Asef Somaye, Moezi Seyyed Ali, Nasiri Ahmad, Zarei Bahare
Department of Nursing, Nursing and Midwifery College, Birjand University of Medical Sciences, Birjand.
Department of Cardiology, Cardiovascular Diseases Research Center, School of Medicine, Birjand University of Medical Sciences, Birjand.
Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):685-690. doi: 10.4103/ijnmr.ijnmr_181_22. eCollection 2024 Nov-Dec.
Angiography through the radial artery is a novel selective approach with several advantages. Shortening the duration of each stage of the procedure leads to many benefits for patients and health personnel. This study aimed to investigate the effect of local forearm heating on facilitating radial angiography.
This randomized clinical trial included one intervention and one control group with a post-test design. The study was conducted on 80 radial angiography candidates visiting the angiography ward, at Razi Hospital, Birjand, Iran, in 2018. The subjects were selected through convenient sampling and allocated to control and intervention groups using simple random allocation. The data were collected using a demographic form and radial angiography checklist. The intervention consisted of using an infrared emitter fixed 60 cm from the patient's forearm. Infrared radiation was applied for 10 min for each patient to warm the radial artery. Afterward, the radial angiography procedure was carried out. The collected data were analyzed using descriptive and inferential statistics in the Statistical Package for Social Science (SPSS) software (v. 16) ( < 0.05).
The frequency and duration of artery puncture, the necessity of injecting a radiocontrast agent, the necessity of catheter replacement, the duration of fluoroscopy, and the volume of the radiocontrast agent in the experimental group were significantly lower than those in the control group ( < 0.05).
Local heat in radial angiography is recommended for facilitating the procedure and improving patient welfare and peace.
经桡动脉血管造影是一种具有多种优势的新型选择性方法。缩短该操作各阶段的时长对患者和医护人员有诸多益处。本研究旨在探讨局部前臂加热对促进桡动脉血管造影的效果。
本随机临床试验采用后测设计，包括一个干预组和一个对照组。2018年，在伊朗比尔詹德的拉齐医院血管造影病房，对80名拟行桡动脉血管造影的患者进行了研究。通过便利抽样选取研究对象，并采用简单随机分配的方法将其分为对照组和干预组。使用人口统计学表格和桡动脉血管造影检查表收集数据。干预措施包括使用一个距离患者前臂60厘米固定的红外发射器。对每位患者施加红外辐射10分钟以温暖桡动脉。之后，进行桡动脉血管造影操作。在社会科学统计软件包（SPSS）软件（版本16）中使用描述性和推断性统计方法对收集的数据进行分析（<0.05）。
实验组的动脉穿刺频率和时长、注射造影剂的必要性、更换导管的必要性、透视时长以及造影剂用量均显著低于对照组（<0.05）。
建议在桡动脉血管造影中采用局部加热以促进操作过程并改善患者的舒适度和安宁感。
