澳洲代写:PCI术后观察护理

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05/06/2020

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澳洲代写:PCI术后观察护理

在问题4(见附录)中,对于PCI术后护理的效率,高级护士和初级护士的回答存在显著差异。例如,40%的高级护士表示他们需要每1小时对穿刺部位进行评估,而所有的初级护士都给出了不同的意见,认为他们需要每30分钟对穿刺部位进行评估。因此,按照反应获得的高级护士,很明显,他们有更多的效率和知识为患者提供有效的PCI后护理通过确定适当的评估穿刺网站所需的时间和发展现有的常规管理程序,相比初中和缺乏经验的同行。

澳洲代写:PCI术后观察护理

根据常规麻醉后观察的临床指南(RPAO),医疗保健专业人员必须确保PCI的床患者的最大高度是30度时卧床休息后被诊断导管或介入导管冠状动脉血管成形术。在此基础上,本研究提出了问题5(见附录),研究股骨入路PCI患者床的最大高度。

澳洲代写:PCI术后观察护理

对此,所有的高级护士都表示PCI患者的床的最大高度应为股入路下30度。另一方面,更大比例的初级护士(即30%)表示,在这种特殊方法下接受PCI的患者,床的最大高度应为10度。正确识别的最大高度的床PCI患者的高级护士因此反映出床的高度理解很重要,防止各种并发症如穿刺部位出血、血栓和血肿等(墨尔本皇家儿童医院,北达科他州)。

澳洲代写:PCI术后观察护理

这也意味着,与初级护士相比,高级护士更能有效地为患者提供优质保健服务,确保住院后PCI的安全性。关于PCI术后患者的护理需求,Stolic(2012)认为,下肢缺血、假性动脉瘤、房室瘘形成等并发症可能会由于高度静脉狭窄而阻碍四肢的血流。这种狭窄阻碍了静脉流出,从而导致回流到动脉针,增加了PCI术后患者发生更多严重PCI并发症的风险。

澳洲代写:PCI术后观察护理

In relation to question number 4 (see Appendix), significant differences can be observed amid the responses obtained from senior and junior nurses regarding the knowledge of their efficiency when delivering post PCI care to the patients. For instance, 40% of the senior nurses stated that they need to assess the puncture site in every 1 hour, whereas, all of the junior nurses provided a different opinion asserting that they require to examine the puncture site in every 30 minutes. Therefore, as per the responses acquired from the senior nurses, it is clear that they have more efficiency and knowledge about providing effective post PCI care to the patients by determining the appropriate time required to assess the puncture site and developing the existing routine management procedure, as compared to their junior and less experienced peers.

澳洲代写:PCI术后观察护理
According to the clinical guidelines of Routine Post Anesthesia Observations (RPAO), the healthcare professionals must make sure that the maximum height of the beds for the PCI patients is 30 degree while they are on bed rest after coronary angioplasty by either diagnostic catheterization or interventional catheterization. Question number 5 (see Appendix) was framed in this study to examine the maximum height of the beds specifically for the PCI patients under femoral approach based on this understanding.

澳洲代写:PCI术后观察护理
In response, all the senior nurses stated that the maximum height of the beds for the PCI patients should be 30 degree under femoral approach. On the other hand, a greater proportion of the junior nurses (i.e. 30% of them) stated that 10 degree should be the maximum height of the bed for a patient suffering from PCI under this particular approach. Proper recognition of maximum height of the beds for the PCI patients by the senior nurses thus reflect their understanding that the height of the bed is important to prevent the various complications such as bleeding at the puncture site, thrombus and haematoma among others (The Royal Children’s Hospital Melbourne, n.d.).

澳洲代写:PCI术后观察护理
It also implies the greater efficiency of senior nurses to deliver quality healthcare to the patients, ensuring increased PCI safety after hospitalization, as compared to the junior nurses.With respect to the care need of post PCI patients, Stolic (2012) suggested that complications, such as lower limb ischaemia, pseudo-aneurysm and AV fistula formation, may obstruct blood flow to limbs due to high-grade venous stenosis. This stenosis impedes venous outflow and thereby leads to the backflow into the arterial needle, increasing risks to more critical PCI complications amid the patients in their post PCI stage.

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