全方位优化护理在经桡动脉穿刺行CAG检查及PCI患者中的应用效果

Interventional effects of comprehensive optimized nursing in patients undergoing CAG and PCI via radial artery puncture

目的探讨全方位优化护理预防经桡动脉穿刺行冠状动脉造影(CAG)检查及经皮冠状动脉介入治疗(PCI)患者术后穿刺部位渗血的效果。方法选取2021年2月—2023年3月阜阳市人民医院收治的118例经桡动脉穿刺行CAG检查及PCI的患者作为研究对象,采用随机数字表法分为对照组和观察组,每组59例。对照组患者围手术期接受常规护理干预,观察组患者围手术期接受全方位优化护理干预,比较2组患者术后出血情况、疼痛程度、舒适度以及护理满意度。结果观察组患者术后出血发生率为3.38%(2/59),低于对照组的13.55%(8/59),差异有统计学意义(χ2=3.933,P=0.047)。2组患者干预前疼痛数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);2组患者干预后NRS评分均高于干预前,但观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前Kolcaba舒适状况量表(GCQ)的社会、心理、精神、生理4个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后GCQ各维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者住院病人护理满意度量表的服务质量、环境设施、结果3个维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论全方位优化护理可显著减少经桡动脉穿刺行CAG及PCI患者术后穿刺部位渗血情况、减轻疼痛程度并提升患者舒适度及护理满意度,具有良好的临床应用价值。

Objective To investigate the effect of comprehensive optimized nursing on preventing bleeding at the puncture site in patients undergoing coronary angiography(CAG)and percutaneous coronary intervention(PCI)via radial artery puncture.Methods A total of 118 patients who underwent CAG and PCI via radial artery puncture at Fuyang People's Hospital between February 2021 and March 2023 were selected and randomly assigned to a control group and an observation group,with 59 cases in each group.The control group received routine perioperative nursing,while the observation group received comprehensive optimized nursing.Postoperative bleeding,pain severity,comfort level,and degree of satisfaction with nursing were compared between the two groups.Results The incidence of postoperative bleeding in the observation group was significantly lower than that in the control group[3.38%(2/59)vs.13.55%(8/59);χ2=3.933,P=0.047].No significant difference was found in Numerical Rating Scale(NRS)scores before intervention between the two groups(P>0.05).After intervention,NRS scores were higher than before in both groups,but lower in the observation group compared to the control group,with significant differences(P<0.05).Before intervention,there were no significant differences in the four subscales(social,psychological,spiritual,and physiological)and total scores of the Kolcaba General Comfort Questionnaire(GCQ)between the two groups(P>0.05).After intervention,the subscales and total scores were higher in both groups,with the observation group scoring significantly higher than the control group(P<0.05).The degree of satisfaction with nursing scores,including service quality,environmental facilities,and outcomes,was significantly higher in the observation group compared to the control group(P<0.05).Conclusion Comprehensive optimized nursing can significantly reduce postoperative puncture site bleeding,alleviate pain,and improve patient comfort and degree of satisfaction with nursing in patients undergoing CAG and PCI via radial artery puncture,demonstrating good clinical application value.