The effectiveness of flat angle on patient comfort after removing the sheet after femoral angiography

After performing femoral angiography to prevent the occurrence of vascular complications due to femoral incision, patients should rest in bed for about 24 hours. Restriction of movement after coronary angiography causes some discomfort in patients. It seems that changing patientschr('39') status can affect feeling comfort in them.

The effectiveness of different methods for changing the position patient’s comfort following the removal of the sheet after femoral angiography has been compared.

In this randomized clinical trial study, 72 patients with coronary artery disease under cardiac catheterization who were eligible to include in the study were selected with conscious and targeted consent, then randomly assigned to intervention and allocation control groups. In the intervention group, from the first hour after the intervention, the angle of the bed gradually extended to 45 degrees in the fourth hour. Then, comfort was assessed through a visual analog scale in both groups. Data were analyzed using SPSS 22 through descriptive statistics (indices of central tendency and dispersion) and analytical statistics (Chi-square, independent t-test and analysis of variance of repeated measures). The significance level was considered 0.05.

There was no significant difference between the comfort of the intervention and control groups before the intervention (P= 0.057), but from the second to the sixth hour after the intervention, the comfort of the patients in the intervention group was significantly higher than that in the control scores (P<0/001). Variation analysis of repeated measurements showed that patientschr('39') comfort in the intervention group increased significantly in the second hour until the end of the study (P= 0.04). In the control group, patientschr('39') comfort level was almost constant (P= 0.2) and this trend was not statistically significant.

Patients undergoing different resting methods with a change in bed angle of 15 to 45 degrees in the range of 4 to 6 hours after angiography can be discharged from the hospital faster and feel more comfortable after angiography.