Puliyakkuth Unnikrishnan, Ramamoorthy Lakshmi, Selvaraj Raja J, Lalthanthuami Hmar Thiak, Subramaniyan Rani
Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Educ Health Promot. 2024 Aug 29;13:292. doi: 10.4103/jehp.jehp_589_23. eCollection 2024.
Imposed immobilization after electrophysiological studies (EPS) is known to cause different complications. The current study aims to assess the effect of early ambulation on comfort and vascular complications among patients undergoing transfemoral catheterization for EPS.
Hundred participants were assigned to control and intervention groups (50 each) using block randomization. The control group participants were ambulated at 6 hours after EPS. For the intervention group, participants were kept in the supine position with procedure-side leg extension for the first 2 hours, followed by 30° head-end elevation and turning to the left/right side for 30 min, and finally ambulation at the end of 3 hours. Both groups were assessed for vital signs, groin and back pain, satisfaction, bleeding, hematoma, and bladder pattern at the 6 and 24 hour after EPS. Data analysis was done on an intention-to-treat basis using the Chi-square test, Fisher's exact test, independent student -test, and Mann-Whitney test.
The level of back pain and groin pain was significantly lower in intervention group after 6 hours ( < 0.001) and after 24 hours ( < 0.05). Urinary problem was not reported in intervention group, whereas Eleven (22%), participants in the control group did not void at 6 hours ( < 0.001). Two patients in intervention group developed bleeding at 6 hours, and one patient in control group developed bleeding at 24 hours. Hematoma development was absent for both groups.
Early ambulation at 3 hours after EPS is suggested to reduce back pain, groin pain, and urinary problem, without risk for vascular complications.
电生理研究（EPS）后强制制动会引发不同并发症。本研究旨在评估早期活动对接受经股动脉导管EPS检查患者舒适度及血管并发症的影响。
采用区组随机化将100名参与者分为对照组和干预组（每组50名）。对照组参与者在EPS后6小时开始活动。干预组参与者在最初2小时保持仰卧位，手术侧下肢伸直，随后床头抬高30°并向左/右侧翻身30分钟，最后在3小时结束时活动。在EPS后6小时和24小时对两组患者的生命体征、腹股沟和背部疼痛、满意度、出血、血肿及膀胱情况进行评估。采用卡方检验、Fisher精确检验、独立样本t检验和Mann-Whitney检验进行意向性分析。
干预组在6小时后（<0.001）和24小时后（<0.05）背痛和腹股沟疼痛水平显著较低。干预组未报告泌尿系统问题，而对照组有11名（22%）参与者在6小时时未排尿（<0.001）。干预组有2名患者在6小时时出现出血，对照组有1名患者在24小时时出现出血。两组均未出现血肿。
建议在EPS后3小时尽早活动，以减轻背痛、腹股沟疼痛和泌尿系统问题，且无血管并发症风险。
