Objective To investigate the effect of early ambulation on the comfort and complications in patients undergoing radiofrequency catheter ablation via femoral vein approach. Methods From April, 2016 to April, 2017, 120 patients were randomly assigned into control group (n=40), group A (n=40) and group B (n=40). The control group received the routine care of remaining bed rest for eight hours with the affected leg immobilized at least four hours. Group A ambulated after four hours of the affected leg immobilization, and group B changed their position after ablation and ambulated after four hours of bed rest. They were assessed with the General Comfort Questionnaire, Numerical Rating Scale of back pain and State Anxiety Inventory. Their vascular complications were recorded. Results The incidence of bleeding and hematoma was not significantly different among the groups (P>0.05). Group B was more comfortable than the control group (P<0.05). Compared with the control group, groups A and B were less in back pain intensity (F>10.376, P<0.001), and had less anxiety (t=3.278, P<0.05), less incidence of limb numbness, difficulty falling asleep, and loss of appetite and dysuria (χ2>6.409, P<0.05). Group B was the best among them.Conclusion There is little risk of early physical activity and ambulation in the vascular complications after radiofrequency catheter ablation via femoral vein approach, which may reduce their discomfort.
XU Zhen-zhen
,
WANG Li-zi
. Effect of Early Ambulation after Radiofrequency Catheter Ablation via Femoral Vein Approach[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018
, 24(3)
: 363
-366
.
DOI: 10.3969/j.issn.1006-9771.2018.03.021
[1] 王文,朱曼璐,王拥军,等. 《中国心血管病报告2012》概要[J]. 中国循环杂志, 2013, 28(6): 408-412.
[2] 胡大一. 中国心律学[M]. 北京:人民卫生出版社, 2008.
[3] Steffenino G, Dutto S, Conte L, et al.Vascular access complications after cardiac catheterisation: a nurse-led quality assurance program[J]. Eur J Cardiovasc Nurs, 2006, 5(1): 31-36.
[4] Pickering TG.Effects of stress and behavioral interventions in hypertension. Pain and blood pressure[J]. J Clin Hypertens (Greenwich), 2003, 5(5): 359-361.
[5] Rolley JX, Salamonson Y, Dennison CR, et al.Nursing care practices following a percutaneous coronary intervention: results of a survey of Australian and New Zealand cardiovascular nurses[J]. J Cardiovasc Nurs, 2010, 25(1): 75-84.
[6] 中国生物医学工程学会心脏起搏与电生理分会. 射频导管消融治疗快速心律失常指南(修订版)[J]. 中国心脏起搏与心电生理杂志, 2002, 16(2): 81-95.
[7] 吕素红,胡学慧,刘荣琴. Kolcaba K的舒适理论及实践应用[J]. 河北医药, 2012, 34(21): 3312-3314.
[8] Chair SY, Li KM, Wong SW.Factors that affect back pain among Hong Kong Chinese patients after cardiac catheterization[J]. Eur J Cardiovasc Nurs, 2004, 3(4): 279-285.
[9] 王丽姿,金华,李亚洁. 冠脉造影术后早期活动对舒适和出血的影响[J]. 中国实用护理杂志, 2002, 18(4): 54-55.
[10] 王玉婷. 临床焦虑评估量表的类别与合理选择[J]. 西部医学, 2014, 26(12): 1733-1735.
[11] 汪勤. 舒适护理在射频消融术治疗阵发性室上性心动过速的效果探讨[J]. 中国实用医药, 2011, 6(33): 188-191.
[12] Kowalik U, Plante MK.Urinary retention in surgical patients[J]. Surg Clin North Am, 2016, 96(3): 453-467.
[13] Hofmann LV, Kuo WT.Catheter-directed thrombolysis for acute DVT[J]. Lancet, 2012, 379(9810): 3-4.
[14] Suggs PM, Lewis R, Hart AC, et al.What's your position? Strategies for safely reaching patient comfort goals after cardiac catheterization via femoral approach[J]. Dimens Crit Care Nurs, 2017, 36(2): 87-93.
[15] Chair SY, Yu M, Choi KC, et al.Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: a single-blinded randomized controlled trial[J]. Anadolu Kardiyol Derg, 2012, 12(3): 222-230.
[16] Bakhshi F, Namjou Z, Andishmand A, et al.Effect of positioning on patient outcomes after coronary angiography: a single-blind randomized controlled trial[J]. J Nurs Res, 2014, 22(1): 45-50.
[17] Chair SY, Taylor-Piliae RE, Lam G, et al.Effect of positioning on back pain after coronary angiography[J]. J Adv Nurs, 2003, 42(5): 470-478.
[18] Olson NC.Comparison of head elevation protocols following femoral artery sheath removal after coronary angiography[J]. Crit Care Nurse, 2016, 36(3): 20-34.
[19] Rezaei-Adaryani M, Ahmadi F, Asghari-Jafarabadi M.The effect of changing position and early ambulation after cardiac catheterization on patients' outcomes: a single-blind randomized controlled trial[J]. Int J Nurs Stud, 2009, 46(8): 1047-1053.
[20] Haghshenas H, Mansoori P, Najafi S, et al.The effect of changes in patients' body position on the back pain intensity and hemodynamic status during and after radiofrequency catheter ablation of cardiac dysrhythmias[J]. Iran J Nurs Midwifery Res, 2013, 18(2): 89-93.
[21] Abdollahi AA, Mehranfard S, Behnampour N, et al.Effect of positioning and early ambulation on coronary angiography complications: a randomized clinical trial[J]. J Caring Sci, 2015, 4(2): 125-134.
[22] Matte R, Hilario TS, Reich R, et al.Reducing bed rest time from five to three hours does not increase complications after cardiac catheterization: the THREE CATH Trial[J]. Rev Lat Am Enfermagem, 2016, 24: e2796.
[23] Boztosun B, Günes Y, Yildiz A, et al.Early ambulation after diagnostic heart catheterization[J]. Angiology, 2007, 58(6): 743-746.