A study of strategies to improve the management of the operative limb in patients undergoing coronary intervention through radial artery puncture
10.3761/j.issn.0254-1769.2024.13.005
- VernacularTitle: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
- Author:
Xiaofang FENG
1
;
Yanwen TENG
;
Xuemeng ZHU
;
Wenyu LI
;
Mingming LI
;
Shuyi LAI
;
Dongxue CHEN
;
Xiaoyan CHEN
;
Caixia SUN
Author Information
1. 325000 温州市 温州医科大学附属第一医院心血管内科
- Keywords:
Percutaneous Coronary Intervention;
Radial Approach;
Barbeau Test;
Complications;
Comfort;
Improving Nursing Services
- From:
Chinese Journal of Nursing
2024;59(13):1568-1574
- CountryChina
- Language:Chinese
-
Abstract:
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.
