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Randomized Controlled Trial
. 2022 May 25:2022:4488797.
doi: 10.1155/2022/4488797. eCollection 2022.

Evidence-Based Nursing Model in Interventional Thrombolysis for Acute Lower Extremity Arterial Embolism

Meijuan Yang  1 , Lijiao Chen  1 , Min Zhang  1 , Xiaoling Huang  1 , Wenjun Zhao  1 , Hui Wang  1
Affiliations
Randomized Controlled Trial

Evidence-Based Nursing Model in Interventional Thrombolysis for Acute Lower Extremity Arterial Embolism

Meijuan Yang et al. Contrast Media Mol Imaging. .

Abstract

Acute lower extremity arterial embolism (AE) is a serious clinical emergency, and, if not treated in time, it can easily lead to limb ischemia and necrosis and eventually facing amputation, which seriously damages patients' physical and mental health. In the past, the conventional drug thrombolytic therapy had slow and limited efficacy, and the best time for treatment is easily delayed, while arterial dissection and thrombectomy treatment, although fast, is traumatic and has many complications, which is not easily accepted by patients. The aim of this study was to investigate the value of evidence-based care model in the application of interventional thrombolysis for acute lower limb arterial embolism. Seventy-two patients with acute lower limb arterial embolism who underwent interventional thrombolysis treatment received by the Department of Vascular Surgery of our hospital from July 2016 to December 2021 were randomly divided into a control group (given conventional nursing services) and a quality group (given full quality nursing services) to compare the effect of nursing services in the two groups. The results showed that the postoperative psychological status of patients in the quality group was significantly better than that of patients in the control group (P < 0.05). The total incidence of postoperative adverse events and the total treatment efficiency of the quality group were better than those of the control group (P < 0.05). The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than conventional nursing care and is recommended. The site of vascular occlusion after bypass surgery can be clarified when angiography is performed after thrombolytic therapy, which can help secondary surgical intervention to prolong the time to patency. The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than that of conventional nursing care and is recommended.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Evidence-based care model.
Figure 2
Figure 2
Management of postoperative adverse events.
Figure 3
Figure 3
Change in thrombotic residual stenosis rate.
Figure 4
Figure 4
Changes in platelet concentration of dual antibodies.
Figure 5
Figure 5
Comparison of prognosis between the ischemia time placement thrombolysis group and the incision and extraction group.
Figure 6
Figure 6
Comparison of complications between the surgical and CDT groups.
Figure 7
Figure 7
Irreversible damage time of nerve tissue, muscle tissue, and skin to ischemia.
Figure 8
Figure 8
Prognostic recovery in patients with different ischemic times in the embolization and CDT groups.
See this image and copyright information in PMC

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