Effect of a Program to Promote Early Ambulation on Back Pain and Urinary Discomfort Among Patients with Acute Myocardial Infarction After Percutaneous Coronary Intervention via the Femoral Artery
Keywords:
Acute myocardial infarction, Percutaneous coronary intervention, Early ambulation, Back pain, Urinary discomfortAbstract
Patients with acute myocardial infarction who have undergone coronary artery intervention via the femoral artery often experience back pain and urinary discomfort, impacting their physical, mental, and socioeconomic well-being. This randomized controlled trial aimed to study the effects of a program to promote early ambulation on back pain and urinary discomfort among patients with acute myocardial infarction after percutaneous coronary intervention via the femoral artery. The participants comprised 46 patients with acute myocardial infarction, randomly assigned to an experimental and a control group with 23 patients in each group. The experi- mental group received the early ambulation program, while the control group received standard nursing care. Research instruments included programs to promote early ambulation, personal information records, and a bleeding risk assessment form. The assessments of back pain and urinary discomfort had a Content Validity Index (CVI) of 0.98 and 1.00, respectively, with reliability scores of 0.94 and 0.87, respectively. Data were analyzed using chi-square, Fisher’s exact test, independent t-test, and repeated measures ANOVA.
The results showed that the experimental group had significantly lower mean scores for back pain and urinary discomfort compared to the control group (p < .001). The incidence of bleeding and subcutaneous hematoma at the catheter removal site did not differ between the two groups (RR = 0; 95% CI, 0.00–0.00).
This finding demonstrates that this program can be applied to promote early ambulation to reduce back pain and urinary discomfort in patients with acute myocardial infarction following coronary artery expansion via the femoral artery.
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