澳大利亚和新西兰冠状动脉透射导管治疗的临床实践模式:混合方法调查和采访研究
Elizabeth Curtis1, Ritin Fernandez2, Astin Lee3
1School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
Heart, lung & circulation
|June 28, 2024
概括
冠状动脉干预的跨射线手术在澳大利亚和新西兰显示出显著的实践差异. 优化证据翻译对于心脏病学中持续,高质量的患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管接入 血管接入
背景情况:
- 越来越多地采用了穿皮冠状动脉手术的跨辐射方法.
- 有证据表明,跨辐射实践在国际上存在差异.
- 确保基于证据的实践对于最佳的患者结果至关重要.
研究的目的:
- 在澳大利亚和新西兰绘制当前的横辐射冠状动脉手术的地图.
- 探索影响跨辐射手术临床决策的因素.
主要方法:
- 对干预心脏病专家和实习生进行的横截面调查.
- 半结构面试,深入了解决策因素.
- 专注于澳大利亚和新西兰的做法.
主要成果:
- 右半径动脉是首选的接入点 (88%).
- 在手术前手部循环评估 (37%) 和不论凝血状态 (28.6%) 的实践中存在显著差异.
- 辐射动脉的高发病率 (77.8%报告约10%) 和不理想的术后闭塞评估 (62%).
结论:
- 尽管澳大利亚和新西兰的指导方针存在,但在跨辐射冠状动脉导管治疗中存在实质性的实践差异.
- 临床决策受研究,经验,培训和患者因素的影响.
- 需要制定战略,以改善临床环境中的证据翻译和实施.
相关概念视频
01:11Assessment of radial pulse
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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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01:25Assessment of apical radial pulse
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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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