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- W4306730881 abstract "This study was designed to compare the incidence of nursing related complications in patients undergoing coronary intervention through either the radial or femoral artery and to analyze the advantages and disadvantages of the two nursing approaches.Between September 2012 and June 2017, 360 patients underwent coronary intervention in radiology department and were enrolled in this study, 196 of these patients being assigned to the radial artery group and 164 of them to the femoral artery group. The postoperative adverse reactions and complications in these two groups were observed and recorded, and the results of the two groups were compared using a chi-square test and logistic regression.The incidences of limb pain, restlessness and insomnia, low back pain, urine retention, bleeding and subcutaneous hematoma were significantly lower in the radial artery group than in the femoral artery group, but the rate of shifting approach or giving-up intervention due to artery spasm or deformity was significantly higher than that in the femoral artery group. However, the differences in the incidence of aneurysms and compartment syndrome between the two groups were not statistically significant.Compared with the femoral artery approach, the radial artery approach results in less trauma, fewer complications, and shorter bed rest time. It also puts less psychological pressure on patients, and is more easily accepted by them. Finally, it means simpler nursing, and, thus, it should be widely promoted.Complications, Coronary intervention, Femoral artery, Nursing, Radial artery.Questo studio è stato progettato per confrontare l’incidenza delle complicanze infermieristiche in pazienti sottoposti a intervento coronarico attraverso l’arteria radiale o femorale e per analizzare i vantaggi e gli svantaggi dei due approcci infermieristici. Tra settembre 2012 e giugno 2017, 360 pazienti sono stati sottoposti a intervento coronarico nel reparto di radiologia e sono stati arruolati in questo studio; 196 di questi pazienti sono stati assegnati al gruppo arteria radiale e 164 di loro al gruppo arteria femorale. Le reazioni avverse e le complicanze postoperatorie in questi due gruppi sono state osservate e registrate e i risultati dei due gruppi sono stati confrontati utilizzando un test chi-quadrato e una regressione logistica. RISULTATI: L’incidenza di dolore agli arti, irrequietezza e insonnia, lombalgia, ritenzione di urina, sanguinamento ed ematoma sottocutaneo sono risultati significativamente inferiori nel gruppo arteria radiale rispetto al gruppo arteria femorale, ma il tasso di cambiamento dell’approccio o rinuncia all’intervento dovuto allo spasmo o alla deformità dell’arteria si è dimostrato significativamente più elevato di quella del gruppo dell’arteria femorale. Tuttavia, le differenze nell’incidenza di aneurismi e sindrome compartimentale tra i due gruppi non sono risultati statisticamente significative. In conclusione rispetto all’approccio dell’arteria femorale, l’approccio dell’arteria radiale si traduce in meno traumi, meno complicazioni e tempi di riposo a letto più brevi. Inoltre esercita una minore pressione psicologica sui pazienti ed è più facilmente accettato da loro. Infine, significa assistenza infermieristica più semplice e, quindi, dovrebbe essere ampiamente promossa." @default.
- W4306730881 created "2022-10-19" @default.
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- W4306730881 date "2022-01-01" @default.
- W4306730881 modified "2023-09-29" @default.
- W4306730881 title "A comparison of nursing-related complications after coronary intervention through the radial or femoral artery." @default.
- W4306730881 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36254760" @default.
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