手部锻炼操在经桡动脉冠状动脉介入治疗患者术后护理中的应用  

Application of hand exercise in postoperative nursing of patients undergoing transradial coronary intervention

作　　者：韩丽 尹力[1] Han Li;Yin Li(CCU of Cardiology,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院心内科CCU,150086

出　　处：《中国实用护理杂志》2020年第16期1213-1218,共6页Chinese Journal of Practical Nursing

基　　金：教育部重点实验室课题(KF201801)。

摘　　要：目的:探讨手部锻炼操对经桡动脉冠状动脉介入治疗患者术后并发症及舒适度的影响。方法:采用便利抽样的方法,选取2018年3月至2019年5月在哈尔滨医科大学附属第二医院心内科行桡动脉冠状动脉治疗患者354例为研究对象,采用随机数字表法分为对照组179例,观察组175例。对照组患者采用常规护理方法进行护理,观察组患者在常规护理方法基础上应用手部锻炼操增加患者手部运动,比较2组患者术后8 h出血程度、疼痛程度、肿胀程度、血氧饱和度及次日舒适度情况。结果:观察组术后8 h患者肿胀程度:Ⅰ级80.57%(141/175)、Ⅱ级10.86%(19/175)、Ⅲ级5.71%(10/175)、Ⅳ级2.86%(5/175),对照组为Ⅰ级54.75%(98/179)、Ⅱ级23.46%(42/179)、Ⅲ级12.85%(23/179)、Ⅳ级8.94%(16/179),2组比较差异有统计学意义(χ2值为5.170,P<0.05);观察组术后8 h患者疼痛程度:轻度83.43%(146/175)、中度12.00%(21/175)、重度4.57%(8/175),对照组为轻度58.66%(105/179)、中度31.28%(56/179)、重度10.06%(18/179),2组比较差异有统计学意义(χ2值为50.20,P<0.05);观察组术后次日清晨患者舒适度总分为(74.66±5.52)分,明显优于对照组的(71.42±5.29)分,差异有统计学意义(t值为5.636,P<0.05)。结论:手部锻炼操能明显减低经桡动脉冠状动脉介入治疗患者术后肿胀、疼痛等并发症的发生,增加患者的术后舒适程度,适合广泛应用于临床护理中。Objective To explore the effect of hand exercises on the complications and comfort of patients undergoing transradial coronary intervention.Methods Using convenient sampling method,354 patients with radial artery coronary artery therapy in the Department of Cardiology,the Second Affiliated Hospital of Harbin Medical University from March 2018 to May 2019 were selected as the study subjects.The patients were randomly divided into control group(179 cases)and observation group(175 cases).Patients in the control group were given routine nursing care,while patients in the observation group were given hand exercises to increase patients′hand movement on the basis of routine nursing care.The degree of bleeding,pain,swelling,oxygen saturation and comfort of the next day were compared between the two groups.Result The degree of swelling in the observation group at 8 hours after surgery was as follows:grade I 80.57%(141/175),gradeⅡ10.86%(19/175),gradeⅢ5.71%(10/175),gradeⅣ2.86%(5/175)and compared with the control group[grade I 54.75%(98/179),gradeⅡ23.46%(42/179),gradeⅢ12.85%(23/179),gradeⅣ8.94%(16/179)],the differences were statistically significant(χ2 value was 5.170,P<0.05);the pain level of patients in the observation group 8 hours after surgery was as follows:mild 83.43%(146/175),moderate 12.00%(21/175),severe 4.57%(8/175)and compared with the control group[mild 58.66%(105/179),moderate 31.28%(56/179),severe 10.06%(18/179)],the difference was statistically significant(χ2 value was 50.20,P<0.05).The total comfort score of patients in the observation group(74.66±5.52)early in the morning after surgery was significantly better than that in the control group(71.42±5.29),and the difference was statistically significant(t value was 5.636,P<0.05).Conclusions Hand exercises can significantly reduce the incidence of complications such as swelling and pain after transradial coronary artery intervention,and increase the comfort of patients after operation.It is suitable for clinical nursing.

关 键 词：经桡动脉冠状动脉介入治疗 术后护理 并发症 舒适度 手部锻炼操 

分 类 号：R473.5[医药卫生—护理学]