Ineffective peripheral tissue perfusion is an essential problem in patients with peripheral artery disease. The condition is caused by the narrowing and obstruction of arteries in the lower extremities, which decrease peripheral blood flow. As a result, patients have experience claudication, delayed healing or non- healed ulcer, ischemic ulcer and/or gangrene. Severe occlusion and critical limb ischemia increase the risk of amputation, which causes significant functional impairment and a reducti
Conditions
Interventions
The evidence-based nursing care program is composed of 6 main parts, including 1) Assessment of sign and symptom of peripheral perfusion
2) Laboratory tests 3) Medical management
4) Providing proper positioning
5) Promoting vasodilation and 6) Promoting activity and mobility. ,The standard care is composed of 6 main parts, including 1) Assessment of sign and symptom of peripheral perfusion
4) Promoting activity and mobility.
Evidence-Based Nursing Care For Promoting Peripheral Tissue Perfusion ,standard care
Sponsors
Faculty of Nursing, Khon Kaen University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Patient diagnosed peripheral artery disease including acute limb ischemia; ALI, Chronic limb ischemia; CLI or Chronic limb threatening ischemia; CLTI. 2. (Medical therapy) or (Revascularization) or both 3. Alert Glasgow coma score > 15 point or 10T, not delirium CAM-ICU Negative , not dementia MMSE Thai 2002 > 22 points 4. speak or reading Thai language 5. Vial sign stable ; Systolic blood pressure >90, < 180 mmHg, Mean arterial pressure; MAP> 65 mmHg without vasopressors or inotrope 6. Written informed consent
Exclusion criteria
Exclusion criteria: 1. There are limitatation for movement such as patient with hemodynamic unstable 2. Patient who have major amputations of lower extremity including above knee amputation or below knee amputation before admit in the ICU 3. Patient who have vasopressors treatment including dopamine, norepinephrine, epinephrine, phenylephrine and vasopressin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Angle brachial index; ABI every 8 hr until 24 hr ABI index | — |
Secondary
| Measure | Time frame |
|---|---|
| sign of 6Ps every 8 hr until 24 hr sign and symptom including 1) Pain; 2) Pallor; 3) Pulselessness; 4) Poikilothermia; cool extremity; 5) Paraesthesia and 6) Paralysis) | — |
Countries
Thailand
Contacts
Public Contactsuphanun Taebtam
Faculty of nursing Khon Kaen University
Outcome results
None listed