Evidence-based practice of early ambulation after radiofrequency catheter ablation via femoral artery
10.3760/cma.j.cn115682-20210224-00834
- VernacularTitle:经股动脉心脏射频消融术后患者早期活动的循证实践
- Author:
Shaoling LI
1
;
Xiaohong LU
;
Liyan WANG
;
Lili WEI
;
Jian HU
;
Yunxia ZHAO
;
Shaoshao WANG
;
Lili XIA
;
Maojing WANG
Author Information
1. 青岛大学附属医院心血管内科，青岛 266000
- Keywords:
Femoral artery;
Radiofrequency ablation;
Early ambulation;
Evidence-based nursing practice;
Continuous quality improvement
- From:
Chinese Journal of Modern Nursing
2021;27(31):4288-4293
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To form an evidence-based practice standard for early ambulation after radiofrequency catheter ablation via femoral artery (RFCA) , so as to improve the awareness of nurses' evidence and the rate of clinical practice standards, and reduce the incidence of patient complications.Methods:Totals of 2 evidence summaries, 4 systematic reviews and 2 guidelines were included through searching domestic and foreign databases. The innovation-Promoting Action on Research Implementation in Health Services (i-PARIHS) was used to analyze the obstacles to the application of evidence and formulate available solutions. From June 2019 to November 2020, convenience sampling was used to select 180 patients who underwent RFCA and 39 nurses in the Department of Cardiovascular of the Affiliated Hospital of Qingdao University for evidence-based.Results:A standardized procedure and evaluation record form for the guidance of ambulation after RFCA were formed, and the nursing norms after RFCA were updated. After 2 rounds of evidence application, the awareness and implementation rates of the nurses' review indicators increased, and the differences were statistically significant ( P<0.01) . After 2 rounds of evidence application, the patients' low back pain score and anxiety score were lower than those before the evidence application, and the differences were statistically significant ( P<0.01) . The incidence of dysuria and the vagus nerve firing in patients were lower than those before the evidence application, and the differences were statistically significant ( P<0.05) . Conclusions:The development of this evidence-based project promotes early postoperative ambulation of patients and reduces the incidence of complications.
