Effectiveness evaluation of systematic clinical management for femoral pseudoaneurysm after interventional treatment under doctor-nurse integration mode_West China Medical Journal

Authors：

GENG Dan , LI Enzhi , MIAO Xiaohui , LI Yinping , TU Shuangyan ,  YANG Rong

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Rong, Email: hxyangrong2004@126.com

Keywords：

Doctor-nurse integration mode; Stroke; Interventional diagnosis and treatment; Femoral pseudoaneurysm; Nursing management

DOI：

10.7507/1002-0179.201512049

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To carry out the systematic clinical management to reduce the incidence of femoral pseudoaneurysm after interventional treatment. Methods A historical controlled study was used to compare the management effect before (from October 2012 to October 2013) and after (from March 2014 to March 2015) the application of doctor-nurse integrated systematic clinical management mode. This work mode enhanced cooperation between doctors and nurses, formed the clinical path for nursing workflows and contingency plans, and strengthened specialized education and training for nurses. Results After the implementation of systematic clinical management, the incidence of femoral pseudoaneurysm was significantly lower than before (1.0% vs. 2.7%), and the difference was statistically significant (P<0.05). Conclusions The systematic clinical management, carrying out in the doctor-nurse integration mode, can improve the quality of nursing and reduce the incidence of femoral pseudoaneurysm. And the management model has achieved remarkable results. So it is worth to be applied in the clinical practices.

Citation： GENG Dan, LI Enzhi, MIAO Xiaohui, LI Yinping, TU Shuangyan, YANG Rong. Effectiveness evaluation of systematic clinical management for femoral pseudoaneurysm after interventional treatment under doctor-nurse integration mode. West China Medical Journal, 2017, 32(9): 1423-1426. doi: 10.7507/1002-0179.201512049 Copy

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6.	朱华云, 彭胜. 脑血管造影穿刺部位血管并发症的防治及护理对策. 中外医学研究, 2010, 8(9): 122-123.
7.	方传勤, 李敬诚, 杨清武, 等. 脑血管造影及介入治疗后假性动脉瘤形成的原因及治疗[J]. 重庆医学, 2008, 37(18): 2035-2037.
8.	唐显毕, 帅杰. 脑血管造影术后假性动脉瘤形成的原因及对策. 神经疾病与精神卫生, 2011, 11(3): 285-287.
9.	潘平康, 周兴伟, 陈亮, 等. 脑血管病介入术后股动脉假性动脉瘤的临床分析及治疗. 卒中与神经疾病, 2014, 21(1): 26-29.
10.	Dzijan-horn M, Langwieser N, Groha P, et al. Safety and efficacy of a potential treatment algorithm by using manual compression repair and ultrasound-guided thrombin injection for the management of iatrogenic femoral artery pseudoaneurysm in a large patient cohort. Circ Cardiovasc Interv, 2014, 7(2): 207-215.
11.	Corso R, Rampoldi A, Riolo F, et al. Occlusion of postcatheterisation femoral pseudoaneurysms with percutaneous thrombin injection under ultrasound guidance. Radiol Med, 2004, 108(4): 385-393.
12.	李继平, 李李. 医护一体化优质服务模式探索. 中国护理管理, 2012, 12(12): 5-7.
13.	李莉. 临床路径在护理管理中的应用. 中国实用护理杂志, 2012, 28(8): 15-17.
14.	黎恩知, 杨婕, 杨蓉. 脑血管介入治疗患者并发股动脉假性动脉瘤的护理. 中华现代护理杂志, 2014, 20(13): 1565-1566.
15.	陈惠成. 护理人员介入护理专业能力规范化培训实践. 海南医学, 2012, 23(2): 155-156.

1. 姚小荷, 祝劲松, 黄颖江. 股动脉假性动脉瘤 5 例诊治体会. 中外医疗, 2012, 31(21): 14-16.
2. Tsal CF, Thomas B, Sudlow CL. Epidemiology of stroke and its subtypes in Chinese vs white populations: a systematic review. Neurology, 2013, 81(3): 264-272.
3. He Q, Wu C, Luo H, et al. Trends in in-hospital mortality among patients with stroke in China. PloS one, 2014, 9(3): e92763.
4. 韩新巍. 介入治疗临床应用与研究进展. 郑州: 郑州大学出版社, 2008.
5. Zhou C, Langlois NE, Byard RW. Femoral artery pseudoaneurysm and sudden death . J Forensic Sci, 2012, 57(1): 254-256.
6. 朱华云, 彭胜. 脑血管造影穿刺部位血管并发症的防治及护理对策. 中外医学研究, 2010, 8(9): 122-123.
7. 方传勤, 李敬诚, 杨清武, 等. 脑血管造影及介入治疗后假性动脉瘤形成的原因及治疗[J]. 重庆医学, 2008, 37(18): 2035-2037.
8. 唐显毕, 帅杰. 脑血管造影术后假性动脉瘤形成的原因及对策. 神经疾病与精神卫生, 2011, 11(3): 285-287.
9. 潘平康, 周兴伟, 陈亮, 等. 脑血管病介入术后股动脉假性动脉瘤的临床分析及治疗. 卒中与神经疾病, 2014, 21(1): 26-29.
10. Dzijan-horn M, Langwieser N, Groha P, et al. Safety and efficacy of a potential treatment algorithm by using manual compression repair and ultrasound-guided thrombin injection for the management of iatrogenic femoral artery pseudoaneurysm in a large patient cohort. Circ Cardiovasc Interv, 2014, 7(2): 207-215.
11. Corso R, Rampoldi A, Riolo F, et al. Occlusion of postcatheterisation femoral pseudoaneurysms with percutaneous thrombin injection under ultrasound guidance. Radiol Med, 2004, 108(4): 385-393.
12. 李继平, 李李. 医护一体化优质服务模式探索. 中国护理管理, 2012, 12(12): 5-7.
13. 李莉. 临床路径在护理管理中的应用. 中国实用护理杂志, 2012, 28(8): 15-17.
14. 黎恩知, 杨婕, 杨蓉. 脑血管介入治疗患者并发股动脉假性动脉瘤的护理. 中华现代护理杂志, 2014, 20(13): 1565-1566.
15. 陈惠成. 护理人员介入护理专业能力规范化培训实践. 海南医学, 2012, 23(2): 155-156.

West China Medical Journal

Effectiveness evaluation of systematic clinical management for femoral pseudoaneurysm after interventional treatment under doctor-nurse integration mode

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