术后平均评分为6.47±1.871,平均差值为4.60。对照组术后血栓性静脉炎平均评分为10.70±2.693分,实验组术后血栓性静脉炎平均评分为6.47±1.871分,平均差值为4.23分。比较采用非配对t检验,得到(t=7.072)在p<0.05水平上有统计学意义。结果显示,热烫法对静脉治疗患者血栓性静脉炎水平的影响明显高于对照组。热热法可有效减轻静脉治疗引起的血栓性静脉炎。
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