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IRCT138807182560N1 IRCT 2009-11-17 Qom University of Medical Sciences and Health Services, Comparison of effects of two positioning on back pain and comfort after coronary angiography Comparison of effects of two changing position on severity of back pain, comfort, blood pressre, bleeding and hematoma after coronary angiography in Valiasre hospital of Qom, 2009 2009-04-21 anticipated 75 Complete https://irct.ir/trial/2305 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A back pain and discomfort after coronary angiography. Intervention 1: Patients in the first (control) group were managed as routine. Intervention 2: The patients in the second group were positioned as follows: in the supine position with the affected leg straight and immobilized and a sand bag on the puncture site for first hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]15° elevated during the second hour, in the supine position with the affected leg straight and immobilized and HOB 30° elevated during the third hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]45° elevated during the fourth hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]30° elevated during the fifth hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]15° elevated during the sixth hour. After that, the patients were allowed to come out of bed [OOB], to sit on the chair beside the bed for10min and then to walk around and undertake self care activities. In the second group, the sand bag was taken away 1h after the procedure. Intervention 3: The patients in the third group were positioned as follows: in the supine position with the affected leg straight and immobilized and a sand bag on the puncture site for first hour, in the semi right lateral position with the affected leg straight and immobilized during the second hour, in the supine position with the affected leg straight and immobilized during the third hour, in the semi left lateral position with the affected leg straight and immobilized during the second hour, in the supine position with the affected leg straight and immobilized during the fourth hour, in the semi right lateral position with the affected leg straight and immobilized during the fifth hour, in the supine position with the affected leg straight and immobilized during the sixth hour. While the patients in the third group were in semi lateral position, they were given a thin supportive pillow (10cm×40cm×70cm) under one side of their body, either left or right, from the shoulder to the gluteus area. We changed the place of the pillow every 1 hour in the right or the left side of the body. In seventh hour, the patients were allowed to come out of bed [OOB], to sit on the chair beside the bed for10min and then to walk around and undertake self care activities. In the third group, the sand bag was taken away 1h after the procedure.
public Yeganeh khah, Mohammad Reza
No. 12, 2 Senobar lane., Sepideh Ave., Bahrami st., Saeedi highway
Tehran Iran (Islamic Republic of) 1373765613 +98 21 6630 4368 yeganeh3603@yahoo.com Qom University of Medical Sciences and Health Services scientific Yeganeh khah, Mohammad Reza
No. 12, 2 Senobar lane., Sepideh Ave., Bahrami st., Saeedi highway
Tehrah Iran (Islamic Republic of) 3173765613 +98 21 6630 4368 yeganeh3603@yahoo.com Qom University of Medical Sciences and Health Services Iran (Islamic Republic of) Inclusion criteria: 1) Patients' ages between 18-80 years 2) Had undergone a non-emergency 6 French diagnostic angiography via the femoral artery 3) Had complete alert 4) Ability of patient to assess the pain & comfort with visual analogue scale 5) Had no active bleeding disorders 6) Had no chronic lower back pain Exclusion criteria: 1) Had active bleeding at catheter insertion site after angiography 2) Development of artery disorders during angiography 3) Had systolic blood pressure greater than 190mmHg or diastolic blood pressure greater than110mmHg 4) Admission to the coronary care unit or intensive care unit 5) CPR during angiography 6) PT higher than 16 Sec 7) Had no pulse in feet 8) Inability of patient to help for changing 9) Had vomiting greater than 4 times during first 6 hours after angiography 18 years 80 years Both R29.0 Acute pain N/A Treatment - Other Treatment - Other Patients in the first (control) group were managed as routine The patients in the second group were positioned as follows: in the supine position with the affected leg straight and immobilized and a sand bag on the puncture site for first hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]15° elevated during the second hour, in the supine position with the affected leg straight and immobilized and HOB 30° elevated during the third hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]45° elevated during the fourth hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]30° elevated during the fifth hour, in the supine position with the affected leg straight and immobilized and head of bed [HOB]15° elevated during the sixth hour. After that, the patients were allowed to come out of bed [OOB], to sit on the chair beside the bed for10min and then to walk around and undertake self care activities. In the second group, the sand bag was taken away 1h after the procedure. The patients in the third group were positioned as follows: in the supine position with the affected leg straight and immobilized and a sand bag on the puncture site for first hour, in the semi right lateral position with the affected leg straight and immobilized during the second hour, in the supine position with the affected leg straight and immobilized during the third hour, in the semi left lateral position with the affected leg straight and immobilized during the second hour, in the supine position with the affected leg straight and immobilized during the fourth hour, in the semi right lateral position with the affected leg straight and immobilized during the fifth hour, in the supine position with the affected leg straight and immobilized during the sixth hour. While the patients in the third group were in semi lateral position, they were given a thin supportive pillow (10cm×40cm×70cm) under one side of their body, either left or right, from the shoulder to the gluteus area. We changed the place of the pillow every 1 hour in the right or the left side of the body. In seventh hour, the patients were allowed to come out of bed [OOB], to sit on the chair beside the bed for10min and then to walk around and undertake self care activities. In the third group, the sand bag was taken away 1h after the procedure. Reduced back pain and promote physical comfort without increasing vascular complications. Timepoint: every 2 hours(three time after coronary angiography) and next morning at 08:00h. Method of measurement: Visual Analogue pain Scale(VAS), Visual Analogue comfort Scale, ruler. Qom University of Medical Sciences and Health Services, Approved 2009-04-05 Qom University of Medical Sciences and Health Services Qom University of Medical Sciences and Health Services, Saheli st., Qom., Iran. Qom Iran (Islamic Republic of)