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:: Volume 7, Issue 3 (Military Caring Sciences 2020) ::
MCS 2020, 7(3): 215-224 Back to browse issues page
The Effect of Flat Angle on Patient Comfort after Sheet Removal after Femoral Angiography in Patients Referred to a Selected Military Hospital
Hojjat Niknam Sarabi1 , Zahra Farsi * 2, Seyyed Amir Hosein. Pishgooie3
1- MSc in Military Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- Ph.D. Medical-Surgical Nursing, Associate Professor, Research and Community Health Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.  
3- Ph.D., Nursing, Assistant Professor, Critical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.  
Abstract:   (1907 Views)
Introduction: After performing femoral angiography to prevent the occurrence of vascular complications due to femoral incision, patients should rest in bed for about 24 hours. Restriction of movement after coronary angiography causes some discomfort in patients. It seems that changing patients' status can affect feeling comfort in them.
Objective: The effectiveness of different methods for changing the position patient’s comfort following the removal of the sheet after femoral angiography has been compared.
Materials and Methods: In this randomized clinical trial study, 72 patients with coronary artery disease under cardiac catheterization who were eligible to include in the study were selected with conscious and targeted consent, then randomly assigned to intervention and allocation control groups. In the intervention group, from the first hour after the intervention, the angle of the bed gradually extended to 45 degrees in the fourth hour. Then, comfort was assessed through a visual analog scale in both groups. Data were analyzed using SPSS 22 through descriptive statistics (indices of central tendency and dispersion) and analytical statistics (Chi-square, independent t-test and analysis of variance of repeated measures). The significance level was considered 0.05.
Results: There was no significant difference between the comfort of the intervention and control groups before the intervention (P= 0.057), but from the second to the sixth hour after the intervention, the comfort of the patients in the intervention group was significantly higher than that in the control scores (P<0/001). Variation analysis of repeated measurements showed that patients' comfort in the intervention group increased significantly in the second hour until the end of the study (P= 0.04). In the control group, patients' comfort level was almost constant (P= 0.2) and this trend was not statistically significant.
Discussion and Conclusion: Patients undergoing different resting methods with a change in bed angle of 15 to 45 degrees in the range of 4 to 6 hours after angiography can be discharged from the hospital faster and feel more comfortable after angiography.

