Abstract:

Objective　To explore the impact of perioperative holistic rehabilitation nursing based on the Omaha theory on patients undergoing cardiovascular intervention via the distal radial artery approach. Methods　Seventy patients who underwent cardiovascular intervention via the distal radial artery at Lianyungang City Traditional Chinese Medicine Hospital from March 2020 to March 2023 were selected, and were divided into a control group and an observation group according to the nursing methods, with 35 cases in each group. There were 19 males and 16 females in the control group; they were (62.92±2.58) years old. There were 20 males and 15 females in the observation group; they were (63.18±2.18) years old. The control group received routine nursing intervention, while the observation group received perioperative holistic rehabilitation nursing based on the Omaha theory. The puncture conditions (first-time puncture success, puncture time, radial artery spasm, local hematoma, and radial artery occlusion), puncture success rates (stent implantation, drug balloon dilation, and success rate), and negative emotions [assessed using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)]. χ² and t tests were applied. Results　The first-time puncture success rate in the observation group was higher than in that in the control group [97.1% (34/35) vs. 60.0% (21/35)]. There were statistical differences in the puncture time, radial artery spasm, local hematoma, and radial artery occlusion between the observation group and the control group [(4.17±0.17) min vs. (5.86±0.63) min, 5.7% (2/35) vs. 34.3% (12/35), 2.9% (1/35) vs. 25.7% (9/35), and 2.9% (1/35) vs. 31.4% (11/35); all P<0.05]. Fewer patients took stent implantation and drug balloon dilation in the observation group than in the control group [2.9% (1/35) vs. 25.7% (9/35) and 5.7% (2/35) vs. 34.3% (12/35)], with statistical differences (both P<0.05). The puncture success rate in the observation group was higher than that in the control group [97.1% (34/35) vs. 62.9% (22/35)], with a statistical difference (P<0.05). After 3 days of nursing, the scores of SAS and SDS in the observation group were lower than those in the control group [(40.48±4.84) vs. (48.12±4.18) and (43.67±4.91) vs. (49.34±5.27)], with statistical differences (both P<0.001). Conclusion　Perioperative holistic rehabilitation nursing based on the Omaha theory can increase the puncture success rate and reduce negative emotions in patients undergoing cardiovascular intervention via the distal radial artery approach.

Key words:

Omaha theory, Perioperative, Holistic rehabilitation nursing, Distal radial artery approach, Cardiovascular interventional therapy,  , Puncture success rate, Negative emotions

摘要：

目的　探究基于奥马哈理论的围手术期全程康复护理对经远端桡动脉途径行心血管介入治疗患者的影响。方法　回顾性选取2020年3月到2023年3月期间连云港市中医院收治的70例经远端桡动脉途径行心血管介入治疗患者，根据护理方法不同分为对照组与观察组，各35例。对照组中，男19例，女16例，年龄（62.92±2.58）岁，实施常规护理干预；观察组中，男20例，女15例，年龄（63.18±2.18）岁，实施基于奥马哈理论的围手术期全程康复护理干预。比较两组穿刺情况（一次穿刺成功、穿刺时间、桡动脉痉挛、局部血肿、桡动脉闭塞）、穿刺成功率（植入支架、药物球囊扩张、成功率）及负面情绪［采用焦虑自评量表（Self-Rating Anxiety Scale，SAS）、抑郁自评量表（Self-Rating Depression Scale，SDS）评估］。采用χ²检验、t检验进行统计分析。结果　观察组一次穿刺成功人数（34/35，97.1%）高于对照组（21/35，60.0%）；观察组穿刺时间为（4.17±0.17）min、桡动脉痉挛5.7%（2/35）、局部血肿2.9%（1/35）、桡动脉闭塞2.9%（1/35），对照组分别为（5.86±0.63）min、34.3%（12/35）、25.7%（9/35）、31.4%（11/35）；两组比较差异均有统计学意义（均P<0.05）。观察组植入支架（1/35，2.9%）、药物球囊扩张人数（2/35，5.7%）均少于对照组［（9/35，25.7%）、（12/35，34.3%）］，穿刺成功率（97.1%，34/35）高于对照组（62.9%，22/35），差异均有统计学意义（均P<0.05）。护理后3 d，观察组患者的SAS评分为（40.48±4.84）分、SDS评分为（43.67±4.91）分，均低于对照组［（48.12±4.18）分、（49.34±5.27）分］，两组比较差异均有统计学意义（均P<0.001）。结论　基于奥马哈理论的围手术期全程康复护理可以提高经远端桡动脉途径行心血管介入治疗患者的穿刺成功率，降低负面情绪。

关键词:

奥马哈理论, 围手术期, 全程康复护理, 远端桡动脉途径, 心血管介入治疗, 穿刺成功率, 负面情绪