Development of new strategies for the prevention of vein puncture difficult due to induration with an anti-cancer agent

2015 Fiscal Year Final Research Report

• Project/Area Number: 26670939
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Fundamental nursing
• Research Institution: Kanazawa Medical University
• Principal Investigator: MATSUI Yuko 金沢医科大学, 看護学部, 准教授 (00613712)
• Co-Investigator(Kenkyū-buntansha): SUGAMA Junko 金沢大学, 保健学系, 教授 (00203307) ; KONYA Chizuko 金沢医科大学, 看護学部, 教授 (20303282) ; KINOSITA Sachiko 金沢医科大学, 看護学部, 講師 (50709368) ; SAKAI Keiko 金沢医科大学, 看護学部, 教授 (60454229)
• Project Period (FY): 2014-04-01 – 2016-03-31
• Keywords: 看護学 / 看護理工学 / 基礎看護学 / 看護技術 / 創傷管理 / 血管外漏出 / 抗がん剤 / サーモグラフィー

Outline of Final Research Achievements

Early detection of extravasation is important. But conventional discrimination method of extravasation has lack of objectivity, and low reliability. The purpose of this study is to evaluate the predictive validity of the differentiation of extravasation during injection of the anticancer agents through the intravenous therapy with the use of thermography. 257 cases who received chemotherapy through peripheral veins were analyzed. It was included extravasation 26 cases. Thermography was taken every 15 to 30 minutes during the infusion. Sensitivity, specificity, positive likelihood ratio, and negative predictive value using thermography were 84.6% , 94.8%, 64.7%, 98.2% respectively. This study showed that the thermography predicts extravasation with high probability.

Free Research Field

医歯薬学