智能握力系统在PICC患者功能锻炼中的应用

doi:10.3761/j.issn.0254-1769.2021.08.008

摘要/Abstract

摘要：

目的探讨智能握力系统在PICC患者功能锻炼中的应用效果。方法采用便利抽样法,选取2020年11月—2021年1月在苏州市某三级甲等医院门诊行PICC的100例肿瘤患者作为研究对象,采用随机数字表法分为试验组和对照组各50例。试验组采用以智能握力球为载体的智能握力系统进行功能锻炼,对照组采用传统握力球进行功能锻炼。比较两组功能锻炼依从性得分及导管相关性血栓发生率,置管后第14天和第28天腋静脉单位时间内平均血液流速。结果试验组功能锻炼依从性得分高于对照组,导管相关性血栓发生率低于对照组,差异具有统计学意义（P<0.05）;置管后第14天和第28天试验组腋静脉单位时间内平均血液流速均快于对照组,差异具有统计学意义（P<0.05）。结论智能握力系统可提高PICC患者功能锻炼依从性,有效改善上肢静脉血液循环,降低导管相关性血栓发生率。

关键词: 肿瘤, 经外周置入中心静脉导管, 身体锻炼, 导管相关性血栓, 护理

Abstract:

Objective To investigate the effects of intelligent grip strength system on PICC function exercise,so as to prevent catheter-related thrombosis in patients. Methods By convenience sampling,100 tumor patients with PICC who met the inclusion and exclusion criteria were divided into an experimental group and a control group by a random number table method. The patients in the control group used the traditional grip strength ball,while the patients in the experimental group used the intelligent grip strength system with the intelligent grip ball as the carrier for functional exercise. 28 days after catheterization,the scores of functional exercise compliance and the incidence of catheter-related thrombosis were compared between the 2 groups. The time average velocity of the axillary vein was compared 14 and 28 days after PICC catheterization,respectively. Results The total score of functional exercise compliance in the experimental group was higher than that in the control group,and the incidence of catheter-related thrombosis in the experimental group was significantly lower than that in the control group,and the differences were both statistically significant（P<0.05）. The time average velocity of the axillary vein in the experimental group was significantly higher than that in the control group 14 and 28 days after catheterization（both P<0.05）. Conclusion The intelligent grip strength system can significantly improve the compliance of PICC functional exercise in patients,effectively improve the upper limb venous blood circulation,and reduce the incidence of catheter-related thrombosis.

Key words: Neoplasms, Peripherally Inserted Central Venous Catheter, Physical Exercise, Catheter-Related Thrombosis, Nursing Care

鞠阳,张茵英,周菊珍,徐建芬,李静丹,岳春华,董叶昕. 智能握力系统在PICC患者功能锻炼中的应用[J]. 中华护理杂志, 2021, 56(8): 1169-1173.

JU Yang,ZHANG Yinying,ZHOU Juzhen,XU Jianfen,LI Jingdan,YUE Chunhua,DONG Yexin. Effects of intelligent grip strength system in functional exercise of patients with PICC[J]. Chinese Journal of Nursing, 2021, 56(8): 1169-1173.

图/表 3

表1 两组一般资料比较[例（百分比,%）]

Table 1 General data of patients in 2 groups [case（percent,%）]

表2 两组功能锻炼依从性问卷各维度得分及总分比较（分,$\bar{x}$±s）

Table 2 Comparison of each diemension scores and total scores of the functional exercise compliance questionnaire between 2 groups （score,$\bar{x}$±s）

表3 两组不同时间点腋静脉单位时间平均血液流速比较（cm/s,$/bar{x}$±s）

Table 3 Comparison of the time average velocity of the axillary vein between 2 groups of patients in different times（cm/s,$/bar{x}$±s）

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