Application of the clinical pathway based on the evidence-based intervention strategy to the perioperative management of transfemoral puncture in patients with interventional angiography
TANG Liqiong
QIAN Beilin
SHI Kai
Abstract：Objective To explore the application of a clinical pathway based on evidence-based intervention strategy to the perioperative management of transfemoral puncture in patients with interventional angiography.Methods A total of 120 patients with cerebrovascular disease for interventional angiography from January 2024 to May 2024 were included in the study.They were randomly divided into the observation group and control group by random number table method,with 60 cases per group.Patients in both groups were treated with perioperative routine nursing,and those in the observation group were additionally treated with clinical pathway nursing mode based on evidence-based intervention strategy.The Modified Rankin Scale(mRS),the Function Independent Measure(FIM),the Hamilton Depression Rating Scale(HAMD),the Hamilton Anxiety Rating Scale(HAMA),nursing satisfaction,and complications were compared.Results The mRS score on admission was comparable between groups(t=0.504,P＞0.05),but significantly higher in the observation group than the control group at discharge(t=2.221,P＜0.05).The FIM score on admission was comparable between groups(t=0.103,P＞0.05),but significantly higher in the observation group than the control group at discharge(t=8.169,P＜0.05).The HAMD score on admission was comparable between groups(t=0.123,P＞0.05),but significantly lower in the observation group than the control group at discharge(t=22.625,P＜0.05).The HAMA score on admission was comparable between groups(t=0.312,P＞0.05),but significantly lower in the observation group than the control group at discharge(t=18.519,P＜0.05).The overall satisfaction rate was significantly lower in the control group than the observation group(85.00％vs 98.33％,x2=6.982,P＜0.05).In the control group,there were 2 cases of urinary retention,1 case of low back pain,and 5 cases of subcutaneous hematoma.In the observation group,there was one case of subcutaneous hematoma.The total incidence of adverse events was significantly lower in the observation group than the control group(13.33％vs 1.67％,x2=5.886,P＜0.05).Conclusion In the perioperative management of patients undergoing femoral artery puncture with interventional angiography,the clinical nursing pathway based on evidence-based nursing strategy can improve the function,quality of life,and satisfaction,effectively relieve the psychological pressure,and significantly reduce the incidence of complications.Its effect is significantly better than that of traditional nursing mode.
Keywords：evidence-based intervention strategiesclinical pathinterventional angiographytransfemoral artery punctureperioperative management
Publication Date：2025-12-26
Online Publishing Date：2026-01-15(First online date of this platform, not the publication date of the document)
Pages：4( 2045-2048 )