Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 700-703
LIN Xiaofei, TIAN Yuan, LIN Yuanyuan, WANG Jianqun, XU Shengmei, WANG Hongxia. 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[J]. Chinese Journal of General Practice, 2024, 22(4): 700-703. doi: 10.16766/j.cnki.issn.1674-4152.003483
Citation: LIN Xiaofei, TIAN Yuan, LIN Yuanyuan, WANG Jianqun, XU Shengmei, WANG Hongxia. 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[J]. Chinese Journal of General Practice, 2024, 22(4): 700-703. doi: 10.16766/j.cnki.issn.1674-4152.003483
shu

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

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

  • Department of Hematology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2023KY887

  • Received Date: 2023-11-25
    Available Online: 2024-05-29
    Abstract
  •   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 exercise combined with FMEA Nursing). The endothelial function (EMCS, FMD), failure mode RPN value, exercise compliance, venous thromboembolism and complications were compared between the two groups before and after nursing.  Results  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 significantly 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 acquired 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.

     

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    • References(16)
  • [1]
    林琴, 袁忠, 王童语, 等. 医疗失效模式与效应分析管理模式对肿瘤患者手臂输液港围手术期护理质量的影响[J]. 中华现代护理杂志, 2023, 29(5): 594-599. doi: 10.3760/cma.j.cn115682-20220124-00375

    LIN Q, YUAN Z, WANG T Y, et al. The effect of treatment failure mode and effect analysis management mode on perioperative nursing quality of cancer patients at arm infusion por[J]. Chinese Journal of Modern Nursing, 2023, 29(5): 594-599. doi: 10.3760/cma.j.cn115682-20220124-00375
    [2]
    楼能, 蔡炜龙, 叶国超. 胃肠道恶性肿瘤患者术后静脉血栓栓塞症的危险因素[J]. 温州医科大学学报, 2023, 53(11): 905-910, 916. doi: 10.3969/j.issn.2095-9400.2023.11.007

    LOU N, CAI W L, YE G C. Risk factors of postoperative venous thromboembolism in patients with gastrointestinal malignancies[J]. Journal of Wenzhou Medical University, 2023, 53(11): 905-910, 916. doi: 10.3969/j.issn.2095-9400.2023.11.007
    [3]
    李钦领, 王杨, 代会, 等. 基于重症患者PICC导管堵塞影响因素建立临床预警工具[J]. 中华全科医学, 2022, 20(10): 1637-1640. doi: 10.16766/j.cnki.issn.1674-4152.002667

    LI Q L, WANG Y, DAI H, et al. Establishment of clinical warning tool based on the influencing factors of PICC catheter occlusion in critically ill patients[J]. Chinese Journal of General Practice, 2022, 20(10): 1637-1640. doi: 10.16766/j.cnki.issn.1674-4152.002667
    [4]
    杨静, 冯占春. 乳腺癌患者术后发生PICC导管相关性感染因素[J]. 中国临床研究, 2022, 35(9): 1319-1323. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202209029.htm

    YANG J, FENG Z C. PICC catheter-related infection factors in breast cancer patients after surgery[J]. Chinese Journal of Clinical Research, 2022, 35(9): 1319-1323. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202209029.htm
    [5]
    封旭光, 赵春红, 雷勇, 等. 高压氧联合上肢功能锻炼对经外周置入中心静脉导管患者静脉血栓的预防作用[J]. 中华航海医学与高气压医学杂志, 2021, 28(6): 767-771. doi: 10.3760/cma.j.cn311847-20210425-00129

    FENG X G, ZHAO C H, LEI Y, et al. Preventive effects of hyperbaric oxygen combined with upper limb functional exercise on venous thrombosis in patients with PICC[J]. Chinese Journal of Nautical Medicine and Hyperbaric Medicine, 2021, 28(6): 767-771. doi: 10.3760/cma.j.cn311847-20210425-00129
    [6]
    周芬, 王希楠, 王云, 等. 基于知信行理论的上肢功能锻炼在PICC置管肿瘤化疗患者中的应用研究[J]. 中华现代护理杂志, 2022, 28(13): 1759-1762. doi: 10.3760/cma.j.cn115682-20210824-03790

    ZHOU F, WANG X N, WANG Y, et al. Effects of upper limb function exercise based on the theory of knowledge, attitude and practice in cancer chemotherapy patients with PICC[J]. Chinese Journal of Modern Nursing, 2022, 28(13): 1759-1762. doi: 10.3760/cma.j.cn115682-20210824-03790
    [7]
    黄小琴, 吕东来, 周丽梅. 基于微信平台的延续护理在使用PICC的消化道肿瘤患者中的应用[J]. 中华全科医学, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075

