中华护理教育 ›› 2023, Vol. 20 ›› Issue (11): 1398-1402.doi: 10.3761/j.issn.1672-9234.2023.11.019
王旭(),乔远静(),赵军燕,夏玉雪,梁文娜,秦光雅,冯梦轩
收稿日期:
2023-02-03
出版日期:
2023-11-15
发布日期:
2023-11-17
通讯作者:
乔远静,硕士,副教授,E-mail:threeqiao3790@163.com
作者简介:
王旭,女,本科(硕士在读),护士,E-mail:1054119291@qq.com
WANG Xu(),QIAO Yuanjing(),ZHAO Junyan,XIA Yuxue,LIANG Wenna,QIN Guangya,FENG Mengxuan
Received:
2023-02-03
Online:
2023-11-15
Published:
2023-11-17
摘要:
导管相关性血栓形成是外周置入中心静脉导管(peripherally inserted central catheter,PICC)留置期间最常见的并发症之一,严重时可导致非计划性拔管而影响患者的治疗进程,甚至威胁患者的生命安全。握力训练作为预防PICC相关性血栓形成的常用干预方法之一,具有有效性和实用性,但在临床实践中由于缺乏科学化、规范化、精准化训练方案的指导,患者训练依从性及其干预效果参差不齐。该文对PICC相关性血栓形成的发生机制、常用握力训练方法及局限性进行总结分析,以期为临床更好地实施握力训练干预提供参考。
王旭, 乔远静, 赵军燕, 夏玉雪, 梁文娜, 秦光雅, 冯梦轩. 握力训练预防PICC相关性血栓形成的研究进展[J]. 中华护理教育, 2023, 20(11): 1398-1402.
WANG Xu, QIAO Yuanjing, ZHAO Junyan, XIA Yuxue, LIANG Wenna, QIN Guangya, FENG Mengxuan. Research progress of grip strength training in prevention of peripherally inserted central venous catheter-related thrombosis[J]. Chinese Journal of Nursing Education, 2023, 20(11): 1398-1402.
[1] | Duwadi S, Zhao Q, Budal BS. Peripherally inserted central ca-theters in critically ill patients-complications and its preven-tion:a review[J]. Int J Nurs Sci, 2019, 6(1):99-105. |
[2] |
Al-Asadi O, Almusarhed M, Eldeeb H. Predictive risk factors of venous thromboembolism(VTE) associated with peripherally inserted central catheters(PICC) in ambulant solid cancer patients:retrospective single Centre cohort study[J]. Thromb J, 2019, 17:2.
doi: 10.1186/s12959-019-0191-y pmid: 30697126 |
[3] |
Laguna JC, Cooksley T, Ahn S, et al. Catheter-related thrombosis (CRT) in patients with solid tumors:a narrative review and clinical guidance for daily care[J]. Support Care Cancer, 2022, 30(10):8577-8588.
doi: 10.1007/s00520-022-07297-8 |
[4] |
Pinelli F, Balsorano P, Mura B, et al. Reconsidering the GAVe-CeLT Consensus on catheter-related thrombosis,13 years later[J]. J Vasc Access, 2021, 22(4):501-508.
doi: 10.1177/1129729820947594 |
[5] | Balsorano P, Virgili G, Villa G, et al. Peripherally inserted cen-tral catheter-related thrombosis rate in modern vascular access era-when insertion technique matters:a systematic review and meta-analysis[J]. J Vasc Access, 2020, 21(1):45-54. |
[6] | 乔爱珍, 苏迅. 外周中心静脉导管技术与管理[M]. 2版. 北京: 人民军医出版社, 2015:33-34. |
Qiao AZ, Su X. Technology and management of peripheral central venous catheter[M]. 2nd ed. Beijing: People’s Military Medical Press, 2015:33-34. | |
[7] |
Gorski LA. The 2016 infusion therapy standards of practice[J]. Home Healthc Now, 2017, 35(1):10-18.
pmid: 27922994 |
[8] | Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy stan-dards of practice,8th edition[J]. J Infus Nurs, 2021, 44(1S Suppl 1):S1-S224. |
[9] |
李乾, 赵欣, 张晓维,等. 国内成人肿瘤患者PICC相关性血栓发生率的Meta分析[J]. 中华护理杂志, 2022, 57(3):348-355.
doi: 10.3761/j.issn.0254-1769.2022.03.016 |
Li Q, Zhao X, Zhang XW, et al. Incidence of peripherally inserted central catheter-related thrombosis in Chinese adult cancer patients:a meta-analysis[J]. Chin J Nurs, 2022, 57(3):348-355.
