Faktor-Faktor yang Mempengaruhi Phlebitis pada Anak di RSUI Harapan Anda Kota Tegal

Authors

  • Dita Adelina Dita Adelina Universitas Islam Sultan Agung Semarang
  • Nopi Nur Khasanah Universitas Islam Sultan Agung Semarang
  • Kurnia Wijayanti Universitas Islam Sultan Agung Semarang

DOI:

https://doi.org/10.59841/jumkes.v3i4.3332

Keywords:

Age, Chronic Disease, Duration of Infusion, Nursing Skills, Phlebitis Incidence

Abstract

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

References

Agustini, C., Utomo, W., & Agrina. (2020). Analisis faktor yang berhubungan dengan kejadian phlebitis pada pasien yang terpasang infus di ruang medikal Chrysant Rumah Sakit Awal Bros Pekanbaru. Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau, 4(1), 102–108. https://doi.org/10.21927/jnki.2016.4(2).102-108

Alexander, et al. (2020). The need for certified infusion nurses. Journal of Infusion Nursing Standards of Practice, 34(1).

Amrullah, et al. (2020). Faktor-faktor yang mempengaruhi kejadian phlebitis di RSUD Encik Mariyam tahun 2020. Ners Journal, 1(1). https://doi.org/10.52999/nersjournal.v1i1.41

Badriah, S. L., Widhiyanto, A., & Mashuri. (2024). Hubungan letak dan lama pemasangan infus terhadap kasus phlebitis di Rumah Sakit Wijaya Kusuma Lumajang. Jurnal Ilmiah Kesehatan Mandira Cendikia, 3(5), 87–94.

Bambang, D., & Rika. (2018). Hubungan lamanya pemasangan kateter intravena dengan kejadian flebitis di ruang penyakit dalam RSU Jend. A. Yani Metro tahun 2017. Jurnal Lampung: Universitas Malahayati.

Bangun, L., & Indriani, W. (2020). Faktor-faktor yang mempengaruhi kejadian plebitis di ruang rawat inap RS Stella Maris Makasar. Sekolah Tinggi Ilmu Kesehatan Stella Maris.

Brunner, & Suddart. (2018). Keperawatan medical bedah. Jakarta: EGC.

Centers for Disease Control and Prevention. (2021). Guidelines for the prevention of intravascular catheter-related infections 20121. https://www.cdc.gov/infectioncontrol/guidelines/bsi/index.html

Darmawan, I. (2018). Phlebitis, apa penyebabnya dan bagaimana cara mengatasinya. http://www.otsuka.co.id/?content=article_detail&id=68&lag=id

Emerita, & Suryani, L. (2019). Analisis perilaku perawat dalam pengendalian kejadian phlebitis di rumah sakit: Literature review. Jurnal Keperawatan Muhammadiyah (Edisi Khusus).

Herlina, M., & Jafa, A. G. P. (2018). Faktor-faktor yang berhubungan dengan kejadian plebitis pada pasien yang terpasang infus di Rumah Sakit Imelda Pekerja Indonesia (RSU IPI) Medan. Jurnal Ilmiah Keperawatan Imelda, 4(2), 150–158. https://doi.org/10.52943/jikeperawatan.v4i2.298

Higgison, R. (2016). Phlebitis: Treatment, care and prevention. Nursing Times.

Infusion Nurses Society (INS). (2016). Setting the standard for infusion care. http://www.ins1.org

Jacinto, A. K. d. L., Avelar, A. F. M., Wilson, A. M. M. M., & Pedreira, M. d. L. G. (2019). Phlebitis associated with peripheral intravenous catheters in children: Study of predisposing factors. Escola Anna Nery – Revista de Enfermagem.

Joyce, M. (2018). Medical surgical nursing: Clinical management for positive outcomes. Singapore: Elsevier.

Lubis, E., & Widiastuti. (2020). Hubungan faktor-faktor yang mempengaruhi phlebitis terhadap terjadinya phlebitis. The Shine Cahaya Dunia Ners, 4(1), 7–19. https://doi.org/10.35720/tscners.v4i1.136

Martínez, J., Piazuelo, M., Almela, M., Blecua, P., Gallardo, R., Rodríguez, S., et al. (2019). Evaluation of add-on devices for the prevention of phlebitis and other complications associated with the use of peripheral catheters in hospitalised adults: A randomised controlled study. Journal of Hospital Infection, 73(2), 135–142. https://doi.org/10.1016/j.jhin.2009.06.031

Maryunani, A. (2019). Best practice plebitis dan komplikasi lainnya. Jakarta: In Media.

Nagpal, P., Khera, G. K., & Kumar, Y. A. (2020). Study to assess the clinical pattern of phlebitis among children admitted in selected hospital of Ambala, Haryana. Nursing and Midwifery Research, 11(2), 68. https://doi.org/10.1177/0974150X20150203

Nihi, S. (2020). Gambaran penderita infeksi nosokomial pada pasien rawat inap di RSUP Dr. Wahidin Sudurohusodo tahun 2010 (Skripsi). Fakultas Kedokteran Universitas Hassanudin, Makassar.

Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.

Potter, P. A., & Perry, A. G. (2018). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik. Jakarta: EGC.

Pradini, P. C. A. (2016). Faktor-faktor yang berhubungan dengan kejadian phlebitis pada pasien rawat inap di RSUD Tugurejo Semarang tahun 2016 (Skripsi).

Rahmawati. (2020). Kementerian Kesehatan RI & Perhimpunan Pengendalian Infeksi Indonesia. Jakarta.

Ratnasari, O. (2022). The effect of phlebitis incidence with the implementation of infusions in accordance with SOPs in internal medicine treatment rooms. Jurnal Keperawatan, e-ISSN: 2798–1428.

Rusmiati. (2020). Hubungan keterampilan perawat dalam pemasangan infus dengan angka kejadian plebitis pada pasien di RSUD Sultan Imanuddin Pangkalan Bun Kalimantan Tengah. Jurnal Sekolah Tinggi Ilmu Kesehatan, 8(75), 1–98.

Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Bandung: PT Alfabeta.

Wahyu, N. (2015). Analisis penerapan prosedur pemasangan infus.

Wayunah, W., Nurachmah, E., & Mulyono, S. (2013). Pengetahuan perawat tentang terapi infus mempengaruhi kejadian plebitis dan kenyamanan pasien. Jurnal Keperawatan Indonesia, 16(2), 128–137. https://doi.org/10.7454/jki.v16i2.12

Widani, N. L. (2018). Pengaruh penggantian kateter intravena dan set infus terhadap terjadinya phlebitis. Jurnal Persatuan Perawat Nasional Indonesia. https://doi.org/10.32419/jppni.v3i1.98

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Published

2025-09-16

How to Cite

Dita Adelina, D. A., Nopi Nur Khasanah, & Kurnia Wijayanti. (2025). Faktor-Faktor yang Mempengaruhi Phlebitis pada Anak di RSUI Harapan Anda Kota Tegal . Jurnal Mahasiswa Ilmu Kesehatan, 3(4), 154–169. https://doi.org/10.59841/jumkes.v3i4.3332

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