Effects of the changing position set for patients underwent transfemoral coronary angiography on back pain, bleeding, and hematoma: A randomized controlled trial
Keywords:
back pain, bleeding, hematoma, coronary angiographyAbstract
This randomized controlled trial aimed to investigate the effects of using a changing position set for patients after transfemoral coronary angiography on back pain, bleeding, and subcutaneous hematoma formation. The study was conducted on patients undergoing femoral artery catheterization at Khon Kaen Hospital. Participants were randomly assigned to either the experimental or the control group, with 15 patients in each group. The experimental group employed a changing position set to facilitate position changes, while the control group used a usual care. Research instruments included a demographic form and coronary angiography information form, a visual analog scale for pain assessment, and a bleeding and hematoma record form. Data analysis involved repeated measures ANOVA and independent t-tests to compare mean back pain scores, and Chi-square tests and relative risk to compare the incidence of bleeding and hematoma.
The results showed that the mean back pain scores in the experimental group differed significantly over time (p < 0.01). Similarly, there was a significant change in the control group's mean back pain scores over time (p < 0.01). The two groups' baseline back pain levels did not differ significantly (p = 0.68). However, the experimental group reported considerably lower back pain scores than the control group at 4 and 6 hours after the procedure (p < 0.01). The incidence of bleeding and hematoma formation did not significantly differ between the groups.
The findings indicate that, without raising the danger of bleeding or hematoma, the use of a changing position set considerably decreased back pain in patients undergoing femoral coronary angiography. Therefore, this intervention may be considered as an option for these patients to alleviate back pain.
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