Hours During and After Coronary Intervention and Angiography

Abstract

The purpose of this study was to describe patients' experience during and after coronary angiography and percutaneous coronary intervention. Data were collected by interviews with 14 patients. A qualitative content analysis approach was used. Four main categories were identified that describe patients' experience of the hours during and following intervention: emotional thoughts, bodily sensations, nursing intervention of importance, and personal strategies. All patients made a comment on staff conduct and pointed out that even minor nursing actions may be of great importance. Patients were most positive toward the transradial approach. Even though the approach via arteria radialis will increase, many patients will still have their procedure done via arteria femoralis. In spite of all research and technical developments, the patients' experience from intervention via arteria femoralis is pretty much the same as it was 1997.

Coronariografia via transradial: curva de aprendizagem, avaliada por estudo multicêntrico

“…Indivíduos que se submeteram a procedimentos invasivos coronarianos pelas vias clássica ou radial expressam nítida preferência pela última abordagem 5 . Ademais, a possibilidade da realização de intervenção coronariana percutânea ambulatorial pode reduzir os custos e a extensão do período de hospitalização [14][15][16] .…”

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

“…They proposed the principle of muscle disuse as a factor leading to back pain. 24 In a qualitative study of coronary angiography patients by Lundén et al, 5 back pain emerged as a common theme. Numerous randomized controlled trials conducted between 1994 and 2014 have consistently indicated significant differences in back pain between control groups who were immobilized and patients who were allowed changes in position (including HOB elevation) and/or earlier ambulation.…”

“…Chair et al 24 Lundén et al 5 Coyne et al 10 Rein et al 7 Chair et al 11 Yilmaz et al 12 May et al deemed the project exempt because of the data collection methods. All of the research assistants obtained a certificate for completion of the National Institutes of Health web-based training course "Protecting Human Research Participants."…”

“…5 Urinary discomfort and retention are frequent complaints when patients are restricted to a recumbent position. 3 At worst, supine positioning at less than 30˚ head elevation in some high-risk patients can lead to aspiration and impaired oxygenation, especially with the use of sedation.…”

“…8 Perhaps most common among patients' complaints, generalized back pain has been reported as a problem during the period of immobilization after removal of a femoral artery sheath. 3,5,6 Pain management is a contributor to patients' satisfaction with hospitalization, and patients' satisfaction levels are driving many initiatives in the current competitive hospital environment. For these reasons, the restrictions on patients' movement and positioning after angiography have been challenged in recent years.…”