EFFECTIVENESS OF IMPLEMENTING NURSING PRACTICE ON IMMEDIATE POSTOPERATIVE OUTCOMES AMONG ACUTE LOWER LIMB ISCHEMIA PATIENTS
Main Article Content
Keywords
Acute lower limb ischemia, nursing practice, immediate postoperative outcomes.
Abstract
Background: Acute lower limb ischemia (ALLI) is a vascular emergency requiring rapid multidisciplinary management, where nurses play a central role in improving patient outcomes through structured and evidence-based nursing care. Aim: To examine the effectiveness of structured nursing practices in reducing immediate postoperative complications among patients undergoing revascularization for ALLI. Methods: A quasi-experimental study was conducted on 60 patients admitted to the Vascular ICU at Assiut University Hospital. Patients were assigned into control and intervention groups. The control group received routine care, while the intervention group received enhanced nursing care based on structured postoperative practices, focusing on hemodynamic monitoring, limb care, infection prevention, and patient education. Outcomes assessed included wound healing, capillary refill, pain level, edema, sensory recovery, and mortality rate. Results: The intervention group showed statistically significant improvements in early postoperative outcomes, with lower rates of complications including edema, wound infection, sensory impairment, and mortality. Conclusion: Structured and proactive nursing practices significantly improve postoperative outcomes in patients with ALLI. The findings reinforce the importance of nurse-led interventions in critical vascular care.
Downloads
References
1. Stanek, A., Tătaru, D., Homorodean, C., & Olinic, M. (2023). Acute Limb Ischemia: An Update on Diagnosis and Management. Journal of Clinical Medicine, 12(4), 315. 2. Abd ElKareem Moghazy, N., Ahmed Mohammed, A., & Desoky Saleh Sakr, M. (2021). Effect of Evidence-Based Measures Protocol on Nurses' Performance Regarding Prevention of Surgical Site Infection. Egyptian Journal of Health Care, 12(2), 242–254. 3. Amandeep J., et al(2023). Predictors of poor outcomes after lower extremity revascularization for acute limb ischemia https://orcid.org/0000-0002-0568-9148, Melissa Garuthara, […], and Yana Etkin https://orcid.org/0000-0002-0165-9435 yetkin@northwell.edu+3View all authors and affiliations, Volume 32, Issue 3.https://081132mz3-1105-y-https-doi-org.mplbci.ekb.eg/10.1177/17085381231154290 4. Beck, A. W., et al. (2023). A Consensus Statement by the Enhanced Recovery after Surgery (ERAS) Society and the Society for Vascular Surgery on Perioperative Care for Patients Undergoing Infrainguinal Bypass Surgery for Peripheral Artery Disease. Journal of Vascular Surgery, 77(5), 1102-1114. https://doi.org/10.1016/j.jvs.2023.01.018 5. Brown, R., Smith, K., & Lin, T. (2023). Impact of sensory-focused nursing interventions on postoperative pain and recovery. Journal of Clinical Pain Management, 29(2), 301-309. 6. Cheng, Y., Huang, J., & Liu, X. (2023). The role of anxiety management in postoperative recovery: A systematic review. International Journal of Surgery, 50, 71-78. 7. Fogarty, T. J., & Conte, M. S. (2023). Acute limb ischemia: Pathophysiology and treatment. Circulation Research, 133(2), 112-125. https://doi.org/10.1161/CIRCRESAHA.123.320001 8. Ghaffari, A., Fathollahi, M. S., & Naghavi, M. (2022). Nursing Care for Patients with Acute Limb Ischemia: A Review. International Journal of Nursing Studies, 128, 103848. doi:10.1016/j.ijnurstu.2022.103848. 9. Hernandez, P., Jackson, L., & Patel, T. (2023). The impact of structured wound management protocols on postoperative healing. International Journal of Wound Care, 41(2), 145-152. 10. Janse, J. A., de Leeuw, P. W., & Scholte op Reimer, W. J. (2021). Optimizing perioperative care through protocolized nursing interventions for acute limb ischemia. Journal of Vascular Nursing, 39(1), 12-20. https://doi.org/10.1016/j.jvn.2021.02.002 11. Larson, J., & Smith, G. (2021). Role of Nursing Interventions in Enhancing Postoperative Peripheral Circulation. Vascular Health and Risk Management, 17, 15-24. doi:10.2147/vhrm 12. Matsushita, K., Ding, N., Sang, Y., et al. (2023). "Impact of Age and Sex on the Risk of Peripheral Artery Disease: Insights from a Large Cohort Study." Journal of the American College of Cardiology, 81(12), 345-358. DOI:10.1016/j.jacc.2023.07.005. p 13. Mitchell, M., Gillespie, B. M., & Wilson, A. (2020). Implementation of best practice guidelines for surgical wound management in perioperative nursing practice: A pre–post study. International Journal of Nursing Practice, 26(1), e12791. https://doi.org/10.1111/ijn.12791 14. Parikh, R. P., Coca, S. G., Pencina, M. J., et al. (2020). Contemporary trends in hospital admissions and outcomes in patients with critical limb ischemia. Circulation: Cardiovascular Quality and Outcomes, 13(8), e007539. https://doi.org/10.1161/CIRCOUTCOMES.120.007539 15. Smith, M., et al. (2020). "The role of nursing interventions in reducing postoperative pain." Pain Management Nursing, 21(2), 89-95 16. Smith, A., Johnson, M., & Lin, D. (2023). The impact of postoperative nursing interventions on early edema management in vascular surgery patients. Journal of Vascular Surgery, 68(3), 456-462. 17. Thomas S., et al (2024). One-year limb salvage and quality of life following mechanical aspiration thrombectomy in patients with acute lower extremity ischemia, Presented at the Vascular Annual Meeting, Chicago, Ill, June 19-22, 2024. 18. Thompson, J., Harris, R., & Stevens, M. (2023). Impact of structured nursing protocols on postoperative complications: A comprehensive review. Journal of Patient Safety, 19(3), 245-252.
Article Sidebar
Article Details
Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.