经桡动脉行冠状动脉介入治疗患者术肢管理改进策略的研究

doi:10.3761/j.issn.0254-1769.2024.13.005

科研成果详情

题名	经桡动脉行冠状动脉介入治疗患者术肢管理改进策略的研究
其他题名	A study of strategies to improve the management of the operative limb in patients undergoing coronary intervention through radial artery puncture
作者	冯小芳1; 滕艳文 1; 朱雪梦1; 李文玉2; 李明明 1; 赖叔意 1; 陈冬雪 1; 陈晓燕 1; 孙彩霞3
发表日期	2024
发表期刊	中华护理杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	经皮冠状动脉介入治疗桡动脉途径 Barbeau试验并发症舒适状况改善护理服务
其他关键词	Percutaneous Coronary Intervention ; Radial Approach ; Barbeau Test ; Complications ; Comfort ; Improving Nursing Services
摘要	目的改进经桡动脉行冠状动脉介入治疗患者术肢管理策略并探讨其应用效果,为术肢并发症的预防提供依据。方法选择2023年3月—2024年2月温州市某三级甲等医院心血管内科经桡动脉行冠状动脉介入治疗的患者,采用随机数字表法,分为试验组241例和对照组236例,术后均采用旋压式止血器压迫止血,试验组在术后返回病房时实施术肢管理改进策略,具体为开展逆向Barbeau试验,实现非闭塞性压迫,之后每小时减压;对照组实施常规术肢管理,压迫强度以触及远端桡动脉搏动为指导,术后1 h首次减压,之后每2 h减压1次。比较两组术肢并发症发生率、中文简化版Kolcaba舒适状况量表评分、压迫时长、减压次数的差异。结果试验组术肢并发症发生率为14.11%,对照组为44.49%,两组比较,差异具有统计学意义(χ^(2)=53.308,P《0.001);试验组中文简化版Kolcaba舒适状况量表评分为(77.71±5.43)分,对照组为(74.66±5.83)分,两组比较,差异具有统计学意义(t=-3.354,P=0.001);试验组压迫时长(172±52)min、减压次数2(2,3)次,均低于对照组的(289±60)min、4(3,4)次,差异均具有统计学意义(P《0.001)。结论实施基于逆向Barbeau试验的桡动脉非闭塞性压迫法可降低经桡动脉行冠状动脉介入治疗患者的术肢并发症,缩短止血器压迫时长,减少减压次数,提高患者舒适度,为护士评估止血器压迫强度和减压时机提供客观依据。
其他摘要	Objective Improving the limb management strategy for patients undergoing coronary intervention through radial artery puncture and observe the application effect,and to provide scientific basis for the prevention of limb complications.Methods From March 2023 to February 2024,patients who underwent coronary intervention in the Cardiovascular Department of a Tertiary A hospital in Wenzhou City were selected.They were randomly di-vided into an experimental group of 241 cases and a control group of 236 cases using a random number table method.After surgery,they were all treated with a rotary hemostatic device for compression hemostasis.The experi-mental group implement improvement strategies for surgical limb management,specifically underwent a reverse Bar-beau test upon returning to the ward after surgery to achieve non-occlusive compression,followed by decompression every hour.The compression intensity of the control group was guided by palpating the distal radial artery pulsa-tion,and the first decompression was performed 1 hour after surgery,followed by decompression at intervals of every 2 hours.The main evaluation indicators are the incidence of surgical limb complications and simplified Chinese version of General Comfort Questionnaire(GCQ)scores in 2 groups of patients,while the secondary evaluation indi-cators are the duration of compression and the number of decompression times in both groups.Results The inci-dence of postoperative complications in the experimental group was 14.11%,which was statistically significant com-pared to 44.49%in the control group(χ2=53.308,P<0.001).The GCQ score of the experimental group was(77.71±5.43)points,which was higher than(74.66±5.83)points in the control group,and the difference was statistically signif-icant(t=-3.354,P=0.001).The compression duration of(172±52)minutes and decompression frequency of 2(2,3)in the experimental group were lower than(289±60)minutes and 4(3,4)in the control group,and the differences were statistically significant(P<0.001).Conclusion The non-occlusive compression method of the radial artery based on the reverse Barbeau test can significantly reduce limb complications in patients undergoing coronary inter-vention,shorten the duration of hemostatic compression,reduce the number of depressions,and improve patient com-fort.It provides objective basis for nursing staff to evaluate the intensity of hemostatic compression and the timing of decompression.
资助项目	浙江省医药卫生科技计划项目(2022KY888);温州市基础性公益科研项目(Y2023466)。
ISSN	0254-1769
卷号	59 期号:13 页码:1568-1574
DOI	10.3761/j.issn.0254-1769.2024.13.005
页数	7
收录类别	维普 ; 北大核心 ; CNKI ; 万方 ; CSCD ; ISTIC ; 中国科技核心期刊
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引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/217293
专题	温州医科大学附属第一医院_护理部
通讯作者	孙彩霞
作者单位	1.温州医科大学附属第一医院心血管内科,温州市325000; 2.温州医科大学附属第一医院CCU,温州市325000; 3.温州医科大学附属第一医院护理部,温州市325000
第一作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	冯小芳,滕艳文,朱雪梦,等. 经桡动脉行冠状动脉介入治疗患者术肢管理改进策略的研究[J]. 中华护理杂志,2024,59(13):1568-1574.
APA	冯小芳., 滕艳文., 朱雪梦., 李文玉., 李明明., ... & 孙彩霞. (2024). 经桡动脉行冠状动脉介入治疗患者术肢管理改进策略的研究. 中华护理杂志, 59(13), 1568-1574.
MLA	冯小芳,et al."经桡动脉行冠状动脉介入治疗患者术肢管理改进策略的研究".中华护理杂志 59.13(2024):1568-1574.