Aim Peripheral venous catheter is a clinical procedure often performed by nurses in hospitals. Phlebitis can be prevented with more nursing care by applying peripheral venous catheter by trained nurses and using preventive methods. The aim of this study was to investigate the effect of proximal massage and palm fisting on the prevention of phlebitis in patients with a peripheral venous catheter (PVC). Methods and results This randomized controlled study was conducted with patients who were hospitalized in the orthopedics and traumatology service of a state hospital and had PVC. While the study group (n = 36) received proximal massage and palm fisting on the side with a peripheral venous catheter, the control group (n = 36) received standard care for PVC. The data were collected by using the “Patient Demographics and Clinical Information Form”, “Risk Scale for Peripheral Venous Catheter-related phlebitis”, “Visual Infusion Phlebitis Assessment Scale”. There were no statistically significant differences between the groups regarding phlebitis development based on age, sex, chronic disease status, peripheral venous catheter insertion site, devices in the PVC, or fluids administered from the PVC. However, there was a significantly higher risk of PVC-induced phlebitis in patients who received proximal massage and palm fisting at 48 and 96 hours, when the severity of phlebitis was evaluated on daily basis. Conclusion The study showed promising results, suggesting that proximal massage and palm fisting may be a simple and inexpensive technique to prevent the occurrence of phlebitis in PVC patients. Registration NCT05714137

中文翻译：

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近端按摩和握拳降低外周静脉导管相关性静脉炎风险的效果评估：随机对照研究

目的 外周静脉导管是医院护士经常进行的临床手术。通过更多的护理，由经过培训的护士使用外周静脉导管并采取预防方法，可以预防静脉炎。本研究的目的是探讨近端按摩和手掌握拳对预防外周静脉导管（PVC）患者静脉炎的效果。方法和结果 这项随机对照研究的对象是在州立医院骨科和创伤科住院的 PVC 患者。研究组 (n = 36) 在使用外周静脉导管的一侧接受近端按摩和手掌握拳，而对照组 (n = 36) 则接受 PVC 的标准护理。采用《患者人口统计和临床信息表》、《外周静脉导管相关静脉炎风险量表》、《视觉输液静脉炎评估量表》收集数据。根据年龄、性别、慢性疾病状态、外周静脉导管插入部位、PVC 中的装置或从 PVC 注入的液体，各组之间的静脉炎发展没有统计学上的显着差异。然而，当每天评估静脉炎的严重程度时，在 48 小时和 96 小时接受近端按摩和手掌握拳的患者发生 PVC 诱发静脉炎的风险明显更高。结论 该研究显示出有希望的结果，表明近端按摩和手掌握拳可能是预防 PVC 患者发生静脉炎的一种简单且廉价的技术。注册NCT05714137