Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Effect of Position Change on Discomfort and Bleeding after Coronary Angiography

관상동맥 조영술 후 체위변경이 불편감과 출혈에 미치는 효과

  • Kim, Phill Ja (Division of Nursing, Severance Hospital Yonsei University) ;
  • Jeong, Jeong In (Division of Nursing, Severance Hospital Yonsei University) ;
  • Ro, Jeong Sook (Division of Nursing, Severance Hospital Yonsei University) ;
  • Na, Hyang (Division of Nursing, Severance Hospital Yonsei University) ;
  • Kim, Ka Youn (Division of Nursing, Severance Hospital Yonsei University) ;
  • Kim, Kyeong Seon (Division of Nursing, Severance Hospital Yonsei University) ;
  • Lee, Keun Hwa (Division of Nursing, Severance Hospital Yonsei University) ;
  • Lee, Eun Sook (Division of Nursing, Severance Hospital Yonsei University) ;
  • Hong, Sun Bok (Division of Nursing, Severance Hospital Yonsei University) ;
  • Hwang, Jung Hwa (Division of Nursing, Severance Hospital Yonsei University) ;
  • Kim, Sun Kyung (Division of Nursing, Severance Hospital Yonsei University) ;
  • Han, Song Lee (Division of Nursing, Severance Hospital Yonsei University) ;
  • Kim, Hee Soon (College of Nursing, Nursing Policy Research Institute, Yonsei University)
  • Received : 2009.01.30
  • Accepted : 2009.02.27
  • Published : 2009.04.30
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Abstract

Purpose: The purpose of this study was to examine the effect of position change on discomfort and bleeding in patients undergone coronary angiography with a vascular device and required bed-rest. Method: This study utilized nonequivalent control group non-synchronized design. Data were collected from 118 inpatients after coronary angiography and stayed in general ward at Y hospital in Seoul, from June 5 to August 12, 2008. After coronary angiography, position change was performed to the experimental group who consisted of 59 patients. They stayed in supine position just after angiography and then head-up position with 15 degrees was applied 1 hour later. After that, they could change the position alternatively into lateral position with leg down and supine position. The control group was positioned keeping the affected leg immobile with supine position for 4 hours. Results: The experimental group reported significantly more comfortable than control group after position change. There were no significant differences in the grades of bleeding or hematoma at puncture site between the two groups. Conclusion: The position change in patients undergone angiography could be applied without any harm such as bleeding or hematoma, but effective in reducing back pain and subjective patients' discomforts.

