Changing patients' position in bed after non-emergency coronary angiography reduced back pain

摘要

Conventional care after CATH involving the femoral artory site routinely indudns manual or mechanical site compression,keeping the affected extremity straight,and bed rest for 6-24 hpurs,to prevent bleeding from the insertion site. This care guided largely by physician discretion or hospital standards has not been based on empirical studies.Back disromfort associated with restricted movement and prolonged immobilisation after CATH is a common patient complaint. The optimal Ienght of time for ded rest is unknown, and until recently,little was known about the effect of posirional change on outcomes.However, Chair et al have extended the findings of a previous studt,which found that side lying was as safe as the supine position and more comfortable for patients.This result is also consivent with research that shows that elevating the head of the bed by 15-45 deg after CAlH reduced back pain and promoted wellbeing without an increase in vascular complications. The combined findings of studies of studies on the effect of positional change will enable nurses to increase patient comfort safely.Altering a patient's position by 15-45 deg head elevation and side to side poaitiing will enhance patient comfort,reduce back pain,and enable them to meet self care needs such as eating,drinking. and voiding. However. early ambulation may be the best strategy to offset back discomfort after CATH. Studies have shown that earlier ambulation(2-4 v 5-6 h after CATH) resulted in greater patient satisfaction with care and no differentce in incidence of bleeding complications.