ArticleEvaluation of feasibility and safety of changing body position after transfemoral angiography: A randomized clinical trial
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)
- et al.
Early mobilization after femoral approach diagnostic coronary angiography to reduce back pain
J Radiol Nurs
(2015) - et al.
Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial
Lancet
(2011) - et al.
Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis
Am Heart J
(2012) - et al.
TCT-429 Radial versus Femoral Approach for Coronary Angiography and Intervention in Patients with CABG: Systematic Review and Meta-analysis
J Am Coll Cardiol
(2015) - et al.
Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis
J Am Coll Cardiol
(2004) - et al.
Ultrasonic assessment of vascular complications in coronary angiography and angioplasty after transradial approach
Am J Cardiol
(1999) - et al.
Femoral artery complications after cardiac catheterization: a study of patient profile
Ann Vasc Surg
(2010) - et al.
Meta-analysis of clinical outcomes of patients who underwent percutaneous coronary interventions for chronic total occlusions
Am J Cardiol
(2015) - et al.
The effect of changing position and early ambulation after cardiac catheterization on patients’ outcomes: a single-blind randomized controlled trial
Int J Nurs Stud
(2009) - et al.
Early sheath removal and ambulation in patients submitted to percutaneous coronary intervention: a randomised clinical trial
Int J Nurs Stud
(2010)
A clinical trial of the effect of sexual health education on the quality of life of married Muslim women in Iran
Women Birth
Development of clinical practice guidelines for the nursing care of people undergoing percutaneous coronary interventions: An Australian & New Zealand collaboration
Aust Crit Care
The measurement of clinical pain intensity: a comparison of six methods
Pain
Validity, reliability, and clinical importance of change in a 0—10 numeric rating scale measure of spasticity: a post hoc analysis of a randomized, double-blind, placebo-controlled trial
Clin Ther
The Text Book Medical Surgical Nursing
Geographical Epidemiology of Death Due to Cardiovascular Diseases in Isfahan Povince, Iran
J Isfahan Med Sch
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Funding: This work was supported by the Research Council of Kurdistan University of Medical Sciences (grant number 1035/31229/14).