Department of Nursing, Faculty of Health Sciences, T.C. Istanbul Kültür University, Istanbul, Turkey.
Department of Nursing, Faculty of Health Sciences, T.C. Istanbul Kültür University, Istanbul, Turkey.
Appl Nurs Res. 2022 Apr;64:151571. doi: 10.1016/j.apnr.2022.151571. Epub 2022 Mar 1.
Patients are restricted to bed and required to lie flat after coronary angiography (CAG) due to potential risk of vascular complications. This often causes back pain.
We aimed to investigate the effect of the head of bed (HOB) elevation on back pain and vascular complications after elective CAG.
Three hundred and seven consecutive patients who underwent elective CAG were randomized into three groups. One control (HOB: 0 degree-flat position) and two experimental (HOB: 15 and 30 degrees) groups were compared. Back pain level was assessed using a visual analog scale.
Mean age was 58.1±10.7, and 59.9% (n=184) of the patients were males. Pain level at the 3rd hour and at the 6th hour was significantly higher in the control group than in the experimental groups. In the post-hoc analysis, pain level was significantly higher in HOB 15 degrees compared to that in HOB 30 degrees. In the multivariate analysis, HOB elevation to 30 degree was the only independent predictor of the pain level at the 3rd hour and the 6th hour. Only one patient in the HOB 0 degree group had a minor bleeding at the access site CONCLUSIONS: Elevation of the HOB to 30 degrees was associated with decreased back pain level without increased risk of vascular complications.
冠状动脉造影（CAG）后，由于潜在的血管并发症风险，患者需要卧床并保持平躺。这常常导致背痛。
我们旨在研究床头抬高对择期 CAG 后背痛和血管并发症的影响。
307 例连续接受择期 CAG 的患者被随机分为三组。一组为对照组（床头抬高 0 度-平卧位），两组为实验组（床头抬高 15 度和 30 度）。采用视觉模拟评分法评估背痛程度。
平均年龄为 58.1±10.7 岁，59.9%（n=184）的患者为男性。对照组在第 3 小时和第 6 小时的疼痛水平明显高于实验组。在事后分析中，床头抬高 15 度组的疼痛水平明显高于床头抬高 30 度组。多变量分析显示，床头抬高至 30 度是第 3 小时和第 6 小时疼痛水平的唯一独立预测因素。仅在床头 0 度组有 1 例患者在介入部位出现轻微出血。
床头抬高至 30 度可降低背痛程度，且不会增加血管并发症的风险。
