海绵球锻炼预防PICC置管后肢体肿胀的效果观察

Observation of effect of sponge ball exercise on preventing swelling of posterior limbs in PICC catheter

目的:探讨海绵球锻炼预防PICC置管后肢体肿胀的效果。方法:2015年4月~2016年4月本院留置PICC管患者100例,根据护理干预措施不同将其等分为观察组及对照组,对照组给予常规护理,观察组在对照组基础上给予海绵球锻炼,比较两组患者干预后穿刺肢体肿胀及机械性静脉炎发生情况。结果:观察组患者穿刺肢体肿胀程度轻于对照组,差异有统计学意义(P<0.05);观察组患者机械性静脉炎发生少于对照组,差异有统计学意义(P<0.05)。结论:海绵球锻炼能有效预防PICC置管后肢体肿胀,降低机械性静脉炎发生率,值得临床进一步推广。

Objective： To explore the effect of sponge ball training on the prevention of posterior limb swelling in PICC catheter. Methods： A total of 100 patients with PICC catheter in our hospital from April 2015 to April 2016 were divided into observation group and control group according to different nursing interventions. The control group was given routine care. The observation group was given sponge ball exercise on the basis of routine nursing of control group. The puncture limb swelling and mechanical phlebitis in the two groups of patients were compared after intervention. Results： The degree of swelling of the patients in the observation group was lighter than that of the control group,and the difference was statistically significant（ P〈0. 05）. The incidence of mechanical phlebitis in the observation group was less than that in the control group and the difference was statistically significant（ P〈0. 05）. Conclusion： Sponge ball training can effectively prevent the swelling of the posterior limb of PICC catheter and reduce the incidence of mechanical phlebitis. It is worthy of further clinical promotion.