Effect of changing position and early mobilization on back pain and vascular side effects in patients after coronary angiography

Neishabouri, Masoumeh; Haghighi, Neda; Gilvari, Tahereh; Haghighat, Sahar

doi:10.4103/jnms.jnms_22_18

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…Patients that were positioned with the head of bed significantly inclined and were supported into a semi-seated position reported less pain in the groin, leg, and back. Similar to previous researches, this study provides additional evidence that changing the position of patients after angiography reduced the severity of pain [18,21,23,33]. This study additionally provided evidence that inclining the bed to 45° and supporting the patient into a semi-seated position was both safe and helpful in decreasing pain and improving physiological functioning.…”

Section: Discussionsupporting

confidence: 86%

“…The current study demonstrated safety in changing the patient's position to a semi-sitting position with angles of 15°-45° for up to 6 h after TFA as no patients experienced significant hematoma, hemorrhage, or urinary retention before or after the TFA. Other studies have reported similar results in terms of hematoma incidence [23,34,35], hemorrhage [34,35], and urinary retention [2,18,21]. There were no bleeding complications because high-risk patients were not included in this study due to their risk of developing hematoma or hemorrhage.…”

Section: Discussionsupporting

confidence: 55%

“…Patients in the CG received the standard care provided at the study institution following TFA which included positioning in supine for 6 h after the TFA and the affected leg was straight and immobilized. Patients were asked not to move their legs during this time and a sandbag weighing about 4 kg [21,32] was placed on the catheter dressing for 6 h to prevent vascular complications. Patients were required to remain supine with only small movements.…”

Section: Interventionmentioning

confidence: 99%

“…To reduce complications from TFA, strategies such as therapeutic positioning of the patient, increase the head of bed elevation [19], early ambulation [18,19], and use of a weight applied to the catheter insertion site [19,20] are recommended, but the effectiveness of these methods are controversial. Changing the patient's position, increasing the head of bed elevation, and early mobilization after the angiography can reduce back pain [18,21], groin pain, urinary retention [18], and overall increase patient comfort [21,22] without an increase in the vascular complications such as hematoma, hemorrhage, thrombosis, or bruising [23] and decrease the healthcare providers' workload, reduce the duration of hospitalization and also enable the patients to meet their needs such as eating, drinking, and voiding [22]. However, there is varying information in the literature on the effect of adjusting the bed angle.…”

mentioning

confidence: 99%

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Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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Background Prolonged immobilization after transfemoral coronary angiography (TFA) may cause pain and vascular complications in patients. This study aimed to evaluate the effectiveness of a change in position to decrease pain and vascular complications for patients after TFA. Methods This randomized clinical trial was conducted in 2020. Purposive sampling of 72 eligible patients undergoing TFA were selected and randomly assigned to either an experimental or control group. Patients in the experimental group (EG) were placed in a supine position for 2 h after angiography, followed by a semi-seated position with the bed angle gradually increased to 45° over 4 h. Patients in the control group (CG) remained in the supine position for 6 h. Vital signs, groin, back and leg pain, hematoma, hemorrhage, and urinary retention were assessed in both groups before, immediately after, and over 6 h after angiography. The Visual Analogue Scale was used to measure pain, the Christensen scale to measure hematoma, counting bloody gases to measure hemorrhage, and patient self-rating to determine urinary retention. Results There was no significant difference between EG and CG on score of groin (2.69 ± 1.00 vs. 2.61 ± 1.00, P = 0.74), back (2.19 ± 0.98 vs. 2.47 ± 0.87, P = 0.21), and leg pain (2.14 ± 0.71 vs. 2.50 ± 1.08, P = 0.27) before the TFA. However, from the second hour to the sixth hour after the TFA, the pain in the EG was significantly less than the CG (P < 0.001). So that pain in the groin (1.36 ± 0.48 vs. 3.28 ± 0.81), back (1.25 ± 0.50 vs. 3.81 ± 1.06), and leg (1.44 ± 0.55 vs. 3.28 ± 0.81) for the EG patients was significantly less than the CG in the sixth hour after TFA (P < 0.001). No patients experienced hematoma. No differences were noted between groups in hemorrhage and urinary retention. Conclusions Position change to a semi-seated position in patients after TFA is effective and safe for reduction of pain without increasing vascular complications. Trial registration Iranian Registry of Clinical Trials: IRCT registration number: IRCT20200410047011N1, Registration date: 30/04/2020

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 55%

Section: Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Sarabi

Farsi

Butler

et al. 2021

BMC Cardiovasc Disord

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show abstract

“…Further lack of recognition of pain can result in lower quality of life, negatively impact function, impair sleep, and increase the psychological symptoms associated with dementia including depression, agitation, aggression, and resistiveness to care (Erdal et al, 2017; Flo et al, 2017). If pain is not identified there may be missed opportunities to utilize behavioral approaches such as positioning and physical activity or pharmacologic approaches (Gumus et al, 2020; Neishabouri et al, 2020).…”

mentioning

confidence: 99%

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

2021

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The purpose of this study was to describe differences in pain, behavioral symptoms, quality of staff-resident interactions, participation in function focused care and physical activity among residents with and without cognitive impairment in assisted living. This was a secondary data analysis using baseline data from an ongoing trial testing Function Focused Care for Assisted Living using the Evidence Integration Triangle (FFC-AL-EIT). A total of 550 residents were recruited from 59 communities. The average age of participants was 89.30 ( SD = 7.63), the majority were white (98%), female (69%), had evidence of cognitive impairment (75%), and 5.16 ( SD = 1.86) comorbidities. Those with cognitive impairment had more pain, were more sedentary and less likely to engage in function focused care activities. Addressing pain and implementing interventions for those with cognitive impairment to participate in function focused care may help optimize function and physical activity in assisted living residents.

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Ethical leadership, psychological empowerment and caring behavior from the nurses’ perspective

Dehghani-Tafti

Barkhordari-Sharifabad

Nasiriani

et al. 2021

Clinical Ethics

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Background Care is the basis of the nursing profession and nurse’s caring behavior is one of the important factors in patient satisfaction. On the other hand, psychological empowerment can improve the provision of care services, and leaders have a significant impact on the behavior of followers. This study determined the correlation between ethical leadership, psychological empowerment, and caring behavior from nurses’ perspective. Methods This cross-sectional descriptive study was conducted in 2019. A total of 200 nurses were selected by stratified random sampling. Data were collected with ethical leadership, caring behavior and psychological empowerment questionnaires and analyzed with descriptive statistics (mean and standard deviation, frequency distribution) and inferential statistics (Pearson correlation coefficient, regression, and t-test) using SPSS20. Results The findings showed a significant correlation between ethical leadership, psychological empowerment (P < 0.001, r = 0.24) and caring behavior of nurses (P < 0.001, r = 0.25). Also, there was a significant correlation between psychological empowerment and nurses’ caring behavior (P = 0.002, r = 0.21). The regression analysis showed that ethical leadership and psychological empowerment are a predictor of caring behavior of nurses. Conclusion Applying an ethical leadership style by nursing managers can lead to nurses’ improved psychological empowerment and caring behaviors and ultimately, patient care quality. Thus, considering guidelines at the team and organizational levels and programs such as providing workshops and periodic counseling to cultivate ethical nurse leadership can lead to better caring behavior.

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Effect of changing position and early mobilization on back pain and vascular side effects in patients after coronary angiography

Cited by 6 publications

References 10 publications

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

Ethical leadership, psychological empowerment and caring behavior from the nurses’ perspective

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