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Today, complementary and alternative treatments are frequently used to maintain health and well-being, reduce symptoms of diseases, and provide relaxation. Nurses contribute to the healing process by using pharmacological and nonpharmacological methods. Pharmacological methods cause nausea, vomiting, respiratory depression, gastrointestinal and urinary system complications in individuals. Therefore, nonpharmacological methods without side effects are gaining importance. Nonpharmacological methods are easy and simple nursing interventions that do not have side effects, are cost-effective, can be easily taught to the patient, reduce pain and anxiety. They can also be used in addition to pharmacological methods and are preferred in patients who do not take medication or are unwilling to take medication. Providing a safe position without vascular complications and back pain after the procedure is very important for both the patient and the nurse who cares for the patient. Existing studies on post-intervention position changes have reported low incidences of bleeding and back pain, resulting in higher levels of patient comfort and satisfaction. These studies evaluated different angles of elevating the head of the bed and recommended further studies to evaluate the possibility of shifting patients to other positions after transfemoral cardiac interventions.
Therefore, the aim of this study was to investigate the effect of position change after coronary angiography on pain, comfort and vascular complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| back position group | Experimental | The bed levels of the patients in the experimental group changed the patient's position every 2 hours immediately after catheter removal and sandbag placement in the following order: supine position with a 15° head angle, semi-Fowler position with a 30° head angle, and lateral right or left position with a 15° head angle. |
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| Control group | No Intervention | No intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The bed levels of the patients in the experimental group changed the patient's position | Other | The bed levels of the patients in the experimental group changed the patient's position |
| Measure | Description | Time Frame |
|---|---|---|
| Average Pain Score on Visual Analog Scale (VAS) | Pain will be measured using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (severe pain). Higher scores indicate more severe pain. | 0 hour (baseline), 1st hour, 2nd hour, 3rd hour |
| Average Score on Immobilization Comfort Scale (ICS) | Comfort during immobilization will be measured using the Immobilization Comfort Scale (ICS), a 20-item Likert-type scale ranging from 1 (strongly disagree) to 6 (strongly agree). Higher scores indicate greater comfort. Cronbach's alpha in this study ranged from 0.77 to 0.84. | 0 hour (baseline), 1st hour, 2nd hour, 3rd hour |
| Vascular Complication Score | Vascular complications will be assessed using the Oozing and Bleeding Scale and the Ecchymosis and Hematoma Formation Scale developed by Elsaman (2022). Categories include: no bleeding/ecchymosis/hematoma, oozing/bleeding <2 cm², bleeding ≥2 cm², ecchymosis <2 cm², hematoma ≥2 cm². Higher scores indicate more severe vascular complications. | 0 hour (baseline), 1st hour, 2nd hour, 3rd hour |
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Inclusion Criteria:
Over 18 years of age
Exclusion Criteria:
• Not willing to participate in the study
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| Name | Affiliation | Role |
|---|---|---|
| Burcu NAL, PhD | Kütahya Health Sciences University, Faculty of Health Sciences | Study Director |
| Mehmet Ali ASTARCIOĞLU, Prof. | Kütahya Health Sciences University, Faculty of Health Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Necibe | Kütahya | 43000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41077907 | Derived | Dagcan Sahin N, Nal B, Astarcioglu MA. Effect of Position Change After Coronary Angiography on Pain, Vital Signs, Comfort, and Vascular Complications: A Randomized Controlled Trial. Catheter Cardiovasc Interv. 2025 Dec;106(7):3695-3704. doi: 10.1002/ccd.70259. Epub 2025 Oct 12. |
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| ID | Term |
|---|---|
| D016491 | Peripheral Vascular Diseases |
| D010146 | Pain |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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This study is a double-blind randomized controlled trial planned to investigate the effect of position change after coronary angiography on pain, comfort and vascular complications.
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Patients will be divided into experimental and control groups. Patients will know that they are participating in the study and the interventions that will be applied to them, but they will be blinded by not knowing which group they are in. The study data will be collected by a second researcher who is blinded to the groups. In the statistical analysis of the data, the groups will be labeled as group 1 and group 2, and the third researcher will be blinded when evaluating the results. Thus, the third researcher will be blinded to the study groups. In order to avoid bias in the evaluation of the results, the first researcher who is not blinded will not participate in any stage of the evaluation process.
| D013568 |
| Pathological Conditions, Signs and Symptoms |