Effect of Changing Angle of Bed on Pain Severity and Vascular Complications among Cardiac Catheterization Patients

Document Type : Original Article

Authors

1 Critical Care and Emergency Nursing , Mansoura University

2 lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University,Egypt

3 Professor of Cardiovascular Medicine, Faculty of Medicine, Mansoura University, Egypt

4 faculty of nursing Mansoura university

Abstract

Background: Cardiac catheterization is a serious medical condition that needs to be managed by qualified
health care experts with standardized procedures. Patients following cardiac catheterization are limited in bed to prevent
vascular complications. For some patients, complete bed rest for six hours without mobilization can cause back pain.
Changing the angle of the bed to several degrees reduces the severity of pain without raising the risk of vascular
complications in those patients. Aim: This study aimed to evaluate the effect of changing angle of bed on pain severity
and vascular complications among cardiac catheterization patients. Method: This study was carried out using a quasiexperimental
research design at Mansoura University's Specialized Medical Hospital's Coronary Care Units
and post cardiac catheterization unit. A sample of 82patients was randomly assigned to the intervention group (n = 41)
and the control group (n = 41).Two tools were used to collect data; pain severity assessment tool and vascular
complications monitoring scales tool. Results: Highly statistically significant differences were found in the participants’
pain scores throughout the 4 th , 5 th , and 6 th hours of sheath removal (p=0.001, 0.000, &0.000 respectively).
Conclusion: Changing angle of bed to different degrees was related to a reduction of back pain without any increase of
vascular complications. Recommendations: Involving angle of bed changes in post cardiac catheterization care.
Additionally, Future research studies are required to augment the evidence related to post cardiac catheterization care.

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