Application of hand exercise in postoperative nursing of patients undergoing transradial coronary intervention / 中国实用护理杂志

ABSTRACT

Objective:To explore the effect of hand exercises on the complications and comfort of patients undergoing transradial coronary intervention.Methods:Using convenient sampling method, 354 patients with radial artery coronary artery therapy in the Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University from March 2018 to May 2019 were selected as the study subjects. The patients were randomly divided into control group (179 cases) and observation group (175 cases). Patients in the control group were given routine nursing care, while patients in the observation group were given hand exercises to increase patients ′ hand movement on the basis of routine nursing care. The degree of bleeding, pain, swelling, oxygen saturation and comfort of the next day were compared between the two groups. Result:The degree of swelling in the observation group at 8 hours after surgery was as follows grade I 80.57% (141/175), grade Ⅱ 10.86% (19/175), grade Ⅲ5.71% (10/175), grade Ⅳ2.86% (5/175) and compared with the control group [grade I 54.75% (98/179), grade Ⅱ 23.46% (42/179), grade Ⅲ 12.85% (23/179), grade Ⅳ8.94% (16/179)], the differences were statistically significant ( χ2 value was 5.170, P <0.05); the pain level of patients in the observation group 8 hours after surgery was as follows mild 83.43% (146/175), moderate 12.00% (21/175), severe 4.57% (8/175) and compared with the control group [mild 58.66% (105/179), moderate 31.28% (56/179), severe 10.06% (18/179)], the difference was statistically significant ( χ2 value was 50.20, P <0.05). The total comfort score of patients in the observation group (74.66 ± 5.52) early in the morning after surgery was significantly better than that in the control group (71.42 ± 5.29), and the difference was statistically significant ( t value was 5.636, P <0.05). Conclusions:Hand exercises can significantly reduce the incidence of complications such as swelling and pain after transradial coronary artery intervention, and increase the comfort of patients after operation. It is suitable for clinical nursing.