Effects of Position Changes and Back Massage versus Early Ambulation on Post Transfemoral Coronary Angiography Complications

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Abstract

Patients with transfemoral coronary angiography may have complications such as oozing, bleeding, ecchymosis, hematoma, and back discomfort. Therefore, necessary to guide nursing practice towards patient safety in post-procedure positions and ambulation. This study aims to assess the effects of bed rest with position change versus early ambulation on post-transfemoral coronary angiography complications in cardiac patients. A quasi-experimental research design has been used to conduct this study at the Coronary Care Unit of the selected university hospital in Egypt. A convenience sample of 185 patients within 6 hours post transfemoral coronary angiography was included and randomly assigned to two groups: group 1 included 92 patients and received position changes and back massage and group 2 included 93 patients and received early ambulation after 3 hours. The used tool was "Post Transfemoral Coronary Angiography Complication Assessment". Results have indicated that dangerous complications such as bleeding, ecchymosis, and hematoma decreased significantly (P<0.05) in group 1. Consequently, position changes and back massage within 6 hours post transfemoral coronary angiography have exposed patients to fewer complications.

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