摘要
目的进一步探讨冠状动脉(下称冠脉)造影术后3h进行床上活动的安全性和可行性,改变传统的冠脉造影术后护理方法。方法对实行冠脉造影的40例冠心病或者疑是冠心病的病人(观察组)于术后沙袋压迫3h后进行床上轻微活动,12h后下床活动;与行传统护理方法(不行床上活动,沙袋压迫24 h后下床活动)的40例冠脉造影病人(对照组)比较;观察两组病人穿刺点出血、并发症及不适发生率及针对其采取护理措施例数。结果两组穿刺点出血情况比较,差异无显著性意义(P>0.05),并发症及不适发生率及需采取护理措施例数,观察组显著低于对照组(P<0.05,P<0.01)。结论冠脉造影术后3h进行床上活动是安全的,可减少因卧床时间长而产生的并发症及不适。
Objective To explore the possibility and safety of in-bed ambulation 3 h after undergoing coronary arteri-ography, so as to improve the traditional nursing care method after coronary arteriography. Methods Foryt patientswith coronary heart disease or suspected coronary heart disease after undergoing coronary arteriography were in-structed to conduct in-bed ambulation after operation 3 h and off-bed ambulation after operation 12 h. Another 40patients after undergoing coronary arteriography served as control group and received traditional nursing care (of-fer-bed ambulation after undergoing coronary arteriography 24 h). Outcome measures were the occurrence ofbleeding, other complications as well as the number of patients requiring nursing intervention. Results Between twogroups, there was no statistically significant diffe-rence in bleeding (P>0.05), but there was statistically signifi-cant difference in the occurrence of other complications and the number of patients requiring nursing intervention(P<0.05,P<0.01). Conclusion The application of in-bed ambulation after coronary arteriography 3 h is safe. Itis effective in reducing the complications related to prolonged bed rest after coronary arteriography.
出处
《护理学杂志（综合版）》
2003年第12期885-886,共2页
Journal of Nursing Science
关键词
冠心病
放射学
介入性
早期活动
出血
并发症
coronary heart disease
radiology, interventional
early ambulation
bleeding
complication
