EFFECT OF VEIN IMAGING DEVICE AND FIST CLECHING ON DETERMINATION OF APPROPRIATE VEIN AND SUCCESSFUL CATHETER PLACEMENT TIME IN PATIENTS RECEIVING CHEMOTHERAPY: A RANDOMIZED CONTROLLED TRIAL

Back to Page Authors: Handan Eren, Nurcan Çalışkan

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Keywords: fist clenching, vein imaging device, successful catheter placement, vein visibility

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Abstract: Background: As the vein structure gets damaged in patients receiving chemotherapy treatment, placement of peripheral intravenous catheter becomes difficult. In order to increase the success of peripheral intravenous catheter placement, a vein imaging device and fist-clenching can be used. Objective: To determine the effect of vein imaging device and fist-clenching on the determination of appropriate vein and successful catheter placement time in patients receiving chemotherapy. Methods: 135 patients who are receiving chemotherapy were randomly assigned to either vascular imaging device group (n:45), fist-clenching group (n:45) or control groups (n:45). In the vascular imaging group, the vascular imaging device was used to determine the appropriate vein; in the fist-clenching group, the patients were asked to open and close their palms to determine the appropriate vein; and in the control group, no extra interventions except for the process steps were applied and one single nurse carried out the peripheral intravenous catheter insertion. Results: The duration of determining the appropriate vein and the duration of successful peripheral intravenous catheter insertion were shorter in the device group at a significant level (p<0.05). The satisfaction levels of the patients and the nurse were higher in the device group at a significant level (p<0.05). Conclusion: The vascular imaging device was effective in determining the proper vein and in successful peripheral intravenous catheter insertion time in patients who were receiving chemotherapy.

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