doi: 10.3761/j.issn.0254-1769.2022.03.016 |
|
[10] | 曹文娟, 王珏岚, 李采虹,等. 老年患者经外周静脉置入中心静脉导管相关性血栓形成的危险因素研究进展[J]. 实用医院临床杂志, 2021, 18(5):209-212. |
Cao WJ, Wang JL, Li CH, et al. Research progress on risk factors of PICC catheter-related thrombosis in elderly patients[J]. Pract J Clin Med, 2021, 18(5):209-212. | |
[11] | Marin A, Bull L, Kinzie M, et al. Central catheter-associated deep vein thrombosis in cancer:clinical course,prophylaxis,treatment[J]. BMJ Support Palliat Care, 2021,11(4):371-380. |
[12] |
Liu GD, Ma WJ, Liu HX, et al. Risk factors associated with catheter-related venous thrombosis:a meta-analysis[J]. Public Health,2022, 205:45-54.
doi: 10.1016/j.puhe.2022.01.018 |
[13] | 洪娇, 程弯弯, 王艳丽,等. 96例肺腺癌伴发静脉血栓栓塞症危险因素分析[J]. 南京医科大学学报(自然科学版), 2018, 38(9):1234-1239. |
Hong J, Cheng WW, Wang YL, et al. Analysis of risk factors for 96 cases of pulmonary adenocarcinoma with venous thromboembolism[J]. J Nanjing Med Univ Nat Sci, 2018, 38(9):1234-1239. | |
[14] |
张莹, 李爱敏, 关晨阳,等. 不同活动方式预防PICC导管相关性血栓的效果评价[J]. 中华护理杂志, 2019, 54(9):1390-1393.
doi: 10.3761/j.issn.0254-1769.2019.09.021 |
Zhang Y, Li AM, Guan CY, et al. Effect of different exercise modes on preventing catheter related thrombosis in cancer patients with peripherally inserted central catheter[J]. Chin J Nurs, 2019, 54(9):1390-1393.
doi: 10.3761/j.issn.0254-1769.2019.09.021 |
|
[15] |
Crowley E, Harrison AJ, Lyons M. The impact of resistance training on swimming performance:a systematic review[J]. Sports Med, 2017, 47(11):2285-2307.
doi: 10.1007/s40279-017-0730-2 pmid: 28497283 |
[16] | Luo HL, Jin C, Li XH, et al. Quantified versus willful han-dgrip exercises for the prevention of PICC-related throm-bosis:a meta-analysis and systematic review[J]. Medicine, 2023, 102(10):e32706. |
[17] | 李雪娇, 王健, 皮红英. 上肢加压对经外周置入中心静脉导管患者血流动力学影响的研究[J]. 解放军护理杂志, 2018, 35(18):46-49. |
Li XJ, Wang J, Pi HY. Hemodynamic effects of upper limb compression on patients with PICC catheterization[J]. Nurs J Chin PLA, 2018, 35(18):46-49. | |
[18] | 卢婷, 应燕萍, 赵慧函,等. 不同性别肿瘤病人PICC置管侧肢体握球运动最佳力度研究[J]. 护理研究, 2021, 35(12):2214-2217. |
Lu T, Ying YP, Zhao HH, et al. Study on the best strength of handgrip exercise with a ball of limb side with PICC in tumors patients with different genders[J]. Chin Nurs Res, 2021, 35(12):2214-2217. | |
[19] |
Cahu Rodrigues SL, Farah BQ, Silva G, et al. Vascular effects of isometric handgrip training in hypertensives[J]. Clin Exp Hypertens, 2020, 42(1):24-30.
doi: 10.1080/10641963.2018.1557683 |
[20] | 任永春. 握拳运动对PICC置管患者上肢静脉血栓形成的预防效果[J]. 血栓与止血学, 2018, 24(6):1027-1029,1032. |
Ren YC. Prevention effects of handgrip exercise on upper extremity venous thrombosis in patients with PICC catheteri-zation[J]. Chin J Thromb Hemostasis, 2018, 24(6):1027-1029, 1032. | |
[21] | 张建薇, 傅荣. 握拳运动在预防老年PICC置管患者上肢深静脉血栓中的应用效果[J]. 中华现代护理杂志, 2018, 24(4):440-442. |
Zhang JW, Fu R. Effects of fisting activity in preventing deep venous thrombosis in elderly patients with PICC[J]. Chin J Mod Nurs, 2018, 24(4):440-442. | |
[22] |
Liu KY, Zhou Y, Xie WP, et al. Handgrip exercise reduces peripherally-inserted central catheter-related venous throm-bosis in patients with solid cancers:a randomized controlled trial[J]. Int J Nurs Stud, 2018, 86:99-106.
doi: 10.1016/j.ijnurstu.2018.06.004 |
[23] | 张敏, 马珍珍, 栾顺莲,等. 电子握力器联合握拳锻炼法在改善PICC肿瘤患者纤维蛋白鞘相关导管功能障碍中的效果观察[J]. 护士进修杂志, 2019, 34(24):2268-2270. |
Zhang M, Ma ZZ, Luan SL, et al. Observation on the effect of electronic grip device combined with fist exercise in improving the dysfunction of fibrin sheath-related catheter in PICC tumor patients[J]. J Nurses Train, 2019, 34(24):2268-2270. | |
[24] |
鞠阳, 张茵英, 周菊珍,等. 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.
