上肢锻炼联合FMEA护理对PICC置管患者医院获得性静脉血栓栓塞症发生率及内皮功能的影响

doi:10.16766/j.cnki.issn.1674-4152.003483

科研成果详情

题名	上肢锻炼联合FMEA护理对PICC置管患者医院获得性静脉血栓栓塞症发生率及内皮功能的影响
其他题名	Effect of upper limb exercise combined with FMEA nursing on the incidence and endothelial function of hospital-acquired venous thromboembolism in patients with PICC catheterization
作者	林晓非; 田圆; 林圆圆; 王建群; 许圣美; 王红霞
发表日期	2024-04-08
发表期刊	中华全科医学影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	PICC置管失效模式与效应分析护理上肢锻炼医院获得性静脉血栓栓塞症内皮功能血液流变学
其他关键词	PICC tube placement ; Failure modes and effects analysis care ; Upper limb exercise ; Hospital-acquired ve-nous thromboembolism ; Endothelial function ; Hemorheology
摘要	目的探讨上肢锻炼联合失效模式与效应分析(FMEA)护理应用于经外周静脉置入中心静脉导管(PICC)置管患者的效果，以及对患者内皮功能、医院获得性静脉血栓栓塞症发生率的影响。方法选取2022年6—12月温州医科大学附属第一医院PICC置管患者102例，按随机数表法分为对照组(51例，常规护理)与观察组(51例，上肢锻炼联合FMEA护理)。比较2组护理前后内皮功能(EMCs、FMD)、失效模式RPN值、锻炼依从性、静脉血栓栓塞症情况以及并发症发生情况。结果相较于对照组，观察组患者及其评估、导管因素、置管、冲管和封管、健康教育、日常照护等失效模式RPN值均明显更低(P<0.05)。相较于护理前，2组护理后EMCs值升高，FMD值降低。但是，观察组护理后EMCs低于对照组[(1 094.59±101.10)%vs.(1 205.73±109.55)%,P<0.05],观察组FMD值高于对照组[(4.66±0.48)%vs.(3.73±0.48)%,P<0.05]。护理后，相较于对照组，观察组锻炼依从性整体更高(P<0.05),以及获得性静脉血栓栓塞症整体更轻(P<0.05)。并且，观察组并发症发生率更低(P<0.05)。结论上肢锻炼联合FMEA护理应用于PICC置管患者，可提高其锻炼依从性，改善患者内皮功能，降低医院获得性静脉血栓栓塞症发生率，有助于预防血栓的形成。
其他摘要	Objective To explore the effect of upper limb exercise combined with failure modes and effects analysis(FMEA)nursing on patients with peripherally inserted central catheter(PICC),as well as its influence on endothelial function and the incidence of hospital-acquired venous thromboembolism.Methods A total of 102 patients with PICC catheterization in the First Affiliated Hospital of Wenzhou Medical University from June to December 2022 were selected and randomly divided into control group(51 cases,routine nursing)and observation group(51 cases,upper limb exer-cise combined with FMEA Nursing).The endothelial function(EMCS,FMD),failure mode RPN value,exercise com-pliance,venous thromboembolism and complications were compared between the two groups before and after nursing.Re-sults Compared with the control group,the RPN values of patients in the observation group and their failure modes such as evaluation,catheter factors,catheterization,flushing,sealing,health education and daily care were significantly lower(P＜0.05).The EMCs value increased and the FMD value decreased following care in both groups,as compared to pre-care levels.However,the EMCs of the observation group[(1 094.59±101.10)％]was significantly lower than that of the control group[(1 205.73±109.55)％],while the FMD value of the observation group[(4.66±0.48)％]was sig-nificantly higher than that of the control group[(3.73±0.48)％],with significance levels of P＜0.05.After care,the observation group had higher overall exercise compliance compared with the control group(P＜0.05),and overall ac-quired venous thromboembolism lighter(P＜0.05).The incidence of complications was lower in the observation group(P＜0.05).Conclusion The application of upper limb exercise combined with FMEA nursing in patients with PICC catheter can improve their exercise compliance,improve endothelial function,reduce the incidence of hospital acquired venous thromboembolism,and help to prevent thrombosis.
资助项目	浙江省医药卫生科技计划项目(2023KY887);
ISSN	1674-4152
卷号	22 期号:04 页码:700-703
DOI	10.16766/j.cnki.issn.1674-4152.003483
页数	4
收录类别	CNKI ; 万方 ; 维普 ; ISTIC
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引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/211210
专题	附属第一医院附属第一医院_血液内科
通讯作者	王红霞
作者单位	温州医科大学附属第一医院血液内科
第一作者单位	附属第一医院; 血液内科
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	林晓非,田圆,林圆圆,等. 上肢锻炼联合FMEA护理对PICC置管患者医院获得性静脉血栓栓塞症发生率及内皮功能的影响[J]. 中华全科医学,2024,22(04):700-703.
APA	林晓非, 田圆, 林圆圆, 王建群, 许圣美, & 王红霞. (2024). 上肢锻炼联合FMEA护理对PICC置管患者医院获得性静脉血栓栓塞症发生率及内皮功能的影响. 中华全科医学, 22(04), 700-703.
MLA	林晓非,et al."上肢锻炼联合FMEA护理对PICC置管患者医院获得性静脉血栓栓塞症发生率及内皮功能的影响".中华全科医学 22.04(2024):700-703.