    HUANG X Q, LYU D L, ZHOU L M. Observation on the application effect of continuing care based on WeChat platform in patients with gastrointestinal tumors using PICC[J]. Chinese Journal of General Practice, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075
    [8]
    NAKAYA Y, IMASAKI M, SHIRANO M, et al. Peripherally inserted central venous catheters decrease central line-associated bloodstream infections and change microbiological epidemiology in adult hematology unit: a propensity score-adjusted analysis[J]. Ann Hematol, 2022, 101(9): 2069-2077. doi: 10.1007/s00277-022-04908-6
    [9]
    郑春玲, 金慧玉, 赵秀杰, 等. 失效模式与效应分析在降低神经外科置管患者非计划拔管率中的应用[J]. 中华现代护理杂志, 2021, 27(6): 822-825. doi: 10.3760/cma.j.cn115682-20201106-06090

    ZHENG C L, JIN H Y, ZHAO X J, et al. Application of FMEA on reducing the unplanned extubation rates in patients with neurosurgical catheterization[J]. Chinese Journal of Modern Nursing, 2021, 27(6): 822-825. doi: 10.3760/cma.j.cn115682-20201106-06090
    [10]
    张花, 盛晓郁. 失效模式与效应分析用于新生儿静脉留置针安全管理中的护理效果[J]. 护理实践与研究, 2023, 20(2): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202302025.htm

    ZHANG H, SHENG X Y. Nursing effect of failure mode and effect analysis on safety management of newborn venous indwelling needle[J]. Nursing Practice and Research, 2023, 20(2): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202302025.htm
    [11]
    陈瑛, 朱霞明, 毛燕琴. 失效模式与效应分析对血液科PICC置管患者导管相关性血流感染的预防评价[J]. 中华医院感染学杂志, 2018, 28(15): 2314-2317. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201815020.htm

    CHEN Y, ZHU X M, MAO Y Q. Prevention of failure mode and effect analysis on catheter-related bloodstream infections in patients with PICC[J]. Chinese Journal of Nosocomiology, 2018, 28(15): 2314-2317. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201815020.htm
    [12]
    姚萍华, 王新连. 肺癌根治术体位安置管理中引入失效模式与效应分析的效果[J]. 临床与病理杂志, 2022, 42(6): 1423-1429. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202206023.htm

    YAO P H, WANG X L. Effect of introducing failure mode and effect analysis in postural placement management for radical resection of lung cancer[J]. Journal of Clinical and Pathological Research, 2022, 42(6): 1423-1429. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202206023.htm
    [13]
    HEIDENREICH D, HANSEN E, KREIL S, et al. The insertion site is the main risk factor for central venous catheter-related complications in patients with hematologic malignancies[J]. Am J Hematol, 2022, 97(3): 303-310. doi: 10.1002/ajh.26445
    [14]
    董琳琳, 赵春红, 封旭光, 等. 《静脉血栓栓塞症诊治与预防390问》出版: PICC置管后上肢运动操结合抗凝治疗对静脉血栓发生率的干预作用[J]. 介入放射学杂志, 2022, 31(1): 后插1. https://www.cnki.com.cn/Article/CJFDTOTAL-JRFS202201028.htm

    DONG L L, ZHAO C H, FENG X G, et al. Publication of 390 Questions on Diagnosis, treatment and prevention of venous thromboembolism: Intervention effect of upper limb exercise combined with anticoagulation therapy after PICC catheterization on the incidence of venous thrombosis[J]. Journal of Interventional Radiology, 2022, 31(1): Postinsertion 1. https://www.cnki.com.cn/Article/CJFDTOTAL-JRFS202201028.htm
    [15]
    吕源, 李纳新, 张世斌. 握力球手部锻炼预防PICC患者置管并发症及非计划性拔管的作用[J]. 现代临床护理, 2023, 22(5): 37-42. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH202305006.htm

    LYU Y, LI N X, ZHANG S B. Role of hand exercises with gripping balls in the prevention of complications and unplanned extubation in patients with PICC[J]. Modern Clinical Nursing, 2023, 22(5): 37-42. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH202305006.htm
    [16]
    王红霞, 张其霞, 李冬眉, 等. 脑出血术后患者静脉血栓栓塞发生的高危因素及预警模式分析[J]. 温州医科大学学报, 2021, 51(2): 128-132. https://www.cnki.com.cn/Article/CJFDTOTAL-WZYX202102008.htm

    WANG H X, ZHANG Q X, LI D M, et al. An analysis of high-risk factors of venous thromboembolism in patients after cerebral hemorrhage and establishment of an early warning model[J]. Journal of Wenzhou Medical University, 2021, 51(2): 128-132. https://www.cnki.com.cn/Article/CJFDTOTAL-WZYX202102008.htm
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