IRCT NO.: IRCT20200410047011N1
 
Keywords: Coronary Angiography, Status Change, Patient Comfort.
Full-Text [PDF 643 kb]   (782 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/06/10 | Accepted: 2020/07/5 | Published: 2020/12/30
References
1. Moran A, Gu D, Zhao D, Coxson P, Wang YC, Chen CS, et al. Future cardiovascular disease in china: markov model and risk factor scenario projections from the coronary heart disease policy model-china. Circ Cardiovasc Qual Outcomes. 2010; 3(3): 243-52. [DOI] [PubMed]
2. Koohi F, Salehiniya H, Mohammadian H. Trends in mortality from cardiovascular disease in Iran from 2006-2010. J Sabzevar Univ Med Sci. 2015; 22(4): 630-8.
3. Cassar A, Holmes DR, Jr., Rihal CS, Gersh BJ. Chronic coronary artery disease: diagnosis and management. Mayo Clin Proc. 2009; 84(12): 1130-46. [DOI] [PubMed]
4. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian med. 2019; 22(4): 204-10.
5. Shams-Beyranvand M, Farzadfar F, Naderimagham S, Tirani M, Maracy MR. Estimation of burden of ischemic heart diseases in Isfahan, Iran, 2014: using incompleteness and misclassification adjustment models. J Diabetes Metab Disord. 2017; 16:12. DOI: 10.1186/s40200-017-0294-6 PMID: 28331842
6. Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation. 2011; 123(8): 933-44. [DOI] [PubMed]
7. Hansen BS, Soreide E, Warland AM, Nilsen OB. Risk factors of post-operative urinary retention in hospitalised patients. Acta Anaesthesiol Scand. 2011;55(5):545-8. [DOI] [PubMed]
8. Mohammady M, Heidari K, Akbari Sari A, Zolfaghari M, Janani L. Early ambulation after diagnostic transfemoral catheterisation: a systematic review and meta-analysis. Int J Nurs Stud. 2014; 51(1): 39-50. [DOI] [PubMed]
9. Yeganekhah M, T Tehrani D, Ziyuayinejad M. Comparing different ways of position on vascular complications after coronary angiography: a randomized clinical trial. Qom Univ Med Sci J. 2012; 6(3): 71-7.
10. Rezaei A, Ahmadi F, Fatehi A, Mohammadi I, Jafarabadi M. Effects of positioning on patient's back pain and comfort after coronary angiography. J Shahrekord Uuniv Med Sci. 2007;9(2):76-84
11. Pinto S, Caldeira S, Martins JC, Rodgers B. Evolutionary Analysis of the Concept of Comfort. Holist Nurs Pract. 2017; 31(4): 243-52. [DOI] [PubMed]
12. Pinto S, Fumincelli L, Mazzo A, Caldeira S, Martins JC. Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts. Porto Biomed J. 2017; 2(1): 6-12. [DOI] [PubMed]
13. Fifaie M, Kojaie-Bidgoli A, Rajabi Moghadam H, Pourabbasi M, Sehat M. The effect of changing position on back pain after cardiac catheterization. Iranian J Cardiovasc Nurs. 2017; 6(2): 56-64.
14. Archbold RA, Robinson NM, Schilling RJ. Radial artery access for coronary angiography and percutaneous coronary intervention. BMJ. 2004; 329(7463): 443-6. [DOI] [PubMed]
15. Abdollahi AA, Mehranfard S, Behnampour N, Kordnejad AM. Effect of Positioning and Early Ambulation on Coronary Angiography Complications: a Randomized Clinical Trial. J Caring Sci. 2015; 4(2): 125-34. [DOI] [PubMed]
16. Neishabory M, Ashktorab T. Effects of change positioning on vascular complications and comfort in patients undergoing heart catheterization. Koomesh. 2007;9(25):53-8.
17. Pool J, Dercher M, Hanson B, Heiman L, Li Y, Schraeder K, et al. The Effect of Head of Bed Elevation on Patient Comfort After Angiography. J Cardiovasc Nurs. 2015; 30(6): 491-6. [DOI] [PubMed]
18. Von Baeyer CL, Spagrud LJ. Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain. 2007; 127(1-2): 140-50. [DOI] [PubMed]
19. Narayan MC. Culture's effects on pain assessment and management. Am J Nurs. 2010; 110(4): 38-47; Quiz 8-9. DOI: [DOI] [PubMed]
20. Gracely RH, Kwilosz DM. The Descriptor Differential Scale: applying psychophysical principles to clinical pain assessment. Pain. 1988; 35(3): 279-88. [DOI]
21. Fadaei F, Zahedi L, Farahani Z, Ghasemzadeh N. Review of the two version of declaration of Helsinki (2013 and 2008): challenges and changes. J Med Ethics & History Med. 2016; 9(3): 75-92.
22. Puri KS, Suresh KR, Gogtay NJ, Thatte UM. Declaration of Helsinki, 2008: implications for stakeholders in research. J Postgrad Med. 2009; 55(2): 131-4. [DOI] [PubMed]
23. Naseri Salahshour V, Sabzali Gol M, Basaampour S, Varaei S, Sajadi M, Mehran A. The Effect of Body Position and Early Ambulation on Comfort, Bleeding, and Ecchymosis After Diagnostic Cardiac Catheterization. J Client-centered Nurs Care. 2017; 3(1): 19-26. [DOI]
24. Chair SY, Thompson DR, Li SK. The effect of ambulation after cardiac catheterization on patient outcomes. J Clin Nurs. 2007; 16(1): 212-4. [DOI] [PubMed]
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Research code: 97001013
Ethics code: IR.AJAUMS.REC.1399.011
Clinical trials code: IRCT20200410047011N1



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Niknam Sarabi H, Farsi Z, Pishgooie S A H. The Effect of Flat Angle on Patient Comfort after Sheet Removal after Femoral Angiography in Patients Referred to a Selected Military Hospital. MCS 2020; 7 (3) :215-224
URL: http://mcs.ajaums.ac.ir/article-1-389-en.html


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Volume 7, Issue 3 (Military Caring Sciences 2020) Back to browse issues page
علوم مراقبتی نظامی Military Caring Sciences
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