The Effect of Time of Complete Bed Rest and Keep the Sand Bag on the Intensity of Back Pain after Coronary Angiography

Abstract:
Introduction
Coronary angiography is a common procedure in diagnostic and treatment of cardiac heart disease. After angiography, the patient remains on bed rest for at least a further 6-24 hours in order to reduce the complications at the groin site. Due to this enforced supine position bed rest and immobilization, patients frequently experienced low back pain. The present study aimed to determine the effect of bed rest time and sandbag on the intensity of low back pain after transfemoral coronary angiography.
Methods
In this clinical trial, 228 patients were selected using a simple sampling; they were divided randomly into 3 groups. The patients in the control group for 4 hours with and 6 hours after the removal of sand bag (totaling 10 hours) had complete bed rest. The patients in intervention group 1 for 6 hours with and 2 hours after the removal of sand bag (totaling 8 hours) and in intervention group 2 for 4 hours with and 3 hours after the removal of sand bag (totaling 7 hours) had complete bed rest. In these 3 groups, the intensity of low back pain was measured by pain numerical scale at zero, 2, 4, 6, 8, 10 and the day after angiography.
Results
None of the patients in the control and experimental groups developed vascular complications and hemodynamic disturbance. Finding of the present study revealed that a significant statistical difference was existed in relation to low back pain for the patients in intervention group 2 (p
Conclusion
Based on the finding of this study, early ambulation can be safe for patients undergoing transfemoral coronary angiography without any instance of vascular complications and hemodynamic disturbance.
Language:
Persian
Published:
Journal of Shaeed Sdoughi University of Medical Sciences Yazd, Volume:24 Issue: 4, 2016
Pages:
296 to 303
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