Effect of Position Change on Pain, Comfort and Vascular Complications After Coronary Angiography

Kutahya Health Sciences University

Status: Completed

Conditions: Angiopathy, Peripheral; Pain

Treatments: Other: The bed levels of the patients in the experimental group changed the patient's position

Study type: Interventional

Funder types: Other

Identifiers

NCT06853847

KutahyaHSU-NECİBE-DAĞCAN-0005

Details and patient eligibility

About

Today, complementary and alternative treatments are frequently used to maintain health and well-being, reduce symptoms of diseases, and provide relaxation. Nurses contribute to the healing process by using pharmacological and nonpharmacological methods. Pharmacological methods cause nausea, vomiting, respiratory depression, gastrointestinal and urinary system complications in individuals. Therefore, nonpharmacological methods without side effects are gaining importance. Nonpharmacological methods are easy and simple nursing interventions that do not have side effects, are cost-effective, can be easily taught to the patient, reduce pain and anxiety. They can also be used in addition to pharmacological methods and are preferred in patients who do not take medication or are unwilling to take medication. Providing a safe position without vascular complications and back pain after the procedure is very important for both the patient and the nurse who cares for the patient. Existing studies on post-intervention position changes have reported low incidences of bleeding and back pain, resulting in higher levels of patient comfort and satisfaction. These studies evaluated different angles of elevating the head of the bed and recommended further studies to evaluate the possibility of shifting patients to other positions after transfemoral cardiac interventions.

Full description

Therefore, the aim of this study was to investigate the effect of position change after coronary angiography on pain, comfort and vascular complications.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Over 18 years of age

  • Agree to participate in the study
  • Not undergoing emergency coronary angiography
  • Not consuming coffee or hypnotic drugs at least 12 hours ago
  • No history of chronic pain (e.g. arthritis)
  • Not addicted to alcohol or drugs
  • No psychological problems (such as depression, anxiety disorder)
  • Not using anxiolytics

Exclusion criteria

• • Not willing to participate in the study

  • Developing delirium during the follow-up period
  • Developing complications after coronary angiography (such as bleeding etc.)
  • Arrhythmia
  • Hemodynamic instability
  • Hereditary bleeding disorders
  • Platelet count less than 100,000/mm3
  • Abnormal coagulation parameters (high INR and/or aPTT)
  • History of percutaneous coronary intervention (PCI)
  • Multiple or bilateral punctures in the femoral artery
  • Presence of hematoma on arrival after the procedure
  • Radial access
  • Bleeding at the access site or at the access dressing site
  • Body mass index (BMI) ≥ 35 kg/m2
  • Back pain before treatment
  • Patients with spinal cord disease
  • Patients with vertebral disc disease

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

60 participants in 2 patient groups

back position group

Experimental group

Description:

The bed levels of the patients in the experimental group changed the patient's position every 2 hours immediately after catheter removal and sandbag placement in the following order: supine position with a 15° head angle, semi-Fowler position with a 30° head angle, and lateral right or left position with a 15° head angle.

Treatment:

Other: The bed levels of the patients in the experimental group changed the patient's position

Control group

No Intervention group

Description:

No intervention