The Effect of Continuous Education on Intravenous Injections’ Side Effects Rate in Zanjan Teaching Hospitals, 1993.

Abstract

Abstract: The present research is quasi experimental study to determine the effects of a continuous training of personnel while treating the patients on intravenous injections and its side effects on patients in Medical and Surgical wards of hospitals affiliated to Zanjan city Medical School. In this research side effects of intravenous injections such as, extravasation, hematoma ecchymosis and phlebitis on two groups of patients in medical and surgical wards examined and the results compared. The first group which were 340 patients, were studied before the poster training was carried out. The second group which numbered 300 were studied after the poster training. Both group were chosen from the same wards. The results were examined and compared. The group of 300 were divided into two namely "Mored" and "Shahed". The Mored group went from the wards that its personnel were given the poster training and the Shahed group were chosen from the wards that had no poster training. The tools used for collecting information and data were by means of personnel observation and interviews, the results of which were recorded on a check list which in turn was divided into three parts. The entire experiment was carried out in three consecutive days. The first part of the checklist was related to some particulars of the patient. Specification of the serum injected and the drugs intravenously injected. All there information were extracted from hospitals index cards and records. The second part of the check list was related to the actual locality of injected area and the drugs entering the body of the patient. (All these information and questioning the responsible nurse on duty). The third part of the check list was related to observable side effects reported by the researcher. To reach the aims and the goals of the research we made use of descriptive and inferential statistics, the results all which were shown in 34 absolute and relative frequency distribution tables and in six graphs. Using the chi square, with 95% Certainty the results showed that training mean a considerable reduction in side effects such as extravasation, hematoma and ecchymosis. And in the case of phlebitis side effects, using the t –test, it was revealed that, there was a meaning full statistical difference between the two groups before and after the training. But considering the Mored and Shahed groups, although there was an absolute and relative frequency differences between patients from the point of view of phlebitis side effect nevertheless, the test showed no significant findings. In other words training had made no considerable difference in phlebitis side effects between the two groups. Mored and Shahed. By using the statistical test, it become clear that increasing the volume of serum would cause more phlebitis, and patients with more drugs intravenously injected, were subject to increasing phlebitis side effect as well. Considering the side effects statistical tests showed also a meaningful relationship between the locality of injection and some particular characteristics of patient under treatment. In general it can be said that, suitable poster training can decrease the side effects of intravenous injections. In the end based on the findings of this study, implications of achieved results for various fields of nursing and health services have been discussed and further studies in similar fields have been recommended.