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Year : 2018  |  Volume : 15  |  Issue : 1  |  Page : 71-78

Correlates to extravasation among patient receiving chemotherapy at a university hospital

1 Department of Medical Surgical Nursing, Faculty of Nursing, Beni Suef University, Beni Suef, Egypt
2 Department of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt

Correspondence Address:
Amel S Mahmoud
Department of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Cairo, 11553
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ENJ.ENJ_40_17

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Aim The aim of this study was to examine correlates associated with the occurrence of extravasations among patients receiving chemotherapy at a university hospital. Background Extravasation injuries are a medical emergency that have the potential to cause serious disability, diminish the patient’s quality of life, and leave nurses vulnerable to the risk of malpractice claims. Methods The study was conducted at a university Hospital in Cairo, Egypt. A convenience sample consisting of 300 adult male and female patients as well as all nurses working at the outpatient chemotherapy clinic (10 nurses) constituted the study sample. The following tools were used: (a) Patient Risk Factors Assessment Checklist for Extravasations, (b) Intravenous Administration of Chemotherapy via A peripheral Vein Checklist, and (c) Extravasations Recording Checklist. Results Only 11.4% of the participants had developed signs and/or symptoms of extravasations. The highest incidence rates of extravasations were among patients with age range between 18 and less than 30 years, among female patients, and among those who cannot read and write (17.24, 16.23, and 17.24%, respectively). Similarly, it was highest among those with uterine cancer, those with breast cancer, those with BMI less than 18.5, those having diabetes, those having hypertension, and those receiving nonirritant chemotherapy namely carboplatin (16, 15.3, 12.6, 12.2, 19.56, 14.29%. Conclusion Correlates to extravasations could be categorized as patients, chemotherapy, and environmental and nurses performance-related factors. Conducting periodic in-service training program for nurses and developing a standardized protocol of care in chemotherapy intravenous administration were strongly recommended.

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