Document Detail


Minimizing short-term complications in patients who have undergone cardiac invasive procedure: a randomized controlled trial involving position change and sandbag.
MedLine Citation:
PMID:  18065335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The study aimed to evaluate the effects of putting a sandbag on femoral access site after cardiac invasive procedure and changing patients' position in bed on vascular complications rate and the severity of back pain related to the duration of bed rest after procedure. METHODS: This randomized controlled study included 169 patients divided into five different groups assigned randomly. Group 1 patients were applied 4.5 kg sandbag for 30 minutes and Group 2 patients were applied 2.3 kg sandbag for 2 hours on femoral access site after procedure. Group 1 and 2 patients' body positions were changed every hour beginning from the second hour. Group 3 patients received application of 4.5 kg sandbag for 30 minutes and Group 4 patients were applied 2.3 kg sandbag for 2 hours on femoral access site after procedure and these patients' body positions were not changed after catheterization. Group 5 patients remained in supine position without changing position and had no application of a sandbag. RESULTS: The incidence of vascular complications was not significantly different in the group with application of sandbag when compared with the group without application of sandbag. Back pain was reported more often in the patients whose positions were not changed and whose heads of beds were not raised (p<0.05). CONCLUSION: Sandbag was not effective in decreasing the incidence of the vascular complications after procedure. To increase the comfort and to decrease the back pain of the patient, the patient's position should be changed and the head of the bed should be raised about 30 or 45 degrees.
Authors:
Emel Yilmaz; Cemil Gürgün; Alev Dramali
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology     Volume:  7     ISSN:  1308-0032     ISO Abbreviation:  Anadolu Kardiyol Derg     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-10     Completed Date:  2008-01-10     Revised Date:  2008-03-07    
Medline Journal Info:
Nlm Unique ID:  101095069     Medline TA:  Anadolu Kardiyol Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  390-6     Citation Subset:  IM    
Affiliation:
School of Nursing, Celal Bayar University, Manisa, Turkey. emlylmz@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Back Pain / etiology*
Bed Rest*
Coronary Angiography / adverse effects*,  nursing
Female
Femoral Artery
Heart Catheterization / adverse effects*,  nursing
Humans
Male
Middle Aged
Postoperative Care / methods
Postoperative Complications
Posture*
Pressure*
Treatment Outcome
Comments/Corrections
Comment In:
Anadolu Kardiyol Derg. 2008 Feb;8(1):81; author reply 81   [PMID:  18258546 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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