脑血管造影术后使用股动脉压迫止血器患者早期活动的循证实践OACSTPCD
Evidence-based practice of early mobilization in patients with femoral artery compression hemostat after cerebral angiography
目的 基于最佳证据制定脑血管造影术后使用股动脉压迫止血器患者早期活动的循证实践方案,规范临床应用并评价其效果,以提高患者舒适度.方法 将最佳证据制定成临床实践的审查指标应用于脑血管造影术后患者,对照组和观察组各 48 例患者进行审查,观察比较对照组和观察组患者的舒适度、腰背部疼痛率及术后并发症发生情况.结果 证据应用后观察组患者舒适度评分高于对照组,患者腰背部疼痛评分低于对照组,2组比较差异具有统计学意义(P＜0.05);对照组和观察组的术后并发症发生率比较,差异无统计学意义(P＞0.05).结论 基于证据制定的脑血管造影术后使用股动脉压迫止血器患者早期活动的循证实践方案可提高护士的循证能力,规范临床工作流程,有效提高患者舒适度,减轻了患者腰酸背痛.
Objective To develop evidence-based practice protocols for early mobilization of patients using femoral artery compression hemostats after cerebral angiography,to standardize their clinical application and assess their effectiveness and to improve patient comfort.Methods Best evidence-based clinical practical protocols were applied in patients after cerebral angiography.Patients in control group(n=48)and observation group(n=48)were reviewed respectively.Postoperative comfort,incidence of low back pain,and postoperative complications in different groups were analyzed.ResuIts Compared to those in the control group,after evidence application,patients had higher comfort score but lower back pain score in the observation group(P＜0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P＞0.05).Conclusion Evidence-based practice protocols for early mobilization of patients using femoral artery compression hemostats after cerebral angiography can improve nurses'clinical practice and standardize clinical workflow.These protocols help to effectively improve patient comfort,reduce urinary retention,and relieve discomfort such as low back pain.
刘瑶;詹欣;谢亭平;陈炜;胡依阳;杨翠娜;张国忠
南方医科大学南方医院血管与介入科,广东 广州 510515南方医科大学南方医院神经外科,广东 广州 510515
临床医学
脑血管造影股动脉压迫止血器早期活动循证实践
cerebral angiographyfemoral artery compression hemostatearly activityevidence-based practice
《护理学报》 2024 (015)
29-33 / 5
2022年度南方医院护理创优-循证护理项目(2022EBNc006)
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