留置PICC老年患者握拳运动依从性及影响因素分析  

Compliance and influencing factors for fist⁃clenching exercise in elderly patients with indwelling PICC:an analytic study

作　　者：甘洁梅 张小芳 陈国连[1] 徐永荣 赵志莹[1] 陈莹莹[1] 李燕[1] 谭玉花 GAN Jiemei;ZHANG Xiaofang;CHEN Guolian;XU Yongrong;ZHAO Zhiying;CHEN Yingying;LI Yan;TAN Yuhua(Department of Oncological Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院肿瘤内科,广西南宁市530021

出　　处：《广西医学》2024年第7期1027-1030,共4页Guangxi Medical Journal

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200896)。

摘　　要：目的调查留置外周中心静脉导管(PICC)的老年患者握拳运动依从性的现状,并分析其影响因素。方法选取120例留置PICC的老年患者作为研究对象,采用握拳运动认知量表、握拳运动依从性量表、PICC相关性血栓认知量表对研究对象进行调查;采用多因素Logistic回归模型分析留置PICC的老年患者握拳运动依从性的影响因素。结果120例老年患者握拳运动认知量表总分为(15.65±7.01)分,握拳运动依从性量表总分为(8.79±3.00)分,PICC相关性血栓认知量表总分为(46.43±19.62)分,上述量表总分均处于中低水平。多因素Logistic回归分析结果显示,置管天数、握拳运动认知量表总分、PICC相关性血栓认知量表总分是留置PICC的老年患者握拳运动依从性的影响因素(P<0.05)。结论留置PICC的老年患者握拳运动依从性较低,置管天数、握拳运动认知情况、PICC相关性血栓认知情况是留置PICC的老年患者握拳运动依从性的影响因素。Objective To investigate the current status of fist‐clenching exercise compliance in elderly patients with indwelling peripherally inserted central venous catheter(PICC),and to analyze its influencing factors.Methods A total of 120 elderly patients with indwelling PICC were selected as the research subjects.The investigation on the research subjects was performed by employing fist‐clenching exercise cognitive scale,fist‐clenching compliance scale,PICC‐related venous thrombosis cognitive scale.The influencing factors for fist‐clenching exercise compliance in elderly patients with indwelling PICC were analyzed by using the multivariate Logistic regression model.Results The total scores of fist‐clenching exercise cognitive scale,fist‐clenching compliance scale,and PICC‐related venous thrombosis cognitive scale among 120 elderly patients were 15.65±7.01,8.79±3.00,and 46.43±19.62,respectively.The total scores of the aforementioned scales were all at the medium to low levels.The results of multivariate Logistic regression analysis revealed that length of indwelling catheter days,total score of fist‐clenching exercise cognitive scale,and total score of PICC‐related venous thrombosis cognitive scale were the influencing factors for fist‐clenching exercise compliance of elderly patients with indwelling PICC(P<0.05).Conclusion Compliance of fist‐clenching exercise is relatively low in elderly patients with indwelling PICC.Length of indwelling catheter days,cognitive states of fist‐clenching exercise,and cognitive states of PICC‐related venous thrombosis are the influencing factors for fist‐clenching exercise compliance in elderly patients with indwelling PICC.

关 键 词：外周中心静脉导管 老年人 握拳运动 依从性 影响因素 

分 类 号：R473.5[医药卫生—护理学]