Effectiveness of Protocol Based Nursing Care of Patients with Intravenous Line Cannula in Selected Hospital at Ambala City

Abstract

Health team members are always bound to be right for the betterment of patient, but when it becomes difficult to keep up there comes the need for a guidance to lead them on the right track. Nurses have to perform many important procedures while caring patients and one among those is the administration of intravenous fluids. The process is being so common but a standard protocol is needed to follow in order to prevent the arising complications. Material and Methods: A true experimental design to evaluate the Effectiveness of protocol based nursing care of patients with intravenous line cannula in a selected hospital at Ambala city. Thestudy was conducted on 30 samples each in experimental and control group having cannula for Intravenous Therapy. Data was collected from October 2019 to December 2019.A structured observational check list was used to evaluate the effectiveness of nursing care on patients with intravenous line cannula in selected hospital. Result: The data revealed that, patients with intravenous line cannula in control group were in inadequate levels of nursing care outcome of intravenous line cannula care whereas in experimental group (13.3%) had moderate nursing care outcome, (86.7%) had adequate level of nursing care outcome and none were in the inadequate level of nursing care outcome. Comparison of the mean scores of nursing care outcome of intravenous line cannula care in terms of starting daily monitoring and the removal of intravenous line cannula between control group and experimental group was assessed by unpaired‘t’ test analysis. The calculated unpaired‘t’ value for protocol based starting of intravenous line cannula is 23.8 (Table value-2) for protocol based daily monitoring of intravenous line cannula is 20.767 (Table Value-2) and for protocol based removal of cannula is 25.336 (Table Value-2). The result shows that calculated value is more than table value at 0.05 level of significance. Comparison of outcome assessment of intravenous line cannula care in terms of complication between control group and experimental group shows that in control group majority (56.7%) of patients with intravenous line cannula had 2 attempted pricks whereas in experimental group majority (63.3%) had one prick only. In control group about 53.3% of patient with intravenous line cannula had cannula change and site changes whereas in experimental group it is only 30%. Percentage of infiltration in control group is 40% and in experimental group it is 13.3%. Also the percentage of thrombophlebitis in control group is 20% whereas it is 7% in experimental group. The association between the nursing care outcome of intravenous line cannula care among experimental group and their selected variables like site of insertion (2(1) = 0.084) are not significant, since calculated value is less than table value (3.84). Duration of intravenous line cannula (2(2) = 6.036) is significant at P<0.05 level of significance because calculated value is greater than table value (5.99). Thus the result suggests protocol based nursing care of patients with intravenous cannula was effective in prevention of complications. Conclusion: After the detailed analysis of this study it shows that effective use of protocol based nursing care of patients with intravenous cannula was effective in prevention of complications.