Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
J Vasc Nurs. 2022 Sep;40(3):128-133. doi: 10.1016/j.jvn.2022.08.003. Epub 2022 Sep 11.
Transfemoral coronary angiography (TFCA) may be associated with postoperative complications, such as oozing, bleeding, ecchymosis, hematoma, and back pain. Thus, nursing practice must help enhance patient safety post-TFCA.
This study aimed to assess the association of position change and back massage (PCBM) and early ambulation (EA) with the development of post-TFCA complications.
This study adopted a randomized controlled trial design and was conducted at the coronary care unit of a university hospital in Egypt. A sample of 185 patients undergoing TFCA was evaluated during the first 6 h post-TFCA and randomly assigned to either the PCBM (n = 92) or EA (n = 93) group, with the latter receiving the intervention after the first 3 h post-TFCA. The patients were assessed using the Post-transfemoral Coronary Angiography Complication assessment tool.
Comparing the two groups based on post-TFCA complications, the PCBM group had a lower frequency of bleeding, ecchymosis, hematoma and severe lower back pain whereas the EA group had a lower frequency of oozing, all of which were statistically significant (P < 0.05).
PCBM post-TFCA can lower the frequency of significant vascular complications.
Adopting PCBM may be valuable in post-TFCA nursing practice.
经股冠状动脉造影术（TFCA）可能与术后并发症相关，如渗血、出血、瘀斑、血肿和背痛。因此，护理实践必须有助于提高 TFCA 后的患者安全性。
本研究旨在评估体位改变和背部按摩（PCBM）与早期活动（EA）与 TFCA 后并发症发展的关系。
本研究采用随机对照试验设计，在埃及一所大学医院的冠心病监护病房进行。对 185 名接受 TFCA 的患者在 TFCA 后 6 小时内进行评估，并随机分为 PCBM 组（n=92）或 EA 组（n=93），后者在 TFCA 后 3 小时后接受干预。使用经股冠状动脉造影术后并发症评估工具对患者进行评估。
根据 TFCA 后并发症比较两组，PCBM 组出血、瘀斑、血肿和严重腰痛的发生率较低，而 EA 组渗血的发生率较低，均具有统计学意义（P<0.05）。
TFCA 后 PCBM 可降低血管并发症的发生率。
在 TFCA 后护理实践中采用 PCBM 可能具有价值。
