RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE
ANNEXURE II
PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION
|1 |Name of the candidate and address |ANUMOL K. V. |
| |(in block letters) |SAHYADRI COLLEGE OF NURSING |
| | |ADYAR |
| | |MANGALORE-575007. |
|2 |Name of the institution |SAHYADRI COLLEGE OF NURSING |
| | |ADYAR |
| | |MANGALORE-575007 |
|3 |Course of the study and subject |M. Sc. NURSING |
| | |MEDICAL SURGICAL NURSING |
|4 |Date of admission to the course |01.06.2010 |
|5 |Title of the study |
| |A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF HOT FOMENTATION VERSUS COLD COMPRESS IN REDUCING INTRAVENOUS INFILTRATION |
| |AND PAIN AMONG PATIENTS IN A SELECTED HOSPITAL AT MANGALORE, KARNATAKA. |
| | |
| | |
|6 |Brief resume of the intended work |
| |6.1 Need for the study |
| |Intravenous infusion has become an indispensable component in medical therapy. It is used to correct electrolyte imbalances,|
| |to deliver medications, for blood transfusion or as fluid replacement to correct dehydration. In spite of its therapeutic |
| |effects the most frequently encountered problems are infiltration and extravasation. Unfortunately, they are so common, that|
| |they are sometimes overlooked or not addressed as soon as they should be, or else they can produce debilitating effects1 |
| |A study conducted by infusion nursing society on incidence of intravenous catheter complications in the hand and forearm |
| |reported that 67 patient had developed intravenous catheter complication in a hospital over a three year period in which 56 |
| |minor complications and 11 major complications. In 68% of minor complications, the patients were aged 50 years or older and |
| |68% were women in which minor complications comprised 26 intravenous infiltrations and 23 cases of thrombophlebitis. The |
| |most common complication of peripheral venous cannulation is infiltration which results in an inflammatory reaction, and is |
| |manifested as pain, swelling, and erythema that may prolongs the duration of hospital stay. Therefore, nurses are in a |
| |pivotal position to manage infiltration through effective nurse-initiated intervention that are economical in both nursing |
| |times and resources. In the past, drugs have been the conventional methods to alleviate pain and swelling, but in many |
| |instances, medications themselves do not provide optimal results. The modality of hot and cold compression have a very |
| |appropriate role in the treatment of almost all injuries involving soft tissues involves pain, possible bleeding and a |
| |leakage of fluid from damaged tissues into the area.2 |
| |A comparative study was conducted in Pune on effectiveness of hot fomentation versus cold compress for reducing intravenous |
| |infiltration. The sample size was sixty patients (30 for hot fomentation and 30 for cold compress) with mild to moderate |
| |degree of infiltration stayed in hospital for 8-14 days and data was analysed by using descriptive and inferential |
| |statistics. Findings prove that the pre-treatment mean score of degree of infiltration was 7.1667 reduced to 0.7071 on the |
| |third day of treatment with hot fomentation. In cold compress pre-treatment mean score 6.9333 reduced to 0.70571. The study |
| |concluded that both hot fomentation and cold compress are effective in treatment of intravenous therapy related |
| |infiltration3. |
| |In contrast, a study was conducted on effectiveness of warm versus cold applications of intravenous infiltrations at Health |
| |Science Centre, New York. Differences in pain intensity, surface area measurements of induration and erythema, and |
| |interstitial fluid volume when warm versus cold applications were randomly made to an intentional intravenous infiltrate of |
| |5 ml of a designated solution were examined. Three solutions were used: 0.5 saline, normal saline, and 3% saline. Study was |
| |done with 18 samples .There was induration and erythema was no difference in remaining infiltrate when 0.5 saline or normal |
| |saline were used, but a significant (p ................
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