Effects of unplanned removal of elastic bandage on patients after transfemoral artery puncture digital subtraction angiography
10.3760/cma.j.cn115682-20200828-05093
- VernacularTitle:经股动脉穿刺DSA术后非计划性撤除弹力绷带对患者的影响
- Author:
Huan WANG
1
;
Qiaohong WANG
;
Fei ZHAO
;
Yajing ZHANG
Author Information
1. 解放军总医院第一医学中心神经内科二病区，北京 100853
- Keywords:
Digital subtraction angiography;
Complications;
Bandage removal;
Interventional care
- From:
Chinese Journal of Modern Nursing
2021;27(18):2496-2499
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of unplanned removal of elastic bandages on patients after transfemoral artery puncture digital subtraction angiography (DSA) .Methods:The cluster sampling method was used to select 1 051 patients who underwent DSA examination by femoral artery puncture in the Second Ward of Department of Neurology in the First Medical Center of Chinese PLA General Hospital from January to December 2019. According to whether unplanned removal of elastic bandage occurred after operation, they were divided into the control group (943 cases) and the observation group (108 cases) . Patients in the control group received routine care after neurological intervention, and the elastic bandage was removed after lying still for 24 hours. In the observation group, the bandage was removed before being in bed for 24 hours after the operation. The reasons included the patients' strong request to go to the toilet to defecate after the operation, the need to go out for examination, severe skin allergies, poor patient compliance and random limb movement at the puncture side. The incidence of postoperative complications such as bleeding and congestion at the puncture site and the comfort level of the patients were compared between the two groups.Results:There was no statistically significant difference in the incidence of complications such as blood oozing and congestion at the puncture site in patients between the two groups ( P>0.05) . The incidence of lower back pain in the observation group was lower than that in the control group, and the quality of sleep was better than that of the control group, and the differences were statistically significant ( P<0.05) . There was no statistically significant difference in the incidence of postoperative dysuria in patients between the two groups ( P>0.05) . Conclusions:After transfemoral artery puncture DSA, the removal of elastic bandages for less than 24 hours in bed will not increase the incidence of postoperative complications. At the same time, it can alleviate lower back pain of patients, improve their sleep quality and increase their comfort.
