Social Determinants of Health Research

Social Determinants of Health Research

PAGE 106 JOURNAL OF VASCULAR NURSING SEPTEMBER 2016 www.jvascnurs.net

Evaluation of feasibility and safety of changing body position after transfemoral angiography: A randomized clinical trial

Sina Valiee, PhD, Mohammad Fathi, PhD, Nooshin Hadizade, MD, Daem Roshani, PhD, and Parvin Mahmoodi, MS
From t Kurdista Nursing Kurdista Departm Departm Sanand Univers

Corresp Commit Street, S

Funding Kurdista 31229/1

1062-03

Copyrig

Background: Considering the growing number of patients who suffer from cardiovascular and coronary artery disease

and the significant importance of angiography in the diagnosis of coronary artery disease, this study investigated the ef-

fects of position change on the acute complications of coronary angiography.

Methods: This study was a randomized clinical trial. Sixty patients undergoing coronary angiography, which was per-

formed by a single operator were selected by convenience sampling method and were assigned to intervention or control

groups by randomized block design (30 cases in each group). Intervention group patients’ position was changed according

to schedule, whereas patients in the control group remained in the supine position in complete bed rest. At the entrance

hours, 3, 6, 8, and 24 hours after the angiography, patients in both groups were evaluated in terms of vascular complica-

tions, urinary retention, low back pain, groin pain, and comfort. Data were analyzed by repeated measures, Friedman,

Mann–Whitney, chi-square, independent t-test, and Kolmogorov–Smirnov tests with SPSS-22.

Results: The two groups did not show any significant difference in terms of demographic, clinical, and preinterventional

catheterization characteristics (P > 0.05). There was no significant difference with regard to vascular complications

including hematoma (P = 0.149), bleeding (P > 0.01), bruise (P = 0.081), and thrombosis in the two groups of patients

during 5 consecutive reviews. However, there was a significant statistical difference regarding low back pain

(P < 0.001), groin pain (P < 0.001), urinary retention (P = 0.02), and comfort (P < 0.001).

Conclusions: The results of this study showed that changing the positions of patients after angiography based on the

provided program created no change in the incidence of vascular complications (hematoma, bleeding, thrombosis, and

bruise) but resulted in reduced severity of back pain, groin pain, urinary retention, and increased patients’ comfort. (J

Vasc Nurs 2016;34:106-115)

Cardiovascular disease is one of the leading causes of death for women and men of all ethnicities and races,1 and it is ex- pected to remain the most common cause of death in the world until 2020.2 Among heart disease, coronary artery diseases is the most common and life-threatening one.3

he Social Determinants of Health Rese