上肢运动方案在肿瘤患者PICC置管护理中的应用  

Application of upper limb exercise program in PICC tube care of cancer patients

作　　者：林珊 王萌[1] 张国莉[1] Lin Shan;Wang Meng;Zhang Guoli(Internal Medicine Department,Harbin Medical University Cancer Hospital,Harbin 150040,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院内一科,黑龙江哈尔滨150040

出　　处：《护理学杂志》2020年第15期43-45,79,共4页Journal of Nursing Science

基　　金：黑龙江省自然科学基金项目(LH2019H039)。

摘　　要：目的探讨上肢运动方案在肿瘤患者PICC置管护理中的应用效果。方法将367例肿瘤PICC置管患者按照住院时间分为对照组184例和观察组183例。对照组给予常规护理,观察组在此基础上实施上肢运动。结果腋静脉最大血流速度和平均血流速度的组间效应、时间效应及交互效应具有显著性,置管后28 d内观察组静脉血栓发生率及导管异位发生率显著低于对照组(P<0.05,P<0.01)。结论上肢运动有利于提高肿瘤PICC置管患者腋静脉血流速度和平均血流速度,降低静脉血栓和导管异位发生率。Objective To explore the application effects of upper limb exercise program in PICC tube care of cancer patients.Methods A total of 367 cancer patients with PICC tube were divided into a control group(n=184)and an intervention group(n=183)chronologically.The control group was given routine care,while the intervention group additionally conducted upper limb exercise.Results The intervention effect,time effect and intervention×time effect were significant in the maximum blood flow velocity and average blood flow velocity of the axillary vein,and the incidence of venous thrombosis and catheter ectopic in the intervention group were significantly lower than those of the control group within 28 days after catheterization(P<0.05,P<0.01).Conclusion Upper limb exercise is conducive to improving the axillary vein blood flow velocity and average blood flow velocity for cancer patients with PICC catheterization,and reducing the incidence of venous thrombosis and catheter ectopic.

关 键 词：肿瘤 经外周置入中心静脉导管 上肢运动 血流速度 静脉血栓 导管相关并发症 

分 类 号：R473.73[医药卫生—护理学]