Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1248-1250
ZHOU Jing, LI Miaonan, ZHAO Na, WANG Dongmei, XIE Ying, WANG Jiaoshu, CAO Jiayu. Effect of video based finger exercises on postoperative limb symptoms and sleep quality in patients undergoing coronary intervention therapy[J]. Chinese Journal of General Practice, 2023, 21(7): 1248-1250. doi: 10.16766/j.cnki.issn.1674-4152.003094
Citation: ZHOU Jing, LI Miaonan, ZHAO Na, WANG Dongmei, XIE Ying, WANG Jiaoshu, CAO Jiayu. Effect of video based finger exercises on postoperative limb symptoms and sleep quality in patients undergoing coronary intervention therapy[J]. Chinese Journal of General Practice, 2023, 21(7): 1248-1250. doi: 10.16766/j.cnki.issn.1674-4152.003094
shu

Effect of video based finger exercises on postoperative limb symptoms and sleep quality in patients undergoing coronary intervention therapy

doi: 10.16766/j.cnki.issn.1674-4152.003094

  • Department of Cardiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2018A0219

  • Received Date: 2022-06-26
    Available Online: 2023-08-28
    Abstract
  •   Objective  To explore the effect of video based finger exercises on patients after coronary intervention therapy.  Methods  A total of 83 patients with coronary heart disease who were hospitalized in the Department of Cardiovascular, the First Affiliated Hospital of Bengbu Medical College from June 2020 to December 2020 and underwent coronary intervention therapy were selected as the study subjects. They were randomly divided into an observation group (42 cases) and a control group (41 cases) using a random number table method. The control group patients were given routine limb rehabilitation exercise guidance after coronary intervention therapy, guiding them to perform hand clenching and relaxation movements on the surgical side. The observation group patients were given a nursing model of video based rehabilitation exercise guidance for finger exercises after coronary intervention therapy. One day before the surgery, the responsible nurse pushed the recorded finger exercises to the patient or family members through the 317 nursing network platform, and then provided one-on-one finger exercise guidance. The patient was instructed to practice finger exercises one day before the surgery, and 30 minutes after returning to the ward on the day of surgery, the patient was instructed to start performing seven step finger exercises, did it every hour during non-sleep time, with 10-20 cycles in each of the seven steps, for 3-5 minutes each time, until the hemostat was removed.  Results  The degree of palm swelling on the surgical side was (20.70±1.74) cm in the observation group 2 hours after surgery, while it was (21.49±1.73) cm in the control group. After 4 hours of surgery, the palm swelling in the observation group was (20.63±1.67) cm, while it was (21.37±1.71) cm in the control group, with a statistically significant difference (P < 0.05). The observation group patients had lower limb pain on the surgical side at 1, 2, 4 and 12 hours after surgery compared to the control group, and there was significant statistical significance in limb pain on the surgical side at 2 hours after surgery (P < 0.05). There was no statistically significant difference in sleep quality between the two groups at 24 and 48 hours after surgery (P>0.05).  Conclusion  Video based finger exercises can reduce the degree of palm swelling on the surgical side and limb pain in patients undergoing coronary intervention via the radial artery route, which is conducive to the recovery of limbs after surgery.

     

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    • References(17)
  • [1]
    中国心血管健康与疾病报告编写组. 《中国心血管健康与疾病报告2019概要》[J]. 中国循环杂志, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202306009.htm

    The Writing Committee of the Report on Cardiovascular Health and Diseases in China. Report on cardiovascular health and diseases in china 2019: an updated summary[J]. Chinese Circulation Journal, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202306009.htm
    [2]
    张飒然, 易敏, 陶花. 延续照护在农村地区PCI术后冠心病患者中的应用价值[J]. 中华全科医学, 2019, 17(7): 1237-1240. doi: 10.16766/j.cnki.issn.1674-4152.000910

    ZHANG S R, YI M, TAO H. Application of continuous care in patients with coronary heart disease after PCI in rural areas[J]. Chinese Journal of General Practice, 2019, 17(7): 1237-1240. doi: 10.16766/j.cnki.issn.1674-4152.000910
    [3]
    张苡榕, 李翔, 李勇军, 等. 经皮冠状动脉介入术中联合经皮冠状动脉旋磨术治疗重度冠状动脉钙化冠心病57例疗效及安全性观察[J]. 安徽医药, 2021, 25(2): 353-357. doi: 10.3969/j.issn.1009-6469.2021.02.034

    ZHANG Y R, LI X, LI Y J, et al. Observation on the efficacy and safety of percutaneous coronary rotation grinding in PCI for severe calcification[J]. Anhui Medical and Pharmaceutical, 2021, 25(2): 353-357. doi: 10.3969/j.issn.1009-6469.2021.02.034
    [4]
    肖燕, 陈颖, 黄年华. 改良术肢康复运动操在心血管介入术后患者中的应用[J]. 中国医学创新, 2020, 17(21): 102-107. doi: 10.3969/j.issn.1674-4985.2020.21.026

    XIAO Y, CHEN Y, HUANG N H. The application of improved limb rehabilitation exercise in patients after cardiovascular intervention[J]. Medical Innovation of China, 2020, 17(21): 102-107. doi: 10.3969/j.issn.1674-4985.2020.21.026
    [5]
    葛文贤, 夏引芳, 费红, 等. 经桡动脉冠脉介入治疗术后患者并发症的影响因素研究[J]. 上海护理, 2018, 18(9): 64-66. doi: 10.3969/j.issn.1009-8399.2018.09.017

