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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7.	方傳勤, 李敬誠, 楊清武, 等. 腦血管造影及介入治療后假性動脈瘤形成的原因及治療[J]. 重慶醫學, 2008, 37(18): 2035-2037.
8.	唐顯畢, 帥杰. 腦血管造影術后假性動脈瘤形成的原因及對策. 神經疾病與精神衛生, 2011, 11(3): 285-287.
9.	潘平康, 周興偉, 陳亮, 等. 腦血管病介入術后股動脈假性動脈瘤的臨床分析及治療. 卒中與神經疾病, 2014, 21(1): 26-29.
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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.	李繼平, 李李. 醫護一體化優質服務模式探索. 中國護理管理, 2012, 12(12): 5-7.
13.	李莉. 臨床路徑在護理管理中的應用. 中國實用護理雜志, 2012, 28(8): 15-17.
14.	黎恩知, 楊婕, 楊蓉. 腦血管介入治療患者并發股動脈假性動脈瘤的護理. 中華現代護理雜志, 2014, 20(13): 1565-1566.
15.	陳惠成. 護理人員介入護理專業能力規范化培訓實踐. 海南醫學, 2012, 23(2): 155-156.

1. 姚小荷, 祝勁松, 黃穎江. 股動脈假性動脈瘤 5 例診治體會. 中外醫療, 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. 韓新巍. 介入治療臨床應用與研究進展. 鄭州: 鄭州大學出版社, 2008.
5. Zhou C, Langlois NE, Byard RW. Femoral artery pseudoaneurysm and sudden death . J Forensic Sci, 2012, 57(1): 254-256.
6. 朱華云, 彭勝. 腦血管造影穿刺部位血管并發癥的防治及護理對策. 中外醫學研究, 2010, 8(9): 122-123.
7. 方傳勤, 李敬誠, 楊清武, 等. 腦血管造影及介入治療后假性動脈瘤形成的原因及治療[J]. 重慶醫學, 2008, 37(18): 2035-2037.
8. 唐顯畢, 帥杰. 腦血管造影術后假性動脈瘤形成的原因及對策. 神經疾病與精神衛生, 2011, 11(3): 285-287.
9. 潘平康, 周興偉, 陳亮, 等. 腦血管病介入術后股動脈假性動脈瘤的臨床分析及治療. 卒中與神經疾病, 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. 李繼平, 李李. 醫護一體化優質服務模式探索. 中國護理管理, 2012, 12(12): 5-7.
13. 李莉. 臨床路徑在護理管理中的應用. 中國實用護理雜志, 2012, 28(8): 15-17.
14. 黎恩知, 楊婕, 楊蓉. 腦血管介入治療患者并發股動脈假性動脈瘤的護理. 中華現代護理雜志, 2014, 20(13): 1565-1566.
15. 陳惠成. 護理人員介入護理專業能力規范化培訓實踐. 海南醫學, 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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