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A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography


Affiliations
1 B & B Medical Institute, Gwarko, Lalitpur, Nepal
2 NINE, PGIMER, Chandigarh, India
3 Department of Cardiology, PGIMER, India
4 All India Institute of Medical Sciences (AIIMS), New Delhi, India
     

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Background and Aim : Femoral route is a common approach for doing coronary angiography, but bed rest is recommended due to risk of vascular complications. The aim of present study was to assess effect of position change followed by early ambulation after coronary angiography via femoral approach on comfort, fatigue and vascular complications of the patients. Subjects and Methods: A randomized controlled trial was conducted on 80 patients (40 each in control and experimental group) undergoing coronary angiography in a tertiary care institute in India. Patients in control group were placed in supine position and ambulated after 6 hours. Experimental group were kept in supine position for 2 hours after angiography, followed by right lateral position (1 hour), supine position (1 hour) and ambulated after 4 hours. Kolcaba’s Outcome was assessed using General Comfort Questionnaire, Numerical pain rating scale and Fatigue Visual Numeric Scale at 2, 4, 6 and 24 hours after angiography. Incidence of vascular complications was documented at 24th hours. Results: At 4th and 6th hours after angiography, fatigue experienced by experimental group was significantly lower than control group. At 6th and 24th hour, experimental group had significantly lesser back pain and better comfort. There was no significant difference in the incidence of vascular complications between the control and experimental groups. Conclusion: Position change followed by early ambulation after coronary angiography via femoral approach is safe and effective as it decreases back pain, fatigue and improve comfort without increasing vascular complications.

Keywords

Bed Rest, Cardiac Catheterization, Coronary Angiography, Early Ambulation, Position Change, Cardiac Nursing.
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  • A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography

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Authors

Parisha Rai
B & B Medical Institute, Gwarko, Lalitpur, Nepal
Manju Dhandapani
NINE, PGIMER, Chandigarh, India
Shiv Bagga
Department of Cardiology, PGIMER, India
L. Gopichandran
All India Institute of Medical Sciences (AIIMS), New Delhi, India
Yash Paul Sharma
Department of Cardiology, PGIMER, India

Abstract


Background and Aim : Femoral route is a common approach for doing coronary angiography, but bed rest is recommended due to risk of vascular complications. The aim of present study was to assess effect of position change followed by early ambulation after coronary angiography via femoral approach on comfort, fatigue and vascular complications of the patients. Subjects and Methods: A randomized controlled trial was conducted on 80 patients (40 each in control and experimental group) undergoing coronary angiography in a tertiary care institute in India. Patients in control group were placed in supine position and ambulated after 6 hours. Experimental group were kept in supine position for 2 hours after angiography, followed by right lateral position (1 hour), supine position (1 hour) and ambulated after 4 hours. Kolcaba’s Outcome was assessed using General Comfort Questionnaire, Numerical pain rating scale and Fatigue Visual Numeric Scale at 2, 4, 6 and 24 hours after angiography. Incidence of vascular complications was documented at 24th hours. Results: At 4th and 6th hours after angiography, fatigue experienced by experimental group was significantly lower than control group. At 6th and 24th hour, experimental group had significantly lesser back pain and better comfort. There was no significant difference in the incidence of vascular complications between the control and experimental groups. Conclusion: Position change followed by early ambulation after coronary angiography via femoral approach is safe and effective as it decreases back pain, fatigue and improve comfort without increasing vascular complications.

Keywords


Bed Rest, Cardiac Catheterization, Coronary Angiography, Early Ambulation, Position Change, Cardiac Nursing.

References