To Investigate The Effect Of Pressure Gloves On Hand Complications After Trans-radial Coronary Intervention

ObjectiveThrough the study on the application of pressure gloves in patients after percutaneous radial coronary intervention,the effects of pressure gloves on hand swelling(including finger swelling and palm swelling),hand pain,hand hypoxia and comfort of patients after percutaneous radial coronary intervention were investigated.MethodA total of 176 patients with coronary heart disease(CHD)admitted to a tertiary hospital in Anhui Province from January to December 2020 were studied by convenience sampling method.The sample size is 176.The patients were randomly divided into 2 groups by random number table method: the control group(n=88)and the experimental group(n=88).The routine nursing was received by the control group after coronary intervention.The operative limb was raised and immobilized for 6 hours,and the radial artery hemostatic device was released every 2 hours.Patients in the experimental group were given the routine nursing and pressure gloves immediately after returning to the inpatient ward after operation.Six hours after returning to the ward,the circumference of the fingers and palms of the two groups were measured again,and the oxygen saturation of the index finger on the operative side was measured by the finger pulse oxygen saturation meter.The Wong-Baker scale was used to evaluate the degree of hand pain at 6 hours after surgery,and the comfort level at 6 hours after surgery was evaluated by the simplified version of the comfort status scale.Result1.Comparison of general data: The two groups have no significant difference in demographic and sociological data(P > 0.05).The two groups have no significant difference in disease-related data(P > 0.05).2.Comparison of the degree of finger swelling: The experimental group’ level of finger swelling was lower than the control group.It was no significant difference between the comparison of the two groups’ degree of finger swelling(P<0.05).3.Comparison of the swelling degree of the palm: The experimental group’level of palm swelling was lower than the control group.It was no significant difference between the comparison of the two groups’ degree of palm swelling(P<0.05).4.Contrast of two groups’ vein oxygen saturation of finger: The experimental group’ vein oxygen saturation is higher than the control group.It was no significant difference between the two groups’ vein oxygen saturation of finger(P<0.05).5.Comparison of two groups’ pain level: The experimental group’ score of hand pain was lower than the control group.It was no significant difference between the comparison of the two groups’ pain level(P<0.05).6.Comparison of comfort level: The observation group’ comfort score was82.3±3.9,and The control group’ comfort score was 80.4±4.0.The total comfort score has no significant difference between the two groups(P<0.05).Each dimension’ scores has also no significant difference(P>0.05).Conclusion1.Pressure gloves are better than conventional nursing in reducing the degree of finger swelling of patients after percutaneous radial coronary intervention;2.Pressure gloves are better than conventional nursing in reducing the degree of palm swelling after percutaneous radial coronary intervention;3.Pressure gloves are better than conventional nursing in alleviating hand pain of patients after percutaneous radial coronary intervention;4.Pressure gloves are better than conventional nursing in improving fingertip Pulse oxygen saturation of patients after percutaneous radial coronary intervention;5.Pressure gloves have no effect on improving the comfort level of patients after percutaneous radial coronary intervention.