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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (2): 37-43.doi: 10.16460/j.issn1008-9969.2025.02.037

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Evidence-based practice to reduce incidence of radial artery occlusion in elderly patients after transradial coronary intervention

XIA Bi-yun1, Chen Yu2, WU Yan-yan2, Hu Yan2   

  1. 1. Dept. of Cardiology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China;
    2. School of Nursing, Fudan University, Fudan University Centre for Evidence-based Nursing, Shanghai 200032, China
  • Received:2024-06-04 Online:2025-01-25 Published:2025-02-20

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Abstract: Objective To evaluate the effectiveness of best evidence-based practice for the management of radial artery occlusion (RAO) in elderly patients after transradial coronary intervention. Methods The best evidence for reducing the incidence of RAO in elderly patients after transradial coronary intervention was applied in cardiovascular medicine department in a tertiary grade-A hospital in Shanghai to carry out an evidence-based practice which consisted of three parts and seven phases over six months. A review standard was formulated to regulate nurses' and multidisciplinary team's behaviors in the management of RAO. The incidence of RAO, nurses' knowledge on RAO prevention, preoperative and postoperative RAO assessment rate, and adherence of evidence application were compared before and after evidence application. Results The incidence of RAO in elderly patients after transradial coronary intervention decreased from 10% to 3%; the level of nurses' knowledge of RAO prevention increased from 65% to 87%; assessment rate of preoperative and postoperative RAO increased from 60% to 100%, and nurses' adherence of evidence application increased. All showed statistical significance (P<; 0.05). Conclusion Through best evidence-based practice, this project reduces the incidence of RAO in elderly patients by standardizing management behaviors for preventing RAO in elderly patients after intervention and improving nurses' knowledge of preoperative and postoperative care for preventing RAO.;

Key words: elderly, transradial coronary intervention, radial artery occlusion, evidence-based practice

CLC Number: 

  • R473.6
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