The effects of handgrip exercise in reducing peripherally inserted central catheter-related venous thrombosis: a Meta-analysis
10.3760/cma.j.issn.1672-7088.2019.36.015
- VernacularTitle: 握拳运动对预防PICC相关性静脉血栓形成效果的Meta分析
- Author:
Yuewen LAO
1
;
Xiangping CHEN
;
Ping WANG
;
Shengfang XIANG
;
Qingqing GAO
;
Yiyu ZHUANG
Author Information
1. Intensive Care Unit of Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou 310016, China
- Publication Type:Review
- Keywords:
Peripherally inserted central catheter;
Handgrip exercise;
Venous thrombosis;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2019;35(36):2869-2874
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects on reduction of peripherally inserted central catheter-related venous thrombosis by hand grip exercise.
Methods:A detailed search was performed to identify literature about the impact of handgrip exercise on peripherally inserted central catheter-related venous thrombosis, using the Cochrane Library and the databases of PubMed, CINAHL, Embase, CNKI, WanFang and CBM. The meta-analysis or descriptive review were performed after two authors in-dependently searching databases,extracting data and assessing quality of included studies.
Results:Seven RCTs were included in a total of 789 patients. Meta-analysis showed the effectiveness of handgrip exercise on reduction of peripherally inserted central catheter-related venous thrombosis (RR=0.27, 95% CI 0.17-0.42, P<0.01); and improving vein maximum velocity (WMD=6.53, 95%CI 3.34-9.73, P<0.01) and time-mean flow velocity (WMD=6.05, 95%CI 3.24-8.87, P<0.01).
Conclusions:Handgrip exercise can improve axillary vein blood flow parameters and reduce peripherally inserted central catheter-related venous thrombosis. Due to a small number of included studies and heterogeneity of indicators, multi-centered, high-quality RCTs with large sample size are needed in the future to assess the effect of handgrip exercise in PICC patients.
