Position Change and Back Massage Versus Early Ambulation on Post Transfemoral Coronary Angiography Complications

Effect of Position Change and Back Massage Versus Early Ambulation on Post Transfemoral Coronary Angiography Complications

The study aimed to assess the effect of position change and back massage versus early ambulation on post transfemoral coronary angiography complications.

Post transfemoral coronary angiography (TFCA) may be associated with complications such as oozing, bleeding, ecchymosis, hematoma, and back pain. As a result, nursing practice must be geared toward enhancing patient safety post-transfemoral coronary angiography procedure. This study aimed to assess the effect of position change and back massage versus early ambulation on post transfemoral coronary angiography complications. A quasi-experimental research design was used to conduct this study at the Coronary Care Unit of the selected university hospital in Egypt. A convenience sample of 185 patients undergoing transfemoral coronary angiography was included in the study during the first 6 hours post-transfemoral coronary angiography and randomly assigned to two groups: 92 patients received position change and back massage (PCBM group), and 93 patients underwent early ambulation after the first 3 hours post-transfemoral coronary angiography (EA group). The used tool was "Post Transfemoral Coronary Angiography Complication Assessment".

Inclusion Criteria:

• Mean arterial blood pressure ≥70 mmHg.
• Heart rate ≥ 60 b/m.
• Manual compression closure technique on the access site
• Partial thromboplastin time < 90 seconds.
• Prothrombin time <16 seconds).
• No anticoagulant therapy within 24 hours before the cardiac catheterization procedure.

Exclusion Criteria:

• Patients who had a history of previous coronary stents.
• chronic pain,
• chronic obstructive pulmonary disease.
• Renal failure,
• Hypercoagulable conditions such as protein C.
• Cardiopulmonary resuscitation during angiography.
• Femoral artery ruptures during angiography.
• Chest pain with new electrocardiograph change.