Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
Perkütan Koroner Girişim İçin Kullanılan Vasküler Giriş Yoluna İlişkin Teknik Özellikler, Lokal Vasküler Komplikasyonlar ve Hasta Deneyimleri
Technical Features, Local Vascular Complications and Patient Experiences Regarding of Vascular Entry Path Used for Percutaneous Coronary Intervention
Hacer ERTEN YAMANa, Berna GÜRSESb
aDoğum, Kadın Sağlığı ve Hastalıkları Hemşireliği Bölümü, Maltepe Üniversitesi Hemşirelik Yüksekokulu,
bKalp ve Damar Cerrahisi AD, Marmara Üniversitesi İstanbul Pendik Eğitim ve Araştırma Hastanesi, İstanbul, TÜRKİYE
Turkiye Klinikleri J Cardiovasc Sci. 2019;31(1):41-51
doi: 10.5336/cardiosci.2018-62008
Article Language: TR
Full Text
ÖZET
 Amaç: Sunulan tanımlayıcı ve kesitsel çalışma perkütan koroner girişimde (PKG) kullanılan vasküler yol, işleme ait teknik özellikler, lokal vasküler komplikasyonlar ve hasta deneyimleri açısından değerlendirmektir. Gereç ve Yöntemler: Araştırmanın evrenini 30 Ocak 2017-30 Mart 2017 tarihleri arasında tedavi amacıyla PKG uygulanan tüm hastalar oluşturdu. Evrenin tamamına ulaşılması hedeflendi. Belirlenen tarihler arasında tedavi amaçlı perkütan koroner girişim yapılan, iletişim engeli olmayan ve çalışmaya katılmayı kabul eden 112 hastaya ulaşıldı. Veri araçları olarak; işleme ait teknik bilgileri içeren bir form, katılımcıların genel tanımlayıcı özelliklerini ve işleme ait deneyimlerini belirlemek üzere araştırmacılar tarafından literatür bilgisi ve klinik deneyime dayanarak oluşturulan 34 sorudan oluşan bir veri formu ve Durumluk-Sürekli Kaygı Envanteri (Form TX-I) kullanıldı. Bulgular: İşlem süresi, kullanılan radyasyon ve opak madde dozu ile girişim bölgesi arasında istatistiksel açıdan anlamlı bir fark saptanmadı. Radiyal arterden işlem yapılan hastalarda "sheath" çekimi sonrası uygulanan basınç süresi ve işlem sonrası toplam yatağa bağlı kalma süresinin anlamlı şekilde kısa olduğu saptandı. İşlem sonrası lokal vasküler komplikasyon gelişme durumu ile girişim bölgesi arasında istatistiksel açıdan anlamlı bir ilişki bulunmadı. Toplam 112 katılımcının durumluk anksiyete ölçek puanı ortalaması 35,43±123,80 olarak orta düzeyde belirlendi. Girişim bölgesi ile durumluk anksiyete puanları arasında anlamlı ilişki saptanmadı. Femoral arterden girişim yapılanlarda ağrı ve işlem sonrasında; yatakta hareketsiz kalmanın, boşaltım ihtiyacı sırasında sorun yaşamanın, idrar hissi olduğu hâlde yapamamanın ve uyku probleminin anlamlı şekilde daha fazla olduğu bulundu. TR girişim yapılan hastaların, verilen bakım ile kendilerini daha rahat ve konforlu hissettiklerini ifade ettikleri ve TF gruptakiler arasındaki farkın istatistiksel olarak ileri düzeyde anlamlı olduğu saptandı (Fisher's Exact test). Sonuç: PKG'de kullanılacak vasküler yolun konu ile ilgili kanıtlara dayanarak belirlenmesi ve güncel yaklaşımların uygulamaya geçirilmesi, klinik çıktıları ve hasta deneyimini olumlu yönde etkileyecektir.

Anahtar Kelimeler: Perkütan koroner girişim; vasküler girişim yolu; teknik özellikler; lokal vasküler komplikasyonlar; hasta deneyimi
ABSTRACT
 Objective: The presented descriptive and cross-sectional study was planned to evaluate the vascular pathway used in percutaneous coronary intervention (PCI), the technical characteristics of the procedure, local vascular complications, and patient experience. Material and Methods: The study universe consisted of all patients WHO underwent PCI for treatment between 30 January 2017-30 March 2017. It was aimed to reach the whole universe. A total of 112 patients who had no communication disability and accepted to participate in the study were reached. As data tools; a form containing technical information on the process, a data form consisting of 34 questions to determine the general descriptive characteristics and experience of the participants, and State-Trait Anxiety Inventory (Form TX-I) were used. Results: There was no significant difference between the vascular access path with compare the duration of the procedure, the radiation used and the amount of contrast dose. The duration of pressure applied after sheath removal in patients treated with radial access and the duration of total bed rest duration after procedure were found to be significantly shorter. There wasn't significant difference in terms of local vascular complications. The mean anxiety score totally of the 112 participants was found to be 35.43±123.80. Comparison to the cases administered radial artery interventions, cases that were administered femoral artery intervention were found to have significantly more complaints about pain, staying in bed , elimination and sleep problems. It was found that the patients expressed who performed TR access that they felt more comfortable compared to the TF access group and the difference was statistically significant. Conclusion: Determining the vascular access way to be used in PCI based on the evidence and implementing current approaches will positively affect patient experience and clinical outcomes.

Keywords: Percutaneous coronary intervention; vascular approach; technical features; local vascular complications; patient experience
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5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com