Effect of changing position and early mobilization on back pain and vascular side effects in patients after coronary angiography
Message:
Abstract:
Context

 Angiography is associated with vascular complications such as bleeding and hematoma. To prevent these complications, patients are restricted to bed rest in the supine position after the procedure. This practice has been associated with back pain.

Aims

This research has been carried out to evaluate the effect of changing position and early mobilization on back pain and vascular side effects in patients after coronary angiography. Setting and Design: This study was a randomized controlled clinical trial conducted in 2016 at Taleghani Hospital, Tehran.

Materials and Methods

This study was conducted on 120 patients. Each patient was assigned in groups with simple random allocation to either the control group, which remained the supine position 6 h of bed rest after coronary angiography, or intervention group. The intervention group was changed position hourly, varying between supine, elevated to 30°, and semi position (elevated to 45°) during the first 4 h after coronary angiography. Data collected with demographic questionnaire checklist for complications based on Christnson’s Guideline, McGill Pain Questionnaire, and Numeric Pain Intensity Scale. Statistical Analysis Used: All data obtained were analyzed using descriptive statistics (frequency, mean, and standard deviation) and inferential statistics (Chi-square and Mann–Whitney U test).

Results

The results showed that the mean pain intensity immediately after entering the postangiographic section in the control groups was 0.9 ± 0.34 and in the intervention group was 0.28 ± 1.22. There were significantly less pain intensity and extent back pain in the intervention group than the control group (P < 0.001). Furthermore, the highest severity of back pain in patients undergoing cardiac angiography in the intervention and control group was 2.43 ± 1.32 and 4.88 ± 1.78, respectively (P < 0.001). None of the patients developed bleeding, hematoma, and arterial thrombosis; therefore, there was no significant difference between the two groups.

Conclusion

The recent postcardiac angiography changing position and early mobilization on back pain and vascular side effects in patients without any increase in the vascular side effects may results prevention of back pain and decrease in its extent.

Article Type:
Research/Original Article
Language:
English
Published:
Journal of Nursing and Midwifery Sciences, Volume:7 Issue: 1, 2020
Pages:
1 - 6
magiran.com/p2070633  
برخی از خدمات از جمله دانلود متن مقالات تنها به مشترکان مگیران ارایه می‌گردد. شما می‌توانید به یکی از روش‌های زیر مشترک شوید:
اشتراک شخصی
در سایت عضو شوید و هزینه اشتراک یک‌ساله سایت به مبلغ 300,000ريال را پرداخت کنید. همزمان با برقراری دوره اشتراک بسته دانلود 100 مطلب نیز برای شما فعال خواهد شد!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی همه کاربران به متن مطالب خریداری نمایند!
توجه!
  • دسترسی به متن مقالات این پایگاه در قالب ارایه خدمات کتابخانه دیجیتال و با دریافت حق عضویت صورت می‌گیرد و مگیران بهایی برای هر مقاله تعیین نکرده و وجهی بابت آن دریافت نمی‌کند.
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.