基于PIPOST模式的循证护理在经皮冠状动脉介入治疗患者术肢恢复中的应用效果  

Effect of evidence-based nursing based on the PIPOST model on the recovery of the surgical limb of patients undergoing percutaneous coronary intervention

作　　者：李明楠 吴晓 穆培霞 王莹 LI Mingnan;WU Xiao;MU Peixia;WANG Ying(Department of Cardiovascular Medicine,Xinxiang Central Hospital/The Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,Henan Province,China)

机构地区：[1]新乡市中心医院/新乡医学院第四临床学院心血管内科,河南新乡453000

出　　处：《新乡医学院学报》2025年第4期327-332,共6页Journal of Xinxiang Medical University

基　　金：河南省医学科技攻关计划联合项目(编号:LHGJ20210906)。

摘　　要：目的探讨基于PIPOST模式的循证护理在经皮冠状动脉介入治疗(PCI)患者术肢恢复中的应用效果。方法选择2021年9月至2022年9月在新乡市中心医院心血管内科住院且接受PCI术的204例冠状动脉性心脏病患者为研究对象,按照随机数字表法将患者分为观察组和对照组,每组102例。对照组患者采用常规PCI术围手术期术肢护理,观察组患者给予基于PIPOST模式的循证术肢护理。分别于术前、回至病房时及术后2、6、12、24 h,应用同一规格的皮尺测量2组患者术肢手掌周径;应用视觉模拟评分法(VAS)评估2组患者术肢疼痛程度;应用指夹式脉搏血氧仪测量2组患者术侧食指指端动脉血氧饱和度(SaO_(2));采用Christenson标准改良法评估2组患者术后24 h术肢出血情况。结果术前、回至病房时,2组患者术肢手掌周径、VAS评分、SaO_(2)比较差异无统计学意义(P>0.05)。术后2、6、12、24 h,观察组患者术肢手掌周径值、VAS评分显著低于对照组,SaO_(2)显著高于对照组(P<0.05)。观察组和对照组患者的术肢出血发生率分别为31.37%(32/102)、13.72%(14/102),观察组患者的术肢出血发生率显著低于对照组(χ^(2)=9.094,P<0.05)。结论基于PIPOST模式的循证护理可以有效缓解PCI术后患者术肢肿胀、疼痛程度,改善术肢血运水平,降低术肢出血发生率,提高术肢管理效果。Objective To explore the effects of evidence-based nursing based on the PIPOST model on the recovery of the surgical limb of patients undergoing percutaneous coronary intervention(PCI).Methods A total of 204 patients with coronary heart disease who received PCI in the Department of Cardiology of Xinxiang Central Hospital from September 2021 to September 2022 were selected as study subjects.They were divided into a control group and an observation group according to the random number table method,with 102 cases in each group.Patients in the control group were given routine PCI perioperative surgical limb care,while patients in the observation group were given evidence-based surgical limb care based on the PIPOST model.The palm circumference of the surgical limb of patients in the two groups was measured with the same size tape before operation,when returning to the ward,and 2,6,12,and 24 h after operation.The visual analogue scale(VAS)was used to evaluate the degree of limb pain in the two groups.The finger clip pulse oximeter was used to measure the saturation of arterial oxygen(SaO_(2))of the index finger on the operative side of patients in the two groups.The modified Christenson criteria were used to evaluate the bleeding of the surgical limb within 24 hours after operation.Results There was no significant difference in palm circumference,VAS score and SaO_(2)between the two groups before operation and when returning to the ward(P>0.05).The palm circumference of the surgical limb and the VAS score were significantly lower while SaO_(2)was significantly higher in the observation group than those in the control group at 2,6,12,24 h after operation(P<0.05).The incidence of surgical limb bleeding was 31.37%(32/102)in the observation group and 13.72%(14/102)in the control group.The incidence of surgical limb bleeding in the observation group was significantly lower than that in the control group(χ^(2)=9.094,P<0.05).Conclusions Evidence-based nursing based on the PIPOST model can effectively relieve the swelling an

关 键 词：经皮冠状动脉介入治疗 循证护理 PIPOST模式 术肢恢复 

分 类 号：R541[医药卫生—心血管疾病]