Elsevier

Journal of Vascular Nursing

Volume 34, Issue 3, September 2016, Pages 106-115
Journal of Vascular Nursing

Article
Evaluation of feasibility and safety of changing body position after transfemoral angiography: A randomized clinical trial

https://doi.org/10.1016/j.jvn.2016.05.001Get rights and content

Highlights

  • Changing patients' position after transfemoral coronary angiography decrease the incidence of back and groin pain and urinary retention.

  • Vascular complications do not increase by changing patient's position during bed rest after transfemoral coronary angiography.

  • Position change after transfemoral angiography by cardiology nurses increase patient's comfort.

Background

Considering the growing number of patients who suffer from cardiovascular and coronary artery disease and the significant importance of angiography in the diagnosis of coronary artery disease, this study investigated the effects of position change on the acute complications of coronary angiography.

Methods

This study was a randomized clinical trial. Sixty patients undergoing coronary angiography, which was performed by a single operator were selected by convenience sampling method and were assigned to intervention or control groups by randomized block design (30 cases in each group). Intervention group patients' position was changed according to schedule, whereas patients in the control group remained in the supine position in complete bed rest. At the entrance hours, 3, 6, 8, and 24 hours after the angiography, patients in both groups were evaluated in terms of vascular complications, urinary retention, low back pain, groin pain, and comfort. Data were analyzed by repeated measures, Friedman, Mann–Whitney, chi-square, independent t-test, and Kolmogorov–Smirnov tests with SPSS-22.

Results

The two groups did not show any significant difference in terms of demographic, clinical, and preinterventional catheterization characteristics (P > 0.05). There was no significant difference with regard to vascular complications including hematoma (P = 0.149), bleeding (P > 0.01), bruise (P = 0.081), and thrombosis in the two groups of patients during 5 consecutive reviews. However, there was a significant statistical difference regarding low back pain (P < 0.001), groin pain (P < 0.001), urinary retention (P = 0.02), and comfort (P < 0.001).

Conclusions

The results of this study showed that changing the positions of patients after angiography based on the provided program created no change in the incidence of vascular complications (hematoma, bleeding, thrombosis, and bruise) but resulted in reduced severity of back pain, groin pain, urinary retention, and increased patients' comfort.

Section snippets

Method

The study is a single-blind randomized clinical trial in two groups which was approved by the Kurdistan University of Medical Sciences research Council. The study's proposal is registered at (www.irct.com) by the registration number IRCT2015091424018N1.

Results

Eighty-one patients were assessed for inclusion criteria. Some patients were excluded from the study for the following reasons including; three patients because of a history of chronic low back pain, four patients because of an unwillingness to participate in the study, two patients because of the history of anticoagulant, and three patients due to taking opium. Thirty-three patients were assigned to each group. During the study, in the intervention group, two patients were excluded from the

Discussion

The findings of this study showed that changes in body position after angiography did not create a change in the incidence of vascular complications including hematoma, bleeding, thrombosis, and bruising compared to the control group, whereas urinary retention was reduced. In addition, changing body position reduced back pain, groin pain, and finally improved the comfort of the patient.

Other studies finding agree with the results of this study and a significant difference in the incidence of

Conclusions

The results of this study showed that changing position after angiography based on the method provided, without change in the incidence of vascular complications (hematoma, bleeding, thrombosis, and bruise) reduced the severity of back pain, groin pain, urinary retention, and improved patients' comfort. By changing position in bed after coronary angiography, nurses can increase patients' comfort. New nurses tend to be cautious and the more seasoned nurses adhere to routine. Therefore, it is

Acknowledgments

Hereby, the authors want to appreciate the Deputy of Research at Nursing and Midwifery faculty of Kurdistan University of Medical Sciences, angiography and cardiac ward's staff at Tohid Hospitals affiliated with Kurdistan University of Medical Sciences and all those patients who have helped us in this study. This study entitled the Comparative Study of the Effects of Sand Bag Keeping Time and Changing Body Position on Acute Complications of Coronary Angiography in Referring Patients to the

References (32)

Cited by (11)

  • Local and intracraneal complications derived from cerebral arteriography

    2023, Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica
  • Effects of a back-care bundle for reducing back pain among patients undergoing transfemoral artery coronary angiography: A randomized controlled trial

    2023, Applied Nursing Research
    Citation Excerpt :

    The findings of our subgroup analysis demonstrated that interventions based on bleeding risk probably reduced back pain in participants at each bleeding risk level. Compared to previous studies (Abdollahi et al., 2015; Bakhshi et al., 2014; Cha & Sok, 2016; Chair, 2015; Chair et al., 2012;Niknam Sarabi et al., 2021; Valiee et al., 2016), our interventions required less time to immobilise patients with low or moderate bleeding risks on the bed. For our secondary outcomes, we did not find haemorrhage or subcutaneous thrombosis among participants in either group, which is similar to the findings of previous studies (Cha & Sok, 2016; Niknam Sarabi et al., 2021).

  • Effects and safety of body positioning on back pain after transcatheter arterial chemoembolization in people with hepatocellular carcinoma: A randomized controlled study

    2020, International Journal of Nursing Studies
    Citation Excerpt :

    Despite back pain being the most common discomfort experienced after transcatheter arterial chemoembolization, effective and safe interventions to improve such back pain are lacking. Positioning patients without bending their punctured limbs after femoral artery cardiac catheterization examinations and treatment has been shown to be an effective and safe method of alleviating back pain (Abdollahi et al., 2015; Bakhshi et al., 2014; Chair et al., 2003; Farmanbar et al., 2012; Valiee et al., 2016). Populations with hepatocellular carcinoma have an increased bleeding tendency because of thrombocytopenia or coagulopathy (Li et al., 2018).

  • The effect of the application of cold on hematoma, ecchymosis, and pain at the catheter site in patients undergoing percutaneous coronary intervention

    2019, International Journal of Nursing Sciences
    Citation Excerpt :

    In this study, it was seen that the application of cold after PCI decreased the incidence of pain in the femoral artery region. In other studies, pain associated with coronary angiography developed mostly on the back during catheter withdrawal and at rest [2,14,32,52,53]. In addition, the patients reported that the use of a sandbag and staying in bed for a long time was disturbing and painful [35].

View all citing articles on Scopus

Funding: This work was supported by the Research Council of Kurdistan University of Medical Sciences (grant number 1035/31229/14).

View full text