Comparing Different Ways of Position on Vascular Complications after Coronary Angiography: A Randomized Clinical Trial

Abstract

Background and Objectives: Coronary angiography is the golden diagnostic test for coronary heart disease that causes various vascular complications. To prevent these complications, patients are completely restricted in bed. Changing position is considered an alteration in routine care protocols after coronary angiography, improving patients’ comfort and satisfaction that is considered in current studies. The purpose of this study is the comparing different ways of position on vascular complications after coronary angiography. Methods: This clinical trial study was carried out in post angiography ward of valiasre hospital in Qom. 75 patients experienced angiography were randomly divided into three equal groups. The first group received the usual care means supine and flat with keeping leg straight for 6 hours. The position of second group were changed hourly to 3 angle semi sitting 15°, 30°, 45° for 6 hours. The position of third group were changed their body position hourly to supine, right side-lying, and left side-lying. The questionnaire and checklist were used for data collection. Chi-square test, Kolmogorov-Smirnov test, Loon statistics, one-side ANOVA and Kruskal-Wallis test were used for data analyzing. p<0.05 was a meaning ful factor that showed differences. Results: In this study, hematoma was not different significantly between the groups in sixth hours and the next morning after catheterization. Also none of the patients developed bleeding and arterial occlusion; therefore, no significant difference was showed between the groups. Conclusion: The findings reveal patients can change their position in bed without increasing probable vascular complications

Keywords

• patient positioning
• vascular diseases
• coronary angiography
• randomized clinical trial.