In Taiwan, through the changing of diet and lifestyle of people, the rates of population who suffer heart disease are increasing. Cardiac catheterization technology is getting mature gradually; therefore, cardiac catheterization therapy has also become the mainstream treatment for patients who suffer coronary heart disease. Is the most common cardiac catheterization to check for coronary artery disease. A common complications of the femoral artery bleeding, hematomas, swelling and bruising. The Femoral artery complications after cardiac catheterization range from simple events to severe complications requiring invasive techniques or surgery with significant economic costs. Therefore, we explore the impact of post-cardiac catheterization different ways of hemostasis on complications by evidence-based nursing research research to enhance the quality of clinical care.The purpose of this study was to explor the effect of post-catheterization hemostasis on femoral arterial complications.
Methods:
Five steps of EBN were applied for the evidence research. We set PICO and used database to search reference. According to CASP (Critical appraisal skills program) for the literature review.
Results:
In the result of our research indicated that The method of femoral artery hemostasis has manual compression,suture, clip ,plug and mechanical
devices,Although compression is relatively safe and easy to perform, achieving hemostasis by compression can be painful and can take up to
a mean of 20 minutes, especially if a large catheter or anticoagulants were used.The various methods of femoral artery hemostasis have numerous advantages and disadvantages. A reduction in time to hemostasis and ambulation is an
important advantage of using any hemostasis with compression. Other advantages include a reduction in work load for cardiac catheterization staff, an increase in patients’ comfort, a decrease in patients’ length of stay, and the subsequent cost savings. No one device is considered superior to another. A variety of variables must be considered for safe and effective closure of the femoral artery such as patient and procedural factors the physician’s ability in deploying the device and understand how femoral artery closure devices work of nurse.
Conclusion:
In Taiwan, the commonly femoral hemostasis methods was hemostatic pressurizers, sandbags, but will cause pain in the compression site and a long time to pressurize. Few patients will choose to charge pressure device (ex. Hemostasis cotton) .Therefore, we will used EBP (Evidence-Based practice ) to development an new design device that could adjust the pressure to make the patient comfortable, set the standard of operation, provide medical staff to use to enhance patient care safety.