Study on the effect of percutaneous low frequency electric stimulation on prevention of venous indwelling needle thrombosis in patients with coronary heart disease
10.3760/cma.j.issn.1672-7088.2019.16.006
- VernacularTitle: 经皮低频电刺激对预防冠心病患者静脉留置针血栓性堵管效果的研究
- Author:
Reijia XU
1
;
Peipei YU
1
;
Li ZHANG
2
;
Xunying HE
1
;
Ying XIONG
3
;
Liwen XU
4
Author Information
1. Department of Cardiology, Wuhan Center Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
2. Department of Neurology, Wuhan Center Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
3. Department of Endocrinology, Wuhan Center Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
4. Department of Nursing, Wuhan Center Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
- Publication Type:Clinical Trail
- Keywords:
Percutaneous low frequency electrical stimulation;
Venous indwelling needle;
Tube blocking
- From:
Chinese Journal of Practical Nursing
2019;35(16):1229-1233
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of percutaneous low frequency electric stimulation on prevention of venous indwelling needle thrombotic blockage in patients with coronary heart disease.
Methods:A total of 150 patients admitted to the department of cardiovascular medicine from May 2017 to January 2018 who met the inclusion and exclusion criteria were selected. It was divided into the intervention group and the control group by the random number table method, including 75 cases in the intervention group and 75 cases in the control group. In the control group, the routine nursing method was adopted for the maintenance of intravenous indwelling needle. In the intervention group, on the basis of routine nursing, the percutaneous low frequency electrical stimulation was added. The incidence of thrombosis, occlusion, mean retention time, patient satisfaction and intravenous infusion complications were compared between the two groups.
Results:The incidence of thrombosis was 40.0% (30/75) and64.0% (48/75) in the intervention group and the control group, and the blockage rate was 28.0% (21/75) and 52.0% (39/75) in the intervention group and the control group, respectively. There were significant differences between the two groups (χ2=8.654, 9.000, all P< 0.01). The incidence of phlebitis, drug exosmosis and subcutaneous bruising were 13.33% (10/75), 13.33% (10/75) and 18.67% (14/75) in the intervention group, 33.33% (25/75), 40.00% (30/75) and 41.33% (31/75) in the control group, respectively. There were significant differences between the two groups (χ2 = 8.385, 13.636, 9.175, all P< 0.01). The indwelling time and patient satisfaction of the intervention group were (2.817±0.221) d and 82.67% (62/75) respectively, while those of the control group were (2.291±0.127) d and 50.67% (38/75), respectively. There were significant differences between the two groups (t=17.926, χ2=17.280, all P<0.01).
Conclusions:Percutaneous low frequency electrical stimulation has positive significance for improving the formation of thrombus at the point of intravenous indwelling needle and preventing the blockage of catheter caused by thrombosis.
