Gazerani Azam, Pourghaznein Tayebe, Gholoobi Arash, Miri Kheizaran, Namazinia Mohammad, Mazloum Seyed Reza
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Neyshabur University of Medical Sciences, Neyshabur, Iran.
BMC Nurs. 2024 Sep 19;23(1):668. doi: 10.1186/s12912-024-02337-6.
Angiography is associated with anxiety, stress, and changes in patients' vital signs. The role of the liaison nurse is to bridge gaps and solve problems between departments, thereby preventing the occurrence of undesired complications during patient transfers. Proper preparation of patients by the liaison nurse may lead to an improvement in the hemodynamic status of patients. The present study was conducted to investigate the effect of liaison nurse on hemodynamic status during transfer process to angiography.
This randomized controlled trial was conducted from December 2019 to March 2020 on 62 patients who were candidates for elective angiography at Imam Reza Hospital in Mashhad. Participants were selected using a convenience sampling method and then randomly assigned to either the control or intervention group using a lottery system. In the intervention group, patients benefited from the presence of a liaison nurse from the moment the transfer order was issued by the doctor. Tools used included a demographic information questionnaire and a hemodynamic signs checklist. Data were analyzed using SPSS 25 with independent T-tests, paired T-tests, Wilcoxon, Mann-Whitney test, chi-squared, and Fisher's exact test.
Following the intervention, the mean systolic blood pressure, heart rate, and respiratory rate in the intervention group were found to be significantly lower than those in the control group (p < 0.05). In contrast, the mean body temperature, diastolic blood pressure and the percentage of arterial blood oxygen saturation did not exhibit a statistically significant difference between the two groups (p > 0.05).
The liaison nurse role emerges as a valuable strategy for enhancing patients' hemodynamic stability, and its implementation can have a positive impact on patient outcomes in hospital settings.
血管造影与焦虑、压力以及患者生命体征的变化有关。联络护士的作用是弥合各科室之间的差距并解决问题,从而防止患者转运期间出现不良并发症。联络护士对患者进行适当的准备可能会改善患者的血流动力学状态。本研究旨在调查联络护士在血管造影转运过程中对血流动力学状态的影响。
本随机对照试验于2019年12月至2020年3月在马什哈德伊玛目礼萨医院对62例择期血管造影候选患者进行。采用便利抽样法选择参与者,然后使用抽签系统将其随机分配到对照组或干预组。在干预组中,从医生下达转运医嘱之时起,患者就有联络护士陪同。使用的工具包括一份人口统计学信息问卷和一份血流动力学体征清单。使用SPSS 25软件,通过独立样本t检验、配对t检验、威尔科克森检验、曼-惠特尼检验、卡方检验和费舍尔精确检验对数据进行分析。
干预后,发现干预组的平均收缩压、心率和呼吸率显著低于对照组(p < 0.05)。相比之下,两组之间的平均体温、舒张压和动脉血氧饱和度百分比没有统计学上的显著差异(p > 0.05)。
联络护士的角色是增强患者血流动力学稳定性的一项有价值的策略,其实施可对医院环境中的患者结局产生积极影响。