title: Effect of positioning on back pain after coronary angiography.
abstract: BACKGROUND
  Coronary angiography is a routine cardiac diagnostic procedure in Hong Kong. Patients are restricted to bedrest after the procedure due to potential vascular complications from using a femoral approach. Many patients are required to remain on bedrest for up to 24 hours after the procedure. The effects of reducing this bedrest time is still under investigation. In the meantime, nursing interventions aimed at decreasing patient discomfort due to prolonged bedrest are feasible to implement.
  
  
  OBJECTIVE
  The aims of this study were to evaluate the severity of back pain related to bedrest duration after coronary angiography and to compare the effects of changing patients' position in bed on their perceptions of back pain and on vascular complications.
  
  
  METHODS
  An experimental design was used, with patients randomly assigned either to a control or experimental group. The control group received the usual care, remaining supine and flat for 8-24 hours, with the affected leg straight. The experimental group changed their body position hourly, varying between supine, right side-lying, and left side-lying during the first 7 hours after coronary angiography.
  
  
  RESULTS
  A total of 419 patients participated in the study (control, n = 213; experimental, n = 206). Regardless of group assignment, back pain intensity increased with longer time on bedrest. In addition, the control group reported higher levels of pain at all five assessment times. Vascular complications in terms of bleeding at the femoral site were not significantly different between the control and experimental groups.
  
  
  CONCLUSIONS
  The study findings suggest that patients may be able safely to change their position in bed earlier in the post-coronary angiography period than currently recommended in practice protocols. Changing position in bed may also reduce back pain, promote physical comfort, and possibly reduce patients' negative feelings toward coronary angiography.
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territiroies, Hong Kong, China. sychair@cuhk.edu.hk
authors.forename: Sek Ying
authors.initials: SY
authors.lastname: Chair
authors.forename: Ruth E
authors.initials: RE
authors.lastname: Taylor-Piliae
authors.forename: Gay
authors.initials: G
authors.lastname: Lam
authors.forename: Sophia
authors.initials: S
authors.lastname: Chan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001416:Back Pain / Q000451:nursing* / Q000517:prevention & control; D001510:Bed Rest; D017023:Coronary Angiography / Q000009:adverse effects* / Q000451:nursing; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000451:nursing; D011187:Posture