Development of a clinical nursing practice guideline for assessment of the artery introducer sheath removal in patients after percutaneous coronary intervention (PCI)
Keywords:
Percutaneous coronary intervention: PCI, clinical nursing practice guideline: CNPG, Sheath removal, manual compression: MC, activated clotting time: ACTAbstract
Background: The patients after percutaneous coronary intervention (PCI) have to wait for artery introducer sheath removal by manual compression. Until now, there is no clinical nursing practice guideline (CNPG) for patient’s assessment after the procedure.
Objective: To develop the nursing practice guideline for assessment of the artery introducer sheath removal by manual compression in patients after PCI.
Material and methods: Research utilization was used as method to develop this guideline. Relevant research was searched in e-database including CINAHL, Science direct and PUBMED. Key words consisted of manual compression (MC), artery introducer sheath removal, percutaneous coronary Intervention (PCI), heparin and activated clotting time (ACT). Thirty-seven relevant articles were found, only 20 articles were used to develop CNPG by content analysis method.
Result: The clinical nursing practice guideline is summarized in 6 issues: 1) manual compression 2) guidelines and management of introducer sheath 3) activated clotting time 4) vascular complications 5) pro-hemostasis pad 6) groin dressing. The CNPG focuses on care in 2 phases, on introducer sheath care phase and assessment of the artery introducer sheath removal by manual compression phase and monitoring and surveillance of complications after sheath removal. The CNPG content validity was done by the expert panel.
Conclusion: The CNPG had been developed and applied in patients after PCI. It could reduce time spent of artery introducer sheath removal.
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