doi: 10.3761/j.issn.0254-1769.2021.08.008 |
Ju Y, Zhang YY, Zhou JZ, et al. Effects of intelligent grip strength system in functional exercise of patients with PICC[J]. Chin J Nurs, 2021, 56(8):1169-1173.
doi: 10.3761/j.issn.0254-1769.2021.08.008 |
|
[25] | 鲁华, 李文, 江静云,等. 新型经外周静脉置入中心静脉导管握力器的制作及应用[J]. 解放军护理杂志, 2020, 37(10):91-92. |
Lu H, Li W, Jiang JY, et al. Fabrication and application of a new type of central venous catheter grip device inserted through peripheral vein[J]. Nurs J Chin PLA, 2020, 37(10):91-92. | |
[26] | 周晔. 不同频次的握拳运动对PICC相关性血栓的影响[D]. 南京: 南京医科大学, 2015. |
Zhou Y. Effect of different frequency fist-clenching exercise on PICC-related thrombosis[D]. Nanjing: Nanjing Medical Uni-versity, 2015. | |
[27] | 代凤. 握球力度和持续时间对PICC置管肿瘤患者上肢腋静脉血流动力学影响的研究[D]. 合肥: 安徽医科大学, 2019. |
Dai F. Study on the influence of grip strength and duration on hemodynamics of axillary vein of upper limb in patients with PICC catheter tumor[D]. Hefei: Anhui Medical University, 2019. | |
[28] | Cook M, Smart NA, Van Der Touw T. Predicting blood flow responses to rhythmic handgrip exercise from one second isometric contractions[J]. Physiol Res, 2016:581-589. |
[29] | 庞志明, 何少丽, 邓伟英,等. 不同握球时长对置入耐高压双腔PICC导管鼻咽癌患者握球依从性的影响[J]. 现代临床护理, 2021, 20(8):31-36. |
Pang ZM, He SL, Deng WY, et al. Impact of balloon squeezing on the compliance of patients with nasopharyngeal carcinoma using high-pressure-resistant dual-cavity peripherally inserted central catheter[J]. Mod Clin Nurs, 2021, 20(8):31-36. | |
[30] | 惠慧, 马燕兰, 郭艳艳,等. 不同握球运动方式对PICC置管患者静脉血流及相关性血栓的影响[J]. 中华现代护理杂志, 2018, 24(12):1391-1398. |
Hui H, Ma YL, Guo YY, et al. Effects of different exercise modes of ball-holding on venous flow and related thrombus in patients with peripherally inserted central catheter[J]. Chin J Mod Nurs, 2018, 24(12):1391-1398. | |
[31] | 丁月华, 许俊芳, 殷荣华. 规律握球运动对肿瘤患者PICC置管腋静脉血液流速及并发症的影响[J]. 护理学杂志, 2020, 35(6):15-17. |
Ding YH, Xu JF, Yin RH. Influence of regular ball squeeze exercise on axillary venous flow velocity and complications in patients after PICC placement[J]. J Nurs Sci, 2020, 35(6):15-17. | |
[32] | 代凤, 苏迅, 王蕾,等. 握力大小对留置PICC肿瘤患者腋静脉血流动力学的影响[J]. 护理学报, 2019, 26(1):8-11. |
Dai F, Su X, Wang L, et al. Effect of grip strength on axillary venous hemodynamics in tumor patients with PICC[J]. J Nurs (China), 2019, 26(1):8-11. | |
[33] | 包永华, 朱晓英, 陈轶楠,等. 握球运动联合自我管理对肺癌化疗PICC置管患者的影响[J]. 齐鲁护理杂志, 2021, 27(5):87-89. |
Bao YH, Zhu XY, Chen YN, et al. Effect of ball-holding exer-cise combined with self-management on PICC patients with lung cancer undergoing chemotherapy[J]. J Qilu Nurs, 2021, 27(5):87-89. | |
[34] | 潘桂华, 唐娟妮, 李晓玲,等. 照护者参与模式提高老年肿瘤患者PICC置管居家期间握拳运动依从性的效果[J]. 护士进修杂志, 2021, 36(20):1914-1916. |
Pan GH, Tang JN, Li XL, et al. Effect of caregiver partici-pation model on improving the compliance of fist-clenching exercise of elderly cancer patients during PICC catheter placement at home[J]. J Nurses Train, 2021, 36(20):1914-1916. | |
[35] | 祝文艳, 徐忠丽. 分析应用不同握球运动方式影响PICC置管患者静脉血流及相关性血栓的具体效果[J]. 临床医药文献电子杂志, 2019, 6(52):80-81. |
[36] | 周欣宇, 韩萍, 俞巍蔚,等. PICC患者术后功能锻炼真实体验的质性研究[J]. 中国实用护理杂志, 2020, 36(2):114-119. |
Zhou XY, Han P, Yu WW, et al. The real experience of postoperative functional exercise in PICC patients:a quali-tative research[J]. Chin J Pract Nurs, 2020, 36(2):114-119. |
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