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Impact of adjusting the length of preserving sandbag over catheter insertion web site on the coronary angiography acute problems: A managed medical trial.
J Vasc Nurs. 2017 Dec;35(four):193-200
Authors: Fathi M, Valiee S, Mahmoodi P
Summary
Transfemoral coronary angiography might trigger acute and continual problems. The purpose of the current examine was to evaluate the consequences of adjusting the length of preserving sandbag over the catheter insertion web site on the acute problems of coronary angiography. This quasiexperimental examine was carried out on 60 sufferers present process transfemoral coronary angiography. Individuals had been chosen utilizing comfort sampling and had been randomly assigned to intervention (n = 30) or management group (n = 30). Within the intervention group, the sandbag over the insertion web site of catheter was taken off on the third hour, whereas within the management group, based mostly on the routine care, sandbag was taken off on the sixth hour after the angiography. On the entrance hours, three, 6, eight, and 24 hours after the angiography, the sufferers in each teams had been evaluated when it comes to groin ache, low again ache, urinary retention, discomfort, and vascular problems. Information had been analyzed by repeated measures, Mann-Whitney, Friedman, unbiased t-test, chi-square, and Kolmogorov-Smirnov assessments. The 2 teams confirmed no important distinction when it comes to demographic, medical, and preinterventional catheterization traits (P > .05). Sufferers in each teams had been examined at 5 time factors when it comes to groin ache (P = .000), again ache (P = .000), urinary retention (P = .02), and luxury (P = .001) which had been considerably totally different however with regard to vascular problems together with hematoma (P = .113), bleeding (P = .32), and bruise (P = .134) weren’t considerably totally different. The outcomes of this examine confirmed that eradicating the sufferers’ sandbag, who’re underneath postangiography cares on the third hour, didn’t improve the incidence of vascular problems, whereas it decreased sufferers’ again ache, groin ache, and urinary retention and promotes their consolation.
PMID: 29153227 [PubMed – indexed for MEDLINE]