{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:44:03Z","timestamp":1782981843112,"version":"3.54.5"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The National Key Research and Development Program of China","award":["2023YFC3503702"],"award-info":[{"award-number":["2023YFC3503702"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to assess the effectiveness of an integrated, evidence-based nursing protocol combining traditional Chinese and Western medicine for the management of upper limb circulatory complications in patients undergoing transradial access (TRA) coronary intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A non-randomized, sequential (before\u2013after) comparative study was conducted in 346 patients undergoing transradial artery coronary intervention at a tertiary hospital. Patients treated between March and April 2024 received routine perioperative nursing care (control group, n = 195), whereas patients treated between October and November 2024 received an evidence-based integrated nursing protocol combining traditional Chinese medicine and Western nursing approaches (observation group, n = 151). The integrated protocol included a standardized \u201csix-step finger exercise,\u201d digital and early health education, optimized postoperative monitoring, and acupoint massage interventions. Upper limb swelling and pain were assessed 2 hours postoperatively using palm circumference measurements and the Numerical Rating Scale. Outcomes were compared between the two groups using chi-squared tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were comparable between groups. The observation group demonstrated a lower incidence of upper limb swelling (21% reduction), fewer cases of moderate-to-severe swelling (13.9% reduction), and a lower incidence of pain (15.3% reduction) compared with the control group (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The integrated nursing protocol was associated with reductions in postoperative upper limb swelling and pain in patients undergoing TRA coronary intervention, indicating potential value in improving the management of circulatory complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10760296261464810","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:58:18Z","timestamp":1782727098000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of an Integrated Nursing Protocol for the Management of Postoperative Upper Limb Circulatory Complications Following Transradial Coronary Intervention"],"prefix":"10.1177","volume":"32","author":[{"given":"Qiao","family":"Wang","sequence":"first","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyun","family":"Wang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianqian","family":"Guo","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyan","family":"Nan","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Jin","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibo","family":"Liu","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Yang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3952-0125","authenticated-orcid":false,"given":"Hongyue","family":"Ge","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"issue":"3","key":"e_1_3_6_2_2","first-page":"e18","article-title":"2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization","volume":"145","author":"Lawton JS","year":"2022","unstructured":"Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization. Circulation. 2022;145(3):e18-e114.","journal-title":"Circulation"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28016"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.09.006"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.007386"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2024.103070"},{"issue":"17","key":"e_1_3_6_7_2","first-page":"62","article-title":"Application of finger rehabilitation exercises combined with traditional Chinese acupoint massage in patients undergoing transradial coronary intervention","volume":"21","author":"Wu C","year":"2024","unstructured":"Wu C, Pan F, Zhang Q. Application of finger rehabilitation exercises combined with traditional Chinese acupoint massage in patients undergoing transradial coronary intervention. China Med Herald. 2024;21(17):62-65. (in Chinese).","journal-title":"China Med Herald"},{"issue":"2","key":"e_1_3_6_8_2","first-page":"386","article-title":"Effect of duration of hemostatic compression on radial artery occlusion after transradial percutaneous coronary intervention","volume":"32","author":"Rahman A","year":"2023","unstructured":"Rahman A, Uddin MJ, Hussain KS, et al. Effect of duration of hemostatic compression on radial artery occlusion after transradial percutaneous coronary intervention. Mymensingh Med J. 2023;32(2):386-392.","journal-title":"Mymensingh Med J"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCA.0000000000001263"},{"issue":"6","key":"e_1_3_6_10_2","first-page":"856","article-title":"Impact of passive-active finger exercises combined with health education on digital subtraction cerebral angiography","volume":"32","author":"Gao Q","year":"2023","unstructured":"Gao Q, Zhao X, Zhao X, et al. Impact of passive-active finger exercises combined with health education on digital subtraction cerebral angiography. Mod J Integr Tradit Chin West Med. 2023;32(6):856-860. (in Chinese).","journal-title":"Mod J Integr Tradit Chin West Med"},{"issue":"13","key":"e_1_3_6_11_2","first-page":"1572","article-title":"Evidence summary of limb management in transradial coronary intervention","volume":"57","author":"Tan J","year":"2022","unstructured":"Tan J, Ma F, Hu Q, et al. Evidence summary of limb management in transradial coronary intervention. Chin J Nurs. 2022;57(13):1572-1579. (in Chinese).","journal-title":"Chin J Nurs"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.005029"},{"issue":"16","key":"e_1_3_6_13_2","first-page":"18","article-title":"Non-occlusive compression with spiral radial artery compression hemostat after percutaneous coronary intervention","volume":"33","author":"Lu Y","year":"2018","unstructured":"Lu Y, Xiao Y, Yang Z. Non-occlusive compression with spiral radial artery compression hemostat after percutaneous coronary intervention. J Nurs Sci. 2018;33(16):18-20. (in Chinese).","journal-title":"J Nurs Sci"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.12.007"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2023.04.001"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jep.2024.118017"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.16821\/j.cnki.hsjx.2021.15.018"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2023.03.011"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8887499"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/1091174"},{"issue":"10","key":"e_1_3_6_21_2","first-page":"67","article-title":"Clinical observation of external application of dispersive stasis and swelling-reducing ointment for hematoma after radial artery intervention","volume":"23","author":"Qiao X","year":"2021","unstructured":"Qiao X, Jiang J, Zhao J, et al. Clinical observation of external application of dispersive stasis and swelling-reducing ointment for hematoma after radial artery intervention. Mod Med J China. 2021;23(10):67-69. 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