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  

Evidence-based practice of early mobilization in patients with femoral artery compression hemostat after cerebral angiography

作　　者：刘瑶[1] 詹欣 谢亭平 陈炜[2] 胡依阳 杨翠娜 张国忠[2] LIU Yao;ZHAN Xin;XIE Ting-ping;CHEN Wei;HU Yi-yang;YANG Cui-na;ZHANG Guo-zhong(Dept.of Vascular and Interventional Radiology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Dept.of Neurosurgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院血管与介入科,广东广州510515 [2]南方医科大学南方医院神经外科,广东广州510515

出　　处：《护理学报》2024年第15期29-33,共5页Journal of Nursing（China）

基　　金：2022年度南方医院护理创优-循证护理项目(2022EBNc006)。

摘　　要：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.Results 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.

关 键 词：脑血管造影 股动脉压迫止血器 早期活动 循证实践 

分 类 号：R473.54[医药卫生—护理学]