Document Type : Original Article
Authors
1
Professor, Medical Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt
2
Lecturer, Medical Medical-Surgical Nursing Department, Faculty of Nursing, Matrouh University, Egypt
3
Lecturer, Medical-Surgical Nursing Department, Faculty of Nursing, Modern University for Information and Technology, Egypt
4
Lecturer Medical-Surgical Nursing, Faculty of nursing, Mansoura University, Egypt
Abstract
Background: Coronary catheterization or Percutaneous Coronary Intervention (PCI) is
considered a non-surgical intervention procedure for CHD. Bed rest for a time is essential in critically ill
patients, and therapeutic positioning is a way to avoid further complications and enhancing patient
outcomes Aim: assess the effect of different positions on post coronary catheterization clinical outcomes.
Methods: a quasi-experimental design was used. 100 adult patients undergoing diagnostic cardiac
catheterization, a randomized block sampling was followed by researcher divided the sample into
relatively 4 homogeneous subgroups, 25 patients for each group. One tool was utilized for data collection.
It composed of three parts; Part I: sociodemographic characteristics, part two concerning assessment of
clinical outcomes as hematoma, foot sensation, and nausea. Part three: pain assessment. The patients
were positioned after cardiac catheterization in each group as (Restricted bed rest position group for 16-
18 hours in supine position as routine hospital management; lateral position group after first hour the
head of the bed raised 30- degree; changing position group every hour and after 7th hour, removal of the
sandbag, patients were get out of bed and assume sitting position; and early ambulation group, patients
were moved out of bed after 4 hours). Comparing between groups was done based on the clinical
outcomes and pain at the 1st, 6th and 12th hours post procedure. Results: majority of patients were aged
(54.37±5.14), male, smokers, varied between overweight and obesity. Significance differences were
noticed between the four regarding respiration, urinary retention, postural hypotension, nausea. In
addition to presence and intensity of pain for the benefit of group 4 (early ambulation group). Conclusion
and recommendations: early ambulation has positively impact on clinical outcomes of post coronary
catheterization patients. Accordingly, nurses should encourage early ambulation as an essential part of
nursing care.
Keywords
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