Position Change and Back Massage Versus Early Ambulation on Post Transfemoral Coronary Angiography Complications

Alexandria University

Status: Completed

Conditions: Back Pain; Oozing; Ambulation Difficulty; Catheter Complications; Hematoma; Bleeding

Treatments: Other: Early ambulation; Other: Position change and back massage

Study type: Interventional

Funder types: Other

Identifiers

NCT05446987

Transfemoral Complication

Details and patient eligibility

About

The study aimed to assess the effect of position change and back massage versus early ambulation on post transfemoral coronary angiography complications.

Full description

Post transfemoral coronary angiography (TFCA) may be associated with complications such as oozing, bleeding, ecchymosis, hematoma, and back pain. As a result, nursing practice must be geared toward enhancing patient safety post-transfemoral coronary angiography procedure. This study aimed to assess the effect of position change and back massage versus early ambulation on post transfemoral coronary angiography complications. A quasi-experimental research design was used to conduct this study at the Coronary Care Unit of the selected university hospital in Egypt. A convenience sample of 185 patients undergoing transfemoral coronary angiography was included in the study during the first 6 hours post-transfemoral coronary angiography and randomly assigned to two groups: 92 patients received position change and back massage (PCBM group), and 93 patients underwent early ambulation after the first 3 hours post-transfemoral coronary angiography (EA group). The used tool was "Post Transfemoral Coronary Angiography Complication Assessment".

Enrollment: 185 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Mean arterial blood pressure ≥70 mmHg.
• Heart rate ≥ 60 b/m.
• Manual compression closure technique on the access site
• Partial thromboplastin time < 90 seconds.
• Prothrombin time <16 seconds).
• No anticoagulant therapy within 24 hours before the cardiac catheterization procedure.

Exclusion criteria

• Patients who had a history of previous coronary stents.
• chronic pain,
• chronic obstructive pulmonary disease.
• Renal failure,
• Hypercoagulable conditions such as protein C.
• Cardiopulmonary resuscitation during angiography.
• Femoral artery ruptures during angiography.
• Chest pain with new electrocardiograph change.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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185 participants in 2 patient groups

Position change and back massage group

Experimental group

Description:

The patients received changing of position every two hours as follows in the same order: supine position with a head angle of 15°, semi-fowler position with a head angle of 30°, lateral right or left position with a head angle of 15°. Also, the patients received a simple stroke of lower back massage for 5 minutes every 2 hours

Treatment:

Other: Position change and back massage

Early ambulation

Experimental group

Description:

The patient are allowed to ambulate after 3 hours of complete bed rest in the supine position with a zero head of bed elevation angle.

Treatment:

Other: Early ambulation