{"title":"三种手部运动对经桡动脉心导管术后肢体功能改善的效果比较","authors":"Xinyue Zhang, Zhipeng Bao, Lan Wei, Zairan Zhang, Yanli Hu, Dandan Xu, Wei Sun, Dongmei Xu","doi":"10.1016/j.ijnss.2023.03.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to compare effects of different hand exercises on improving limb function in patients after transradial cardiac catheterization.</p></div><div><h3>Methods</h3><p>This single-center, randomized clinical trial was conducted from August 20, 2020, to July 20, 2021, at an academic medical center. A total of 102 participants were selected from a Class A tertiary hospital in Nanjing, China and randomized into three groups: finger exercise group (<em>n</em> = 34), acupoint massage group (<em>n</em> = 34), and handgrip exercise group (<em>n</em> = 34). Symptoms of edema and pain were defined as primary outcomes, while skin temperature and degree of bleeding as secondary outcomes, which were monitored and measured 1, 2, and 4 h, after the intervention.</p></div><div><h3>Results</h3><p>Among the 99 participants who completed the process, the palm edema was gradually relieved in the handgrip exercise group at 2 h (<em>H</em> = 6.710, <em>P</em> = 0.035) and 4 h (<em>H</em> = 10.060, <em>P</em> < 0.001) following the intervention. The edema of fingers in the handgrip exercise group was obviously relieved at 2 h (<em>H</em> = 9.353, <em>P</em> < 0.01) and 4 h (<em>H</em> = 10.699, <em>P</em> < 0.001) following the intervention compared with the other two groups. In addition, the pain score at 4 h (<em>H</em> = 7.048, <em>P</em> = 0.029) was clearly decreased in the handgrip exercise group. However, there was no significant difference in the punctured limb’s skin temperature (<em>H</em> = 0.922, <em>P</em> = 0.631) and the degree of bleeding (<em>H</em> = 0.123, <em>P</em> = 0.940) among the three groups.</p></div><div><h3>Conclusions</h3><p>We found that handgrip exercise is more effective in reducing the edema of the limbs than finger exercise and acupoint massage.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/79/main.PMC10148249.pdf","citationCount":"0","resultStr":"{\"title\":\"Comparison of the effects of three kinds of hand exercises on improving limb function in patients after transradial cardiac catheterization\",\"authors\":\"Xinyue Zhang, Zhipeng Bao, Lan Wei, Zairan Zhang, Yanli Hu, Dandan Xu, Wei Sun, Dongmei Xu\",\"doi\":\"10.1016/j.ijnss.2023.03.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>This study aimed to compare effects of different hand exercises on improving limb function in patients after transradial cardiac catheterization.</p></div><div><h3>Methods</h3><p>This single-center, randomized clinical trial was conducted from August 20, 2020, to July 20, 2021, at an academic medical center. A total of 102 participants were selected from a Class A tertiary hospital in Nanjing, China and randomized into three groups: finger exercise group (<em>n</em> = 34), acupoint massage group (<em>n</em> = 34), and handgrip exercise group (<em>n</em> = 34). Symptoms of edema and pain were defined as primary outcomes, while skin temperature and degree of bleeding as secondary outcomes, which were monitored and measured 1, 2, and 4 h, after the intervention.</p></div><div><h3>Results</h3><p>Among the 99 participants who completed the process, the palm edema was gradually relieved in the handgrip exercise group at 2 h (<em>H</em> = 6.710, <em>P</em> = 0.035) and 4 h (<em>H</em> = 10.060, <em>P</em> < 0.001) following the intervention. The edema of fingers in the handgrip exercise group was obviously relieved at 2 h (<em>H</em> = 9.353, <em>P</em> < 0.01) and 4 h (<em>H</em> = 10.699, <em>P</em> < 0.001) following the intervention compared with the other two groups. In addition, the pain score at 4 h (<em>H</em> = 7.048, <em>P</em> = 0.029) was clearly decreased in the handgrip exercise group. However, there was no significant difference in the punctured limb’s skin temperature (<em>H</em> = 0.922, <em>P</em> = 0.631) and the degree of bleeding (<em>H</em> = 0.123, <em>P</em> = 0.940) among the three groups.</p></div><div><h3>Conclusions</h3><p>We found that handgrip exercise is more effective in reducing the edema of the limbs than finger exercise and acupoint massage.</p></div>\",\"PeriodicalId\":37848,\"journal\":{\"name\":\"International Journal of Nursing Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/79/main.PMC10148249.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352013223000339\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352013223000339","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Comparison of the effects of three kinds of hand exercises on improving limb function in patients after transradial cardiac catheterization
Objectives
This study aimed to compare effects of different hand exercises on improving limb function in patients after transradial cardiac catheterization.
Methods
This single-center, randomized clinical trial was conducted from August 20, 2020, to July 20, 2021, at an academic medical center. A total of 102 participants were selected from a Class A tertiary hospital in Nanjing, China and randomized into three groups: finger exercise group (n = 34), acupoint massage group (n = 34), and handgrip exercise group (n = 34). Symptoms of edema and pain were defined as primary outcomes, while skin temperature and degree of bleeding as secondary outcomes, which were monitored and measured 1, 2, and 4 h, after the intervention.
Results
Among the 99 participants who completed the process, the palm edema was gradually relieved in the handgrip exercise group at 2 h (H = 6.710, P = 0.035) and 4 h (H = 10.060, P < 0.001) following the intervention. The edema of fingers in the handgrip exercise group was obviously relieved at 2 h (H = 9.353, P < 0.01) and 4 h (H = 10.699, P < 0.001) following the intervention compared with the other two groups. In addition, the pain score at 4 h (H = 7.048, P = 0.029) was clearly decreased in the handgrip exercise group. However, there was no significant difference in the punctured limb’s skin temperature (H = 0.922, P = 0.631) and the degree of bleeding (H = 0.123, P = 0.940) among the three groups.
Conclusions
We found that handgrip exercise is more effective in reducing the edema of the limbs than finger exercise and acupoint massage.
期刊介绍:
This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.