Effect of Precise Grip Strength Training on PICC Catheter-Related Thrombosis in Cancer Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 270
- 试验地点
- 1
- 主要终点
- Incidence of Peripheral central venous catheter-associated thrombosis in patients with PICC tube
研究概览
简要总结
In this study, color Doppler ultrasound diagnostic instrument and electronic grip device were used to determine the best grip strength of patients with tumor PICC catheterization, formulate precise and standardized grip strength training guidance for them, provide personalized functional exercise health education, and observe the impact of precise grip strength training guidance on Peripheral central venous catheter-associated thrombosis. To provide a reference for clinical prevention of Peripheral central venous catheter-associated thrombosis in the future.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cancer patients undergoing chemotherapy throughout their treatment in our hospital
- •Patients with PICC implanted for the first time and maintained at our hospital;
- •Age 18-60 years;
- •Normal cognitive function;
- •the clenching movement is barrier-free;
- •The material and performance of PICC catheter are silicone three-way valve catheter;
- •Catheter placement under the guidance of portable color Doppler ultrasound diagnostic instrument;
- •Voluntarily participate and sign the informed consent form.
排除标准
- •Patients treated with combined radiotherapy;
- •Patients with coagulation dysfunction;
- •Patients who need to use anticoagulant drugs due to underlying diseases;
- •Puncture times more than 1 time;
- •The blood flow velocity of catheterization vessel in calm state was less than 4.78cm/s.
研究组 & 干预措施
The control group
Patients were routinely implanted with PICC and received routine health education. The content of health education included face-to-face language explanation of the whole process of catheter knowledge, issuing catheter maintenance manual, issuing ordinary grip ball and telling how to use it, and follow-up.
干预措施: Health education on routine grip strength training (Behavioral)
Experiment 1 set
Patients were routinely implanted with PICC, and the optimal duration-relaxation time of grip strength training was adopted on the basis of health education in the control group.
干预措施: Use maximum strength grip training (Behavioral)
Experiment 2 set
On the basis of control group
- Determine the best grip strength On the basis of the control group, color Doppler ultrasound and electronic grip force were used to record the optimal grip strength of patients to achieve effective blood flow velocity before and 24 hours after PICC insertion.
- Design precise grip strength training guidance program On the basis of the control group, the patients were instructed to perform grip strength training according to the determined best grip strength and the best duration of clenching and relaxation time.
干预措施: Precision grip training (Behavioral)
结局指标
主要结局
Incidence of Peripheral central venous catheter-associated thrombosis in patients with PICC tube
时间窗: 8 weeks
Before catheterization, 24 hours after catheterization, and weekly maintenance, color Doppler ultrasound diagnostic instrument was used to diagnose venous thrombosis (including asymptomatic thrombosis) and its classification. The patients were observed for 8 weeks.
次要结局
- Patients' satisfaction with health education after PICC catheterization(8 weeks)
- Analysis of the influencing factors of Peripheral central venous catheter-associated thrombosis formation(8 weeks)
- Hemodynamic changes of the patient(8 weeks)
研究者
Junyan Zhao
Principal investigator
Qianfoshan Hospital