Effects of new and modified arm support on trans-radial coronary intervention
10.3760/cma.j.issn.1674-2907.2018.16.021
- VernacularTitle:改良新型臂托在经桡动脉行冠状动脉介入手术中的应用效果
- Author:
Sheng YUAN
1
;
Xueqing ZHU
;
Fang HE
;
Xiangyang CHE
;
Tianpeng GAN
;
Yanwei ZHAO
Author Information
1. 中国医学科学院 北京协和医院心导管室
- Keywords:
Radial artery;
Puncture;
Bilateral;
Coronary artery;
Intervention;
Arm support
- From:
Chinese Journal of Modern Nursing
2018;24(16):1942-1945
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an arm support used for bilateral puncture during trans-radial coronary intervention (TRI) and to explore its effects. Methods The arm support used for bilateral radial artery puncture was designed and developed. Totally 100 patients who received TRI in the Cardiac Catheterization Room of Peking Union Medical College Hospital between May and June 2017 were selected and equally divided into an observation group and a control group according to the random number table. Patients in the observation group were served with the new arm support to reveal the points for radial artery puncture, while patients in the control group used the conventional wooden arm support. The effect of puncture was compared between the patients in the two groups. Results The time used for preparation before radial artery puncture was (1.58±0.56) min and the time need for puncturing and placing sheathing canal in the radial artery was (3.51±0.44) min in the patients in the observation group, both shorter than those of the patients in the control group (t=9.511, 8.740; P<0.05). Totally 96% of the patients felt comfortable with the new arm support, and the operation experience satisfaction in 80% of the doctors was excellent, both higher than those of the patients in the control group. Conclusions The performance of this new arm support for bilateral radial artery puncture is stable and reliable. Compared with conventional methods, the time used for preparation before radial artery puncture is shortened for nurses, and the time needed for puncturing and placing sheathing canal in the radial artery is shortened for doctors. The patients feel more comfortable when using this new arm support, and the doctors have a higher experience satisfaction. The new arm support is convenient and flexible for use, and may be used and promoted in cardiac catheterization rooms.
