Rubin S, Wiens L, Fingler I, Sawyer T, Garcia-Vargas P, Stovicek Z
Vancouver Hospital & Health Sciences Centre, BC.
Can J Cardiovasc Nurs. 1996;7(3):19-27.
A descriptive study was conducted to assess whether there was a difference in patient outcomes when femoral venous and arterial sheaths were removed post percutaneous transluminal coronary angioplasty (PTCA) by MDs as compared to RNs. In addition, the impact on nursing practice of nurses assuming this new task was examined. A chart review revealed a greater occurrence of bleeding in patients whose sheaths had been removed by MDs rather than by RNs (chi square; p < 0.01). Patients received analgesics and anxiolytics pre-sheath removal more frequently when nurses removed femoral sheaths (p < 0.01). Forty-two percent of RNs were not satisfied with the change in practice, and 46% were satisfied. Further research is needed to evaluate patient satisfaction with pain and anxiety management at the time of sheath removal.
开展了一项描述性研究，以评估在经皮腔内冠状动脉成形术（PTCA）后，由医生而非注册护士（RN）移除股静脉和动脉鞘管时，患者的治疗结果是否存在差异。此外，还研究了护士承担这项新任务对护理实践的影响。一项图表回顾显示，与由注册护士移除鞘管的患者相比，由医生移除鞘管的患者出血发生率更高（卡方检验；p < 0.01）。当护士移除股鞘管时，患者在移除鞘管前更频繁地接受镇痛药和抗焦虑药（p < 0.01）。42%的注册护士对实践中的变化不满意，46%的人表示满意。需要进一步研究以评估患者对鞘管移除时疼痛和焦虑管理的满意度。