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References

  1. 구본권(2006). 관동맥 성형술을 시행 받은 환자의 외래진료. 2006년 서울대학교병원 순환기내과 연수강좌, 137-144.
  2. 기은정(2001). 경피적 관상 동맥 중재술 후 절대안정 시간에 따른 불편감과 출혈합병증에 관한 연구. 아주대학교 석사학위논문, 수원.
  3. 김은실(2002). 등마사지가 경피적 관상동맥 풍선확장술 후 환자의 불편감에 미치는 영향. 계명대학교 석사학위논문, 대구.
  4. 남소영(2007). 경피적 관상동맥 중재술 후 반좌위 체위변경이 환자의 요통과 불편감에 미치는 효과. 서울대학교 석사학위논문, 서울.
  5. 박금주(2001). 재활치료 중인 뇌졸중 환자와 가족의 삶의 질 수준 및 결정 요인. 대한재활의학회지, 25(4), 559-571.
  6. 서울대학교병원 간호부(2004). 최신심장환자교육. 서울: 저자.
  7. 이은자(1995). 심도자 검사 환자의 불편감에 관한 연구. 대한간호학회지, 25(1), 124-140.
  8. 통계청(2006). 2005년 사망원인 통계연보. 서울: 저자.
  9. 한숙원(2002). 관동맥 조영술 후 요통완화를 위한 운동요법과 경피적 전기 신경자극의 효과. 성인간호학회지, 14(2), 222-232.
  10. Block, P. C., Ockene, I., Goldberg, R. J., Butterly, J., Block, E. H., Degon, C., et al. (1988). A prospective randomized trial of outpatient versus inpatient cardiac catheterization. The New England Journal of Medicine, 319(19), 1251-1255. https://doi.org/10.1056/NEJM198811103191904
  11. Bogart, D. B., Bogart, M. A., Miller, J. T., & Farrar, M. W. (1995). Femoral artery catheterization complication: a study of 503 consecutive patient. Catheterization and Cardiovascular Diagnosis, 34(1), 8-13. https://doi.org/10.1002/ccd.1810340304
  12. Chair, S. Y., Taylor-Piliae, R. R., Lam, G., & Chan, S. (2003). Effect of positioning on backpain after coronary angiography. Journal of Advanced Nursing. 42(5), 470-478. https://doi.org/10.1046/j.1365-2648.2003.02646.x
  13. Cohen, J. (1992). Quantitave methods in psychology: a power primer. Psychological Bulletin, 112(1), 155-159. https://doi.org/10.1037/0033-2909.112.1.155
  14. Coyne, C., Baier, W., Perra, B., & Sherer, B. K. (1994). Controlled trial of backrest elevation after coronary angiography. American Journal of Critical Care, 3(4), 282-288.
  15. Dressler, D. K., & Dressler, K. K. (2006). Caring for patients with femoral sheaths: after percutaneous coronary intervention, sheath removal and site monitoring are the nurse's responsibility. American Journal of Nursing, 106(5), 64A-64H.
  16. Lasic, Z., Nikolsky, E., Kesanakurthy, S., & Dangas, G. (2005). Vascular closure devices: a review of their use after invasive procedures. American Journal of Cardiovascular Drugs, 5(3), 185-200. https://doi.org/10.2165/00129784-200505030-00005
  17. Leeper, B. (2004). Nursing outcomes: percutaneous coronary intervention. Journal of Cardiovascular Nursing, 19(5), 346-353. https://doi.org/10.1097/00005082-200409000-00010
  18. Pollard, S. D., Munks, K., Wales, C., Crossman, D. C., Cumberland, D. C., Oakley, G. D., et al. (2003). Position and mobilization post angiography study (PAMPAS): a comparison of 4.2 hours and 2.5 hours, Heart, 89(4), 447-448. https://doi.org/10.1136/heart.89.4.447
  19. Pooler-Lunse, C., Barkman, A., & Bock, B. F. (1996). Effects of modified positioning and mobilization on backpain and delayed bleeding in patients who had received heparin and undergone angioplasty; a pilot study, Heart &Lung, 25(2), 117-123. https://doi.org/10.1016/S0147-9563(96)80113-0
  20. Rein, A., Zhu, Y., Parkhurst, M., Ramsburg, S., Bennet, G. Andes, L., et al. (1995). Positioning post-outpatient cardiac catheterization. Progerss in Cardiovascular Nursing, 10(4), 4-10.
  21. Reynolds, S., Waterhouse, K., & Miller, K. H. (2001). Head of bed elevation, early walking, and patient comfort after percutaneous transluminal coronary angiography. Dimensions of Critical Care Nursing, 20(3), 44-51. https://doi.org/10.1097/00003465-200105000-00013
  22. Sulzbach, L. M., Munro, B. H., & Hirshfeld, J. W. Jr. (1995). A randomized clinical trial of the effects of bed position after PTCA. American Journal of Critical Care, 4(3), 221-226.
  23. Vaught, K. B., & Ostrow, C. L. (2001). Bed rest after transluminal coronary angiography: how much is enough. Dimensions of Critical Care Nursing, 20(4), 46-50. https://doi.org/10.1097/00003465-200107000-00010
  24. Wong, M. K., Ng, H., Ng, L. S., & Tan, K. P. (1988). Early 4-hour post angiography ambulation as a feasible alternative to routine 24-hour bedcare. Singapore Medical Journal, 29(1), 63-65.