eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Research Paper

Application study of medical game guidance in the prevention of central venous catheter-related thrombosis in children

  • WU Hanshu ,
  • ZHAO Xiaoshuang ,
  • SUN Hairui ,
  • GUAN Ruixin ,
  • ZHANG Baorong ,
  • ZHANG Dan
Expand
  • Department of Pediatric Intensive Care Medicine,The First Hospital of Jilin University,Changchun, 130021,China

Received date: 2023-12-18

  Online published: 2024-12-02

Abstract

Objective To construct an activity program for upper limb large joints based on medical game guidance and evaluate the effectiveness of this program in reducing central venous catheter(CVC) associated thrombosis in children. Methods A total of 136 pediatric patients with cervical central venous catheter in the Pediatric Intensive Care Unit(PICU) of a tertiary Grade-A hospital in Changchun City from January 2022 to November 2023 were selected as the study objects by convenient sampling. According to the order of admission time,the children were divided into experimental group(n=71) and control group(n=65). The control group was given routine nursing for thrombosis prevention,and the experimental group was given medical games to guide the movement of the large joints of the upper limbs based on routine nursing. Results The average blood flow rate after movement of the upper limb large joints in the experimental group was better than that of control group(P<0.05),and the incidence of cervical thrombosis was lower than that of control group(P<0.05). Conclusion The large joint movement of upper limb guided by medical games can effectively increase the blood flow rate of internal jugular vein and reduce the incidence of internal jugular vein thrombosis.

Cite this article

WU Hanshu , ZHAO Xiaoshuang , SUN Hairui , GUAN Ruixin , ZHANG Baorong , ZHANG Dan . Application study of medical game guidance in the prevention of central venous catheter-related thrombosis in children[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024 , 5(11) : 965 -970 . DOI: 10.3761/j.issn.2096-7446.2024.11.001

