The effect of griping exercise on limb palmar swelling after percutaneous coronary intervention / 中国实用护理杂志

ABSTRACT

Objective To investigate the effect of griping exercise on wrist palmar swelling after percutaneous coronary intervention. Methods A total of 90 patients of the First Affiliated Hospital of Zhengzhou University with planned percutaneous coronary intervention via radial artery were enrolled and divided into the control group, griping exercise group 1 and griping exercise group 2 with 30 cases in every group according to the sequence of admission. Preoperative education and postoperative care were performed with a conventional approach in the control group. Griping exercise in group 1 Fisting exercise with electronic grips in 15 times per min, lasted 1 min, 2 hours per day for 3 days. Griping exercise in group 2 Fisting exercise with electronic grips in 25 times per min, lasted 2 min, 2 hours per day for 3 days. The degree of swelling and pain in patients′wrist palmar 6 hours after operation (sheath tube removal) were observed. Results The pain score in wrist and palm in griping exercise group 2 was 0.83±0.39, and 4.20±1.98 in the control group, the difference was significant (t=3.912, P < 0.05), and also lower than that of the griping exercise group 1 (1.92±0.78, t=3.087, P < 0.05). The swelling value of finger circumference in griping exercise group 2 was (0.13±0.05) cm, and in the control group was (0.39±0.13) cm, the difference was significant (t=3.013, P < 0.05), also lower than (0.23±0.11) cm in the griping exercise group 1 (t=2.612, P < 0.05). Conclusions Fisting exercise with electronic grips in 25 times per min, lasted 2 min, 2 hours per day for 3 days preoperation could reduce the swelling and pain in patients′wrist and palm on the operation side.