Affiliations: [a] Department of Nursing, National Taipei University of Nursing and Health Science, Taiwan | [b] Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taiwan | [c] Department of Nursing, Taipei Medical University Hospital, Taiwan | [d] Department of Nursing, Renai Branch, Taipei City Hospital, Taiwan | [e] Department of Nursing, Mackay Memorial Hospital, Taiwan
Abstract: It's important to improve the stability of intravenous
(IV) lines and bottles during patient activity and nursing care. We
developed an intravenous line and fluid bottle fixation design (ILFBFD)
which includes a bottle retaining clip and line fixation kit. We randomly
assigned 60 participants each to the experimental and control groups.
Participants were asked to push an IV stand without and with ILFBFD 11
meters on uneven pavement and a sloping floor. The distance the IV bottle
moved was recorded. Self-administered questionnaires were used to collect
the opinions of the participants. Use of ILFBFD, resulted in less movement
in the anteroposterior and left/right directions (differences of 46.98
cm2, t= 12.80, p < 0.000 and 39.24 cm2, t= 8.01, p< 0.000, respectively)
compared with not using ILFBFD. The average scores for bottle movement when
participants walked on a flat floor, uneven pavement and sloping floor, IV
line tangling and dropping, and organization of Liv lines were significantly
better in those using than not using ILFBFD. The results can be used in
clinical practice to reduce knotting of IV lines, and to enhance the safety
and quality of patient care.
