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ISSN 2063-5346
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ASSESS THE EFFECTIVENESS OF ICE PACK ON VASCULAR ACCESS SITE COMPLICATIONS AMONG PATIENTS UNDERGOING CORONARY ANGIOGRAM AT SRM GENERAL HOSPITAL, KATTANKULATHUR, CHENGALPATTU DISTRICT

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Mr.Karthik. J, Mrs. Dhivya.N., Dr. C. Kanniammal, Dr. G. Kothai
» doi: 10.31838/ecb/2023.12.s2.297

Abstract

Background: Coronary heart disease is otherwise known as atherosclerosis, which causes disturbance in the flow of blood towards the myocardial muscle. A method of diagnostic management for coronary heart disease is cardiac catheterization. Cardiac catheterization is further classified into percutaneous coronary intervention and cardiac angiography. The common vascular complications in cardiac catheterization after artery puncture are pseudo aneurysm (0.7%), AV fistula (1%), bleeding (1.5%), hematoma (15.5%). The most concerned Nursing priority after cardiac catheterization is decreasing vascular complications and especially formation of hematoma as it is the common insertion site complication. A true experimental approach with post-test only design was adopted. Patients were randomly assigned into two equal groups, 35 patients in study group and 35 patients in control group were allotted through lottery method. The patients under study group were given ice application with ice gel rolled with single sterile gauze and kept over the radial artery access site during sheath removal and manual pressure was applied using thick tightly rolled gauze pieces over the ice pack for 15 minutes. Then a tight dressing was applied to cover the vascular access site. In control group, manual pressure was applied using thick tightly rolled gauze pieces over radial artery puncture site for 15 minutes. Then a tight dressing was applied over the puncture site. After 24 hours the tight dressing is removed and the vascular access site is inspected, palpated and assessed by self-structured assessment checklist for the presence of pain, hematoma and ecchymosis for study and control group participants. The raw data were organized, tabulated and analyzed using descriptive and inferential statistics. Results: The study revealed that the mean value of 3 with SD of 0.81 with regard to vascular access site complications in the study group and the mean value of 5.75 with SD of 2.5 with regard to vascular access site complications in the control group participants projects ‘t’ value of 0.040 P < 0.05. So, it is statistically significant at 5 % level. So we concluded that the ice pack application is more effective to reduce vascular access site complications among study group participants.

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