Application of Grip Ball Exercise in Peripheral Intravenous Infusion of Potassium Chloride
握力球运动在外周静脉输注氯化钾中的应用

摘要

目的 探讨运用握力球运动促进注射部位血液循环速度缓解静脉输注氯化钾的引起的疼痛效果。方法 2019年7月至2019年12月妊娠剧吐收治我科住院患者108例，根据病情均需要输注，随机分成两组，观察组和对照组各54 例。观察组输注氯化钾，在液体输注时行常规静脉输液护理同时间断进行握力球运动方法。对照组在液体输注时行常规静脉输液护理方法。两组均采用数字评分法（NRS）评估两组外周静脉输注氯化钾引起的局部疼痛程度。结果 观察组疼痛减轻明显优于对照组（P＜0.05）；观察组静脉炎分级Ⅰ级、Ⅱ级者较少，无Ⅲ级与Ⅳ级，静脉炎发生率显著低于对照组（P＜0.05）。结论 通过指导患者输注氯化钾时进行握力球运动，可促进血流速度，缓解疼痛，降低静脉炎的发生，建议推广应用。

Abstract

Objective: To investigate the effect of improving the blood circulation speed of injection site by using grip ball movement to relieve the pain caused by intravenous infusion of potassium chloride.
Methods: A total of 108 hospitalized patients with hyperemesis gravidarum who were admitted to our department from July 2019 to December 2019 were randomly divided into two groups according to the need for infusion, with 54 cases in the observation group and 54 cases in the control group. Observation group was given potassium chloride infusion, routine intravenous infusion nursing and intermittent grip ball exercise during liquid infusion. The control group received routine intravenous nursing during liquid infusion. Local pain induced by peripheral intravenous infusion of potassium chloride was assessed by digital score (NRS) in both groups.
Results: The pain relief in observation group was significantly better than that in control group (P < 0.05); There were fewer phlebitis grades I and II in the observation group, no grades III and IV, and the incidence of phlebitis in the observation group was significantly lower than that in the control group (P<0.05).
Conclusion  : It can promote blood flow speed, relieve pain and reduce the occurrence of phlebitis by instructing patients to do gripping ball movement during infusion of potassium chloride, it is recommended to promote the application.