References

[1] 关汭昕,邢唯杰,张丹,等. 儿童中心静脉导管相关性血栓预防的最佳证据总结[J]. 中华现代护理杂志,2022,28(18):2437-2442.
Guan RX,Xing WJ,Zhang D,et al.Summary of best evidence for central venous catheter-associated thrombosis prevention in children[J]. Chin J Mod Nurs,2022,28(18):2437-2442.
[2] Faustino EVS.Central venous catheter-associated deep venous thrombosis in critically ill children[J]. Semin Thromb Hemost,2018,44(1):52-56.
[3] 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.
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.
[4] 亚洲急危重症协会中国腹腔重症协作组. 重症患者中心静脉导管管理中国专家共识(2022版)[J]. 中华消化外科杂志,2022,21(3):313-322.
Chinese Coeliac Intensive Care Collaborative Group of Asian Emergency and Critical Care Association. Chinese expert consensus on management of central venous catheters for critically ill patients(2022 edition)[J]. Chin J Dig Surg,2022,21(3):313-322.
[5] 曾晓艳. 儿童中心静脉置管并发导管相关性血栓的高危因素分析[D]. 杭州:浙江大学,2019.
Zeng XY.Analysis of high risk factors associated with catheter-related thrombosis in children with central venous catheterization[D]. Hangzhou:Zhejiang University,2019.
[6] 周晔,刘扣英,崔焱. 预防PICC术后深静脉血栓形成的最佳握拳运动[J]. 江苏医药,2015,41(11):1303-1305.
Zhou Y,Liu KY,Cui Y.Best handgrip exercise in prevention of upper extremity deep vein thrombosis after PICC[J]. Jiangsu Med J,2015,41(11):1303-1305.
[7] 孙振球. 医学统计学[M]. 北京:人民卫生出版社,2021.
Sun ZQ.Medical Statistics[M]. Beijing:People‘s Health Publishing House,2021.
[8] 胡婷婷,徐海英,张小红,等. 导管/静脉比与外周静脉置入中心静脉导管中静脉血栓栓塞发生率的相关性[J]. 实用医学杂志,2016,32(8):1347-1349.
Hu TT,Xu HY,Zhang XH,et al.Correlation between catheter/vein ratio and the incidence of venous thromboembolism in central venous catheter with peripheral vein[J]. J Pract Med,2016,32(8):1347-1349.
[9] 凌芳,顾莺,胡菲,等. 儿童医疗游戏辅导在学龄期重症肺炎患儿中的应用研究[J]. 上海护理,2021,21(2):6-10.
Ling F,Gu Y,Hu F,et al.Application of child life training in school-age children with severe pneumonia[J]. Shanghai Nurs,2021,21(2):6-10.
[10] 丁如梅. 运动锻炼操联合握拳训练对PICC置管者贵要静脉血流与血管内径的影[J]. 护理实践与研究,2020,17(18):153-155.
Ding RM.Effect of exercise training combined with fisting training on basilic venous blood flow and inner diameter of blood vessels in patients with PICC catheterization[J]. Nurs Pract Res,2020,17(18):153-155.
[11] 林珊,王萌,张国莉. 上肢运动方案在肿瘤患者PICC置管护理中的应用[J]. 护理学杂志,2020,35(15):43-45,79.
Lin S,Wang M,Zhang GL.Application of upper limb exercise program in PICC tube care of cancer patients[J]. J Nurs Sci,2020,35(15):43-45,79.
[12] 杨玉新,李向青,杜敏霞. HAPA理论在弱视儿童护理干预中的应用[J]. 护理学杂志,2014,29(14):23-25.
Yang YX,Li XQ,Du MX.Application of nursing interventions based on the Health Action Process Approach(HAPA) in the treatment of children with amblyopia[J]. J Nurs Sci,2014,29(14):23-25.
[13] 刘秋娥,池文欢,王春华. 儿童早期预警评分在儿科病区的应用研究[J]. 江苏卫生事业管理,2021,32(3):316-323.
Liu QE,Chi WH,Wang CH.Application of early warning score in pediatric disease area[J]. Jiangsu Healthcare Adm,2019,32(3):316-323.
[14] Ruiz-Talero P,Cerón-Perdomo D,Hernández-Flórez C,et al.Improving compliance to clinical practice guidelines with a multifaceted quality improvement program for the prevention of venous thromboembolic disease in nonsurgical patients[J]. Int J Qual Health Care,2020,32(5):319-324.
[15] 张敏,方秀新,李明娥,等. 握力器握拳锻炼法对上肢静脉血流动力学的影响[J]. 中华护理杂志,2014,49(11):1325-1329.
Zhang M,Fang XX,Li ME,et al.The effect of handgrip exercise on the hemodynamic parameters in upper limbs in healthy adults[J]. Chin J Nurs,2014,49(11):1325-1329.
[16] 张婷,张燕燕,谢兴,等. 力量训练联合关节活动度训练对PICC置管病人肢体功能的影响[J]. 护理研究,2019,33(21):3727-3731.
Zhang T,Zhang YY,Xie X,et al.Effects of strength training combined with joint motion exercises on limb function of patients with PICC catheterization[J]. Chin Nurs Res,2019,33(21):3727-3731.
[17] 杜艳鸣,王蓓,王水. 运动操预防乳腺癌患者置入耐高压型PICC后导管堵塞效果观察[J]. 护理学报,2017,24(8):35-37.
Du YM,Wang B,Wang S.Effects of physical exercises on preventing PICC catheter blockage in patients with breast cancer[J]. J Nurs China,2017,24(8):35-37.
[18] 戚少丹,顾莺,胡静,等. 早期循序渐进运动改善危重症患儿ICU获得性衰弱的研究进展[J]. 护理学杂志,2021,36(22):106-109.
Qi SD,Gu Y,Hu J,et al.Research progress on early progressive exercises to improve ICU acquired muscle weakness in critically ill children[J]. J Nurs Sci,2021,36(22):106-109.
[19] 邵珍珍,陈嘉玲,徐婷婷,等. 早期功能锻炼预防儿童ICU后综合征的研究进展[J]. 中华护理杂志,2017,52(9):1119-1123.
Shao ZZ,Chen JI,Xu TT,et al.Evidence synthesis of effects of physical exercise on fall prevention in community-dwelling elderly people[J]. Chin J Nurs,2017,52(9):1119-1123.
[20] 孟祥云,贺丽君. 简易图片上色游戏在小儿支气管肺炎干预中的应用[J]. 国际护理学杂志,2020,39(6):1123-1126.
Meng XY,He LJ.Application of simple picture coloring game in intervention of bronchopneumonia in children[J]. Int J Nurs,2019,39(6):1133-1126.
Outlines

/