Document Detail


The impact of dry versus moist heat on peripheral IV catheter insertion in a hematology-oncology outpatient population.
MedLine Citation:
PMID:  19581223     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE/OBJECTIVES: To determine whether dry versus moist heat application to the upper extremity improves IV insertion rates. DESIGN: Two-group, randomized, controlled clinical design. SETTING: An academic cancer infusion center in the western United States.Sample: 136 hematologic outpatients with cancer or other malignancies. METHODS: Participants were randomly assigned to dry or moist heat with warmed towels wrapped around each patient's arm for seven minutes prior to IV insertion. Skin and room temperatures were monitored pre- and postwarming. Two experienced chemotherapy infusion nurses performed the venipunctures according to protocol. Outcomes were examined using variance analysis, with 34 patients for each combination of nurse and heat type. MAIN RESEARCH VARIABLES: Number of IV insertion attempts, time to achieve IV insertion postheating, patient anxiety levels pre- and postheating, and patient comfort.Findings: Dry heat was 2.7 times more likely than moist heat to result in successful IV insertion on the first attempt, had significantly lower insertion times, and was more comfortable. Heat type had no effect on patient anxiety. CONCLUSIONS: Dry heat application decreases the likelihood of multiple IV insertion attempts and procedure time and is comfortable, safe, and economical to use in an outpatient oncology setting.
Authors:
Regina M Fink; Ellen Hjort; Barbara Wenger; Paul F Cook; Mary Cunningham; Aimee Orf; Wendy Pare; Jennifer Zwink
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Oncology nursing forum     Volume:  36     ISSN:  1538-0688     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-07     Completed Date:  2009-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E198-204     Citation Subset:  IM; N    
Affiliation:
University of Colorado Hospital, Denver, CO, USA. regina.fink@uch.edu
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / therapeutic use
Anxiety / nursing,  prevention & control
Catheterization, Peripheral / methods*,  nursing*
Feasibility Studies
Female
Humans
Hyperthermia, Induced / methods*,  nursing*
Male
Middle Aged
Neoplasms / drug therapy,  nursing*
Oncologic Nursing / methods*
Outpatients
Pain / nursing,  prevention & control
Patient Satisfaction
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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