| Objective: An assessment focusing on patients who experienced Transradial C oronary Intervention(TRI)surgery treatment and were applied two different type of hemostasis,which are called the unobstructed hemostatic and traditional hemostasis,was considered with specific factors for obtaining a scientific and safe decompresse d hemostatic method towards clinical nursing procedure in modern medical instituti on.Those factors are included as follow:coronary interention hemostatic effect,palm swelling degree,pain score and side incidence of radial artery occlusion,sleep quality,4h the influence of the internal cause of puncture is not call the nurse frequency.Methods:In this study,the method of controlled randomly trial was used to select218 patients who were treated by TRI in the cardiovascular center of a grade iii h ospital in Urumqi,Xinjiang from October 2018 to August 2019.And those patients also met our research standard after separated with the inclusion and exclusion cri teria.Afterwards they were randomly divided into the control group and the experi mental group.The control group was given conventional decompression,and the expe rimental group was given unblocked hemostatic decompression.The hemostasis effec t at the puncture site,pain score,degree of palm swelling on the operative sideincide nce of radial artery occlusion,sleep quality score,and frequency of calling nurse d ue to the discomfort at the puncture site were compared between the two groups.T he collected data were statistically analyzed using SPSS22.0.Results: 1.Effect on he mostasis:the rate of new bleeding in the control group and the experimental group was7.62% and18.10%,respectively,within 2h after the operation(P<0.05).The incidence of bleeding within 24 hours in the control group and the experimental group w ere34.29% and 20.00%respectively.In other words,there was no statistically significa nt difference in the incidence of bleeding within 24 hours in the two groups(P>0.05).The percentage of hematoma was7.00% and4.00% respectively in the control gro up and the experimental group within 24 hours after the operation,and the differenc e between the two groups was not statistically significant(P>0.05).2.The pain scor es:the scores of the two groups of patients after surgery time 2h,4h,8h,12 h were recorded in the control group,respectively,which were(2.93±1.02),(4.73±1.32),(3.67±0.99),(3.08±1.03).By contrast,treatment group showed the following(2.13±1.11),(3.21±0.98),(2.46±1.02),(1.55±0.45)points.Which indicate pain score of two groups after surgery among 2h,h,8h,12 h time point,comparison difference was statistically significant(P<0.05).3.Effect on palmar swelling of the operative side: in the contr ol group,2h after operation the size was(25.78±0.98)cm,4h size was(26.76±1.32)cm,8h size was(25.56±1.02)cm,and 12 h size was(24.82±1.21)cm.In the corresponding test group,2h after operation was(22.57±1.12)cm,4h was(23.43±1.34)cm,8h was(22.76±1.47)cm,and 12 h was(22.51±1.06)cm.There were statistically significant diff erences between the two groups in palmar circumferential length at 2h,4h,8h and 12 h postoperatively(P<0.05).There was a statistically significant difference in the de gree of palm swelling between the two groups after 4h(Z =4.315,P<0.05).4.Effect on blood oxygen saturation: postoperative blood oxygen saturation was(94.76±1.25)% in the control group 2h later.And the same time blood oxygen saturation was(97.54±1.12)% in the test group.Both were statistically significant(P<0.05)in the sa me time period.5.Influence on the incidence of radial artery occlusion: the inciden ce of radial artery occlusion in the control group and the experimental group were10.47% and 1.00%,respectively,which were checked after 72 hours of the operatio n(P<0.05).The incidence of radial artery occlusion in the control group and the ex perimental group was 4.00%and 0.00%,respectively,which were gotten after 1 mont h of the operation(P<0.05).6.Influence on sleep quality:there was a statistically signi ficant difference in sleep quality between the two groups on the night when the su rgery was given(Z=3.765,P< 0.05).7.There was a statistically significant difference between the two groups in the frequency of calling nurses for puncturing site dis comfort within 4 hours after surgery(=2.026,P<0.05).Conclusion: Compared with the experimental group,the patency and hemostasis group both can achieve hemostasis effectively in the reality,which can relieve the patient's pain,reduce the swellin g of the palm of the operation side,reduce the incidence of radial artery occlusion,improve the patient's sleep quality on the night when the surgery was executed,an d reduce the frequency of calling the nurse due to discomfort of the puncturing sit e within 4h,which has clinical promotion value. |
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