Hubei Provincial Cancer Hospital, Breast Surgery Ward 3, 430079, China.
Hubei Provincial Cancer Hospital, Breast Ward 1, 430079, China.
Comput Math Methods Med. 2022 Apr 22;2022:8016567. doi: 10.1155/2022/8016567. eCollection 2022.
A case-control study was conducted to elucidate the impact of application of nursing intervention based on intelligent grip strength system in patients with tumor peripherally inserted central catheter (PICC) on promoting functional exercise and life quality.
A total of 100 patients with tumor PICC treated in our hospital from April 2019 to April 2021 were enrolled. The patients were randomly assigned into control group and study group. The control group received routine nursing, and the study group received nursing intervention based on intelligent grip strength system.
First of all, we compared the nursing satisfaction between the two groups: the study group was very satisfied in 43 cases, satisfactory in 6 cases, and general in 1 case, and the satisfaction rate was 100.00%, while in the control group, 29 cases were very satisfied, 10 cases were satisfied, 6 cases were general, and 5 cases were dissatisfied. The satisfaction rate was 90.00%. As such, the nursing satisfaction of the study group was higher compared to the control ( < 0.05). Secondly, we compared the average blood flow velocity per unit time of axillary vein at different moments. Before catheterization, there exited no significant difference ( > 0.05). The average blood flow velocity per unit time of axillary vein in the study group was faster compared to the control at different time points ( < 0.05). In terms of the average blood flow velocity per unit time of axillary vein at different time points between the two groups, there exited no significant difference before catheterization ( > 0.05). But 14 and 28 days after catheterization, the average blood flow velocity per unit time of axillary vein in the study group was better when compared to the control ( < 0.05). Comparing the incidence of catheter-related complications, the incidence of catheter-related complications such as redness and swelling, phlebitis, catheter occlusion, and catheter slip in the study group (12.00%) was lower compared to the control (60.00%) ( < 0.05). There was no significant difference in vascular diameter, peak blood flow velocity, and vascular pressure between the two groups before nursing ( > 0.05), but after nursing, the vascular diameter and peak blood flow velocity group were higher, and the vascular pressure was lower in the study ( < 0.05). Comparing the scores of functional exercise compliance, the scores of grip exercise compliance, exercise monitoring compliance, active help seeking compliance, exercise attention compliance, and the total score of compliance in the study group were higher compared to the control ( < 0.05). Finally, we compared the scores of life quality. Before nursing, there exhibited no significant difference between the two groups ( > 0.05). The scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower when compared to control ( < 0.05).
The utilization of intelligent grip strength system can improve the functional exercise compliance of PICC patients, effectively facilitate the venous blood circulation of upper limbs, and strengthen the life quality, as well as reduce the incidence of catheter-related thrombosis. However, more multicenter, large sample, randomized controlled studies should be carried out to explore the impact of intelligent grip strength system on the long-term effect of functional exercise in patients with PICC.
采用病例对照研究方法，探讨基于智能握力系统的护理干预对肿瘤患者外周静脉置入中心静脉导管（PICC）促进功能锻炼及生活质量的影响。
选取 2019 年 4 月至 2021 年 4 月在我院接受治疗的 100 例肿瘤 PICC 患者为研究对象，随机分为对照组和观察组，每组 50 例。对照组给予常规护理，观察组给予基于智能握力系统的护理干预。
首先，比较两组患者的护理满意度：观察组非常满意 43 例，满意 6 例，一般 1 例，满意度为 100.00%；对照组非常满意 29 例，满意 10 例，一般 6 例，不满意 5 例，满意度为 90.00%。观察组护理满意度高于对照组，差异有统计学意义（<0.05）。其次，比较两组患者不同时间腋静脉单位时间平均血流速度。置管前两组比较差异无统计学意义（>0.05）。观察组不同时间腋静脉单位时间平均血流速度均快于对照组，差异有统计学意义（<0.05）。两组患者置管前腋静脉单位时间平均血流速度比较差异无统计学意义（>0.05），但置管后 14、28 d 观察组优于对照组，差异有统计学意义（<0.05）。再次，比较两组患者导管相关性并发症发生率。观察组患者红肿、静脉炎、导管堵塞、导管滑脱等导管相关性并发症发生率为 12.00%，低于对照组的 60.00%，差异有统计学意义（<0.05）。两组患者护理前血管直径、峰值血流速度、血管压力比较差异无统计学意义（>0.05），护理后观察组血管直径、峰值血流速度高于对照组，血管压力低于对照组，差异有统计学意义（<0.05）。比较两组患者功能锻炼依从性评分，观察组患者握力锻炼依从性、运动监测依从性、主动求助依从性、运动注意力依从性、总依从性评分均高于对照组，差异有统计学意义（<0.05）。最后，比较两组患者生活质量评分。护理前两组患者生理功能、心理功能、社会功能、健康自我认知评分比较差异无统计学意义（>0.05）。观察组患者生理功能、心理功能、社会功能、健康自我认知评分均低于对照组，差异有统计学意义（<0.05）。
应用智能握力系统可提高 PICC 患者的功能锻炼依从性，有效促进上肢静脉血液回流，增强患者的生活质量，降低导管相关性血栓的发生风险。但智能握力系统对 PICC 患者功能锻炼的长期效果影响还需更多多中心、大样本、随机对照研究来进一步探讨。
