Application of Comfort Nursing Based on Evidence-based Concept in Radial Artery Puncture Hemostasis of Patients after Coronary Intervention.

AIM

This study aimed to explore the application effect of comfort nursing based on evidence-based concept in radial artery puncture hemostasis of patients after coronary intervention.

METHODS

This interventional study included the clinical data of 180 patients who underwent percutaneous radial coronary intervention in Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, from July 2024 to September 2024. All patients were treated with radial artery hemostasis device after operation. Patients were divided into two groups based on the single and even number of admission date. Patients admitted with single number were included in the control group (routine nursing, n = 94), and patients admitted with even number were included in the study group (comfort nursing based on evidence-based concept, n = 86). The post-surgical discomfort, postoperative complications, and patient satisfaction levels were comparatively analyzed between the two experimental groups.

RESULTS

The hemostasis was successfully achieved in both groups of patients, with a success rate of 100%. Compared to the control group, visual analogue scale (VAS) scores were significantly reduced in the study group at 2 and 4 hours after the procedure (p < 0.05). Post-surgery, the study group experienced reduced rates of subcutaneous ecchymosis, swelling of palms and forearms, and reduced complication rate compared to the control group (p < 0.05). Furthermore, patients in the study group exhibited higher mission content, service attitude, nursing quality, nursing approach score, and nursing satisfaction score than those in the control group, and the differences between the two groups were statistically significant (p < 0.001).

CONCLUSIONS

Using comfort nursing based on the evidence-based concept during radial artery puncture hemostasis in patients after the coronary intervention effectively relieves patients' pain, reduces postoperative complications and improves nursing care satisfaction.

CLINICAL TRIAL REGISTRATION

China Clinical Trial Registry: ChiCTR2400087080.