Effect of positioning on back pain after coronary angiography

Taylor-Piliae, Ruth E.; Chan, Sophia Siu Chee

doi:10.1046/j.1365-2648.2003.02646.x

Cited by 66 publications

(89 citation statements)

References 25 publications

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“…간호중재법으로는 침상안정 시간의 단축 (Fowlow, Price, & 체위변경 Fung, 1995), (Chair, Tayler-Piliae, Lam, & Chan, 2003;Kang et al, 2010;Kim et al, 2009;Lee, 2000;Lee-시간 per, 2004;Nam & Choi, 2010, Park & Sohng, 2005, 단축과 체위변경의 병용 (Jung et al, 2001;Mayer & Hendrickx, 1997;Pollard et al, 2003;Pooler-Lunse, Barkman, 그리고 상체와 허리를 이용한 운동요법 & Bock, 1996), (Hahn, 2002;Ko, Chae, & Lee, 2008;Nam & Kim, 2013 (Ko et al, 2008;Nam & Kim, 2013;Yun, 2008 본 연구에서는 관상동맥조영술 환자를 대상으로 체위변경 의 간호중재법을 적용한 선행연구 (Chair et. al., 2003;Kang et.…”

Section: 자들은 장시간 고정된 자세로 절대안정을 취하게 됨에 따라 심한 요통과 배뇨곤란 압박 드레싱 부위의 조이는 느unclassified

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

Yun

Min

2014

Korean J Adult Nurs

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Purpose: This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). Methods: The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. Results: There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

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Section: 자들은 장시간 고정된 자세로 절대안정을 취하게 됨에 따라 심한 요통과 배뇨곤란 압박 드레싱 부위의 조이는 느unclassified

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

Yun

Min

2014

Korean J Adult Nurs

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“…반면, 불편감에 영향을 미치는 요인을 파악한 연구로 는 심도자 검사 환자의 불편감을 질적 연구로 확인하여 신체적, 심리적, 환경적 요인으로 분류하였으며 (Lee, 1995), 관상동맥 중재술 후 절대안정시간과 불편감, 출혈합병증 등과의 관계연 구 (Kee, 2001;Keeling, Fisher, Haugh, Powers, & Turner, 2000;Yilmaz, Gurgun, & Dramali, 2007;Zalc et al, 2006)가 이루어졌다. 국외의 경우도 PCI 후 혈종이나 부작용 감 소를 위한 중재법을 개발하기 위한 연구가 대부분 (Chair, Taylor-Piliae, Lam, & Chan, 2003;Chlan, Sabo, & Savik, 2005;Pollard et al, 2003;Rossi et al, 2007) (Jeong & Choi, 2003;Kim, Chung, & Suh, 2008;Lee, 1995 연구 결과 Table 3. Factors Predicting Discomfort after Coronary Angiography …”

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Factors Predicting Patient Discomfort after Coronary Angiography

Park¹,

Choi

2009

J Korean Acad Nurs

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Purpose:The purpose of this study was to identify the factors that predict discomfort after coronary angiography or percutaneous coronary intervention (PCI) among hospitalized patients. Methods: A total of 203 patients who underwent coronary angiography or PCI were recruited from C hospital located in S city, J province, from June through August 2008. The level of discomfort was measured and standardized by two instruments, discomfort questionnaire and the Visual Analogue Scale (VAS). Results: Stepwise multiple regression showed that the factors predicting the level of discomfort were type of angiography, gender, previous angiography, dysuria, pre-information, and sleep satisfaction, which together explained 30.6% of the total variance of the level of discomfort. Conclusion: Patients who had previous experience with these procedures, received a pre-information about the upcoming procedure, had no dysuria, and had slept well after the procedure were less likely to complain discomfort. Pre-informed education should be given by nurses to patients who will have an angiography or PCI to reduce their physical and emotional discomforts.

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“…9 Appendix 1 provides a summary of protocols used in studies related to bed rest and HOB elevation in postangiography patients. A specific rationale is not provided in these studies as to why certain HOB elevations or position changes were chosen, but most cite the early works of Coyne et al, 10 who studied HOB elevation of 15º to 60º and/or Chair et al, 11 who studied lateral repositioning after angiography.…”

Section: Postangiography Protocols On Bed Rest and Hob Elevationmentioning

confidence: 99%

Comparison of Head Elevation Protocols Following Femoral Artery Sheath Removal After Coronary Angiography

Olson

2016

Critical Care Nurse

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OBJECTIVES To compare 2 standard protocols for head elevation following removal of a femoral artery sheath after coronary angiography and their effects on bleeding complications and reported levels of back pain. One protocol involved flat supine bed rest; the other allowed progressive head elevation. METHODS A prospective comparative study of 80 adult patients undergoing coronary angiography via the femoral approach. The Numeric Rating Scale was used as the measure of reported pain. RESULTS No bleeding complications occurred in either group. Both groups had very low mean pain scores. Repeated-measures analysis demonstrated that the experience of pain differed significantly over time by location (F 5,70 = 3.864, P = .004), with a notable decrease in pain scores more than 1 hour after sheath removal at the location that used the progressive head elevation protocol. Patients' satisfaction scores after discharge did not differ significantly between the 2 groups. Patients with a history of chronic back pain had consistently higher pain scores, but those pain scores did not differ significantly by location (or protocol). CONCLUSIONS It appears that using a progressive head-elevation protocol within the first 3 hours after diagnostic angiography is not associated with an increased risk of bleeding complications at the access site and warrants further exploration in the mitigation of back pain associated with prolonged supine bed rest. (Critical Care Nurse. 2016;36[3]:20-35)

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Effect of positioning on back pain after coronary angiography

Cited by 66 publications

References 25 publications

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

Factors Predicting Patient Discomfort after Coronary Angiography

Comparison of Head Elevation Protocols Following Femoral Artery Sheath Removal After Coronary Angiography

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