Effect of upper limb exercise combined with FMEA nursing on the incidence and endothelial function of hospital-acquired venous thromboembolism in patients with PICC catheterization
Objective To explore the effect of upper limb exercise combined with failure modes and effects analysis(FMEA)nursing on patients with peripherally inserted central catheter(PICC),as well as its influence on endothelial function and the incidence of hospital-acquired venous thromboembolism.Methods A total of 102 patients with PICC catheterization in the First Affiliated Hospital of Wenzhou Medical University from June to December 2022 were selected and randomly divided into control group(51 cases,routine nursing)and observation group(51 cases,upper limb exer-cise combined with FMEA Nursing).The endothelial function(EMCS,FMD),failure mode RPN value,exercise com-pliance,venous thromboembolism and complications were compared between the two groups before and after nursing.Re-sults Compared with the control group,the RPN values of patients in the observation group and their failure modes such as evaluation,catheter factors,catheterization,flushing,sealing,health education and daily care were significantly lower(P＜0.05).The EMCs value increased and the FMD value decreased following care in both groups,as compared to pre-care levels.However,the EMCs of the observation group[(1 094.59±101.10)％]was significantly lower than that of the control group[(1 205.73±109.55)％],while the FMD value of the observation group[(4.66±0.48)％]was sig-nificantly higher than that of the control group[(3.73±0.48)％],with significance levels of P＜0.05.After care,the observation group had higher overall exercise compliance compared with the control group(P＜0.05),and overall ac-quired venous thromboembolism lighter(P＜0.05).The incidence of complications was lower in the observation group(P＜0.05).Conclusion The application of upper limb exercise combined with FMEA nursing in patients with PICC catheter can improve their exercise compliance,improve endothelial function,reduce the incidence of hospital acquired venous thromboembolism,and help to prevent thrombosis.
维普
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