Implementation of Femovenart Mechanical Compression (Femopress) in Femoral Sheath Removal for Post-Cardiac Catheterization Patients
DOI:
https://doi.org/10.37287/ijghr.v8i1.647Keywords:
action research, cardiac catheterization, femopress, femoral sheath removal, nursing innovation, patient safetyAbstract
Manual femoral sheath removal following percutaneous coronary intervention (PCI) remains a major challenge in interventional cardiac nursing practice. Variations in manual pressure, prolonged compression duration, and nurse fatigue can lead to inconsistent hemostasis and potential peripheral complications. To address these issues, an innovative mechanical compression device Femovenart Mechanical Compression (Femopress) was developed as a locally engineered nursing tool designed to provide consistent, ergonomic, and safe compression after cardiac catheterization. This action research study was conducted at the Cathlab Unit of Dr. Loekmono Hadi General Hospital, Kudus, Central Java, from May to June 2025. The study involved four Cathlab nurses as collaborative practitioners and twenty post-PCI patients with femoral access. Data were collected through direct observation, peripheral safety assessment using six indicators (pulse, skin color, oxygen saturation, hematoma, paresthesia, and pain), and focus group discussions (FGDs). Triangulation was performed with three experts: an academic supervisor, an interventional cardiologist, and a senior Cathlab nurse. Quantitative data were analyzed descriptively, while qualitative data were processed using thematic content analysis. Prior to the innovation, manual compression required 15–20 minutes and often caused nurse fatigue and inconsistent hemostasis. Implementation of Femopress reduced compression time to 13–18 minutes, maintained optimal hemostasis, and improved peripheral safety. Based on the Abukays Peripheral Safety Scale, 90% of patients achieved “safe” scores (9–12), with no secondary bleeding or hematoma. Six FGD themes emerged: (1) manual practice limitations, (2) unavailability of special tools, (3) inadequacy of facilities, (4) need for dedicated compression devices, (5) positive evaluation of Femopress, and (6) expectations for future development. The Femopress innovation effectively improves procedural efficiency, reduces nurse workload, and enhances patient comfort and safety in femoral sheath removal after PCI. This device demonstrates strong potential as a standard nursing technology for Cathlab practice and a model of nursing-led innovation in cardiovascular care.
References
Ahn, J. Y., & Kim, S. H. (2018). Comparison of mechanical and manual compression in femoral access site management after cardiac catheterization. Korean Circulation Journal, 48(3), 211–219.
Al-Khatib, A., & El Hussein, M. (2021). Nursing innovation and patient safety: A framework for clinical improvement. Journal of Nursing Scholarship, 53(4), 512–520.
Alraies, M. C., & Grines, C. L. (2017). Femoral access site management after coronary intervention. Cardiac Interventions Today, 11(6), 32–38.
Astuti, D., & Widyastuti, R. (2020). Application of mechanical compression device innovation in vascular nursing care. Indonesian Journal of Nursing and Health, 8(2), 95–103.
Dewi, P. R., & Hartati, R. S. (2021). Evaluation of femoral sheath removal procedures in post-cardiac catheterization patients. Scientific Journal of Medical-Surgical Nursing, 9(1), 44–52.
Fathoni, M., & Sitorus, R. (2022). Simple technology-based care innovation in clinical nursing practice. Indonesian Journal of Nursing and Midwifery, 10(2), 87–96.
Hwang, Y., & Park, J. (2020). The effect of compression methods on bleeding and patient comfort after PCI. European Journal of Cardiovascular Nursing, 19(7), 612–620.
Irawan, D., & Julianto, B. (2023). Analysis of nursing innovation needs in cardiovascular interventions in the Cathlab unit. Indonesian Nursing Journal, 26(1), 33–42.
Kim, S. H., Park, J. H., & Lee, K. H. (2018). Efficacy of mechanical compression devices versus manual compression after PCI. Korean Circulation Journal, 48(5), 412–420.
Kolcaba, K. (2015). Comfort theory and practice: A vision for holistic health care and research. Springer Publishing Company.
Lee, J. M., Kang, H. J., & Park, J. S. (2019). Nurse fatigue and manual compression in post-PCI sheath removal: A cross-sectional study. Clinical Nursing Research, 28(6), 731–739.
Lin, Y. C., & Chen, M. C. (2021). Nursing innovation in cardiovascular care: From concept to clinical practice. International Journal of Nursing Sciences, 8(4), 327–336.
Mulyono, A., & Fery, A. (2021). Vascular care innovation in the Cathlab unit: A review of interventional nursing practice. Indonesian Nursing Journal, 24(2), 115–124.
Park, S. Y., & Choi, J. H. (2020). Comparison between manual and mechanical compression for hemostasis after coronary intervention. International Journal of Cardiovascular Nursing, 35(2), 98–106.
Prasetyo, H., & Sari, N. (2020). Ergonomic analysis of vascular nursing procedures in the Cathlab unit. Muhammadiyah Journal of Medical-Surgical Nursing, 5(3), 155–163.
Roy, C. (2009). The Roy Adaptation Model (3rd ed.). Pearson Education.
Sitorus, R., & Nasution, A. (2022). Development of nursing-based medical device innovation for patient safety. Indonesian Journal of Nursing and Midwifery, 10(1), 40–48.
Susanti, D., & Julianto, B. (2023). Implementation of mechanical compression devices in post-cardiac catheterization patients: A preliminary study. Scientific Journal of Medical-Surgical Nursing, 11(3), 205–213.
World Health Organization. (2022). Cardiovascular interventions and nursing safety practices: Global report. Geneva: WHO Press.
Zhang, L., & Zhou, Q. (2024). Advances in vascular access management and nursing innovation in interventional cardiology. Frontiers in Cardiovascular Medicine, 11(2), 122–131.
Andriani, L., & Putra, R. (2020). The effect of compression techniques on hematoma incidence after cardiac catheterization. Indonesian Journal of Medical-Surgical Nursing, 8(2), 102–110.
Hasanah, U., & Dewi, R. (2021). Ergonomic analysis of manual nursing procedures and musculoskeletal risk. Soedirman Nursing Journal, 16(1), 59–67.
Nugroho, Y., & Kartini, D. (2023). Simple technological innovation to improve work efficiency of Cathlab nurses. Journal of Clinical and Community Nursing Science, 12(2), 133–140.
Rahmawati, S., & Purwanti, A. (2019). Improving patient comfort through the use of compression aids after cardiovascular procedures. Muhammadiyah Nursing Journal, 4(3), 145–152.
Yuliana, N., & Wahyuni, R. (2024). The role of nursing innovation in improving patient safety in invasive cardiovascular procedures. Journal of Nursing Practice and Education, 8(1), 27–35.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