    GE W X, XIA Y F, FEI H, et al. Study on influencing factors of complications after radial artery coronary intervention[J]. Shanghai Nursing, 2018, 18(9): 64-66. doi: 10.3969/j.issn.1009-8399.2018.09.017
    [6]
    李丛丛, 杨敬媛, 刘成芹. 手指操对减少经桡动脉冠状动脉介入术后压疮的影响[J]. 当代护士, 2018, 25(9): 41-43. https://www.cnki.com.cn/Article/CJFDTOTAL-DDZT201809017.htm

    LI C C, YANG J Y, LIU C Q. The effect of finger exercises on reducing pressure sore after coronary intervention via radial artery[J]. Contemporary nurse, 2018, 25(9): 41-43. https://www.cnki.com.cn/Article/CJFDTOTAL-DDZT201809017.htm
    [7]
    刘晓卉, 孙洁, 董少婵, 等. 手指操对老年患者静脉留置针使用效果的影响[J]. 齐鲁护理杂志, 2019, 25(4): 77-79. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201904032.htm

    LIU X H, SUN J, DONG S C, et al. The effect of finger exercises on the use of intravenous indwelling needles in elderly patients[J]. Qilu Journal of Nursing, 2019, 25(4): 77-79. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201904032.htm
    [8]
    徐杨燕, 朱丹丽, 姚宇婷. 针对性护理干预在经桡动脉行冠脉造影术后患者中的应用[J]. 齐鲁护理杂志, 2019, 25(18): 81-83. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201918032.htm

    XU Y Y, ZHU D L, YAO Y T. Application of targeted nursing intervention in patients after coronary angiography via radial artery[J]. Qilu Journal of Nursing, 2019, 25(18): 81-83. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201918032.htm
    [9]
    招丽冰, 王志红. 六步手指操在经皮冠状动脉介入术后早期锻炼康复的临床应用[J]. 医学理论与实践, 2022, 35(2): 339-341. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202202075.htm

    ZhAO L B, WANG Z H. Clinical application of six step finger exercises in early exercise rehabilitation after percutaneous coronary intervention[J]. Medical Theory and Practice, 2022, 35(2): 339-341. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202202075.htm
    [10]
    万丽, 赵晴, 陈军, 等. 疼痛评估量表应用的中国专家共识(2020版)[J]. 中华疼痛学杂志, 2020, 16(3): 177-187.

    WAN L, ZHAO Q, CHEN J, et al. Chinese Expert Consensus on the Application of Pain Assessment Scales (2020 Edition)[J]. Chinese Journal of Pain Science, 2020, 16(3): 177-187.
    [11]
    刘鲲, 李群. 针刺治疗广泛性焦虑障碍的临床效果研究[J]. 中国实用医药, 2021, 16(9): 167-169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA202109071.htm

    LIU K, LI Q. Clinical efficacy study on acupuncture treatment of generalized anxiety disorder[J]. China Practical Medicine, 2021, 16(9): 167-169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA202109071.htm
    [12]
    张璇, 张敏, 张琳, 等. 改良手指操在改善经桡动脉行PCI术后患者术侧肢体症状中的应用[J]. 齐鲁护理杂志, 2020, 26(7): 23-25. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202007007.htm

    ZHANG X, ZHANG M, ZHANG L, et al. The application of improved finger exercises in improving the symptoms of the operative limbs of patients after PCI via radial artery[J]. Qilu Journal of Nursing, 2020, 26(7): 23-25. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202007007.htm
    [13]
    任静, 吕顺, 刘凤, 等. 桡动脉压迫器首次减压开始时间对冠状动脉造影术后并发症影响的系统评价[J]. 护理学杂志, 2020, 35(19): 47-51. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202019016.htm

    REN J, LYU S, LIU F, et al. Systematic evaluation of the impact of the start time of the first decompression of the radial artery compressor on the complications after coronary angiography[J]. Journal of Nursing, 2020, 35(19): 47-51. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202019016.htm
    [14]
    张伟. 极致化护理对患者TRI术后旋压式止血器压迫止血后并发症及舒适度的影响[J]. 当代护士, 2020, 27(12): 55-58. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHS202012021.htm

    ZHANG W. The effect of extreme care on complications and comfort after compression hemostasis with a rotary hemostat after TRI surgery in patients[J]. Contemporary Nurses, 2020, 27(12): 55-58. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHS202012021.htm
    [15]
    肖燕, 陈颖, 黄年华. 改良术肢康复运动操在心血管介入术后患者中的应用[J]. 中国医学创新, 2020, 17(21): 102-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202021029.htm

    XIAO Y, CHEN Y, HUANG N H. The Application of Improved Limb Rehabilitation Exercise in Patients after Cardiovascular Intervention[J]. Medical Innovation of China, 2020, 17(21): 102-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202021029.htm
    [16]
    吴奕帆, 侯黎莉, 张萍, 等. 手指康复操训练对经桡动脉行冠脉造影患者肢体并发症的影响[J]. 护理学杂志, 2019, 34(6): 9-11. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201906003.htm

    WU Y F, HOU L L, ZHANG P, et al. Effect of finger rehabilitation training on limb complications of patients undergoing coronary angiography via radial artery[J]. Journal of Nursing, 2019, 34(6): 9-11. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201906003.htm
    [17]
    岳敬敬. 计划减压联合术肢锻炼在经桡动脉行冠状动脉介入诊疗术后的应用研究[D]. 苏州: 苏州大学, 2019.

    YUE J J. Study on the Application of Planned Decompression Combined with Operative Limb Exercise after Coronary Intervention via radial artery[D]. Suzhou: Suzhou University, 2019.
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