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Factors that affect back pain among Hong Kong Chinese patients after cardiac catheterization
Sek Ying Chair1, Kwai Moon Li, Sui Woon Wong
1The Nethersole School of Nursing, Esther Lee Building, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China. sychair@cuhk.edu.hk
Insights
Turning privilege, age, and body weight significantly impact back pain after cardiac catheterization. Understanding these factors can improve patient comfort and nursing care following the procedure.
Area of Science:
- Cardiology
- Nursing Research
- Pain Management
Background:
- Cardiac catheterization (CC) is a common diagnostic procedure in Hong Kong.
- Post-procedure back pain is frequently reported, often linked to prolonged bed rest.
Purpose of the Study:
- To investigate factors associated with back pain in Hong Kong Chinese patients undergoing femoral access for cardiac catheterization.
- To identify key patient and procedural variables influencing post-CC back pain.
Main Methods:
- A prospective study using secondary analysis of data from 419 Chinese adults undergoing non-emergency CC.
- Potential factors including turning privilege, age, body weight, and procedure details were analyzed.
- Back pain was measured using the Numeric Pain Intensity Scale (NPIS) at 6 hours and the following morning.
Main Results:
- Turning privilege, patient age, and body weight were significantly associated with back pain levels.
- These factors showed a statistically significant relationship with reported pain at both 6 hours and the next morning post-procedure.
Conclusions:
- Findings provide insights for nurses to better understand patients' physical needs after CC.
- Results can inform the development of targeted nursing interventions to enhance patient comfort and manage post-procedural back pain.
Background:
Cardiac catheterization (CC) is a widely used cardiac investigation procedure in Hong Kong. However, back pain is frequently reported following CC due the prolonged bed rest after the procedure.
Aim:
The overall aim of this study was to examine factors associated with back pain among Hong Kong Chinese patients after femoral access for CC.
Methods:
A prospective study, nested within a randomized clinical trial (RCT), employing secondary analysis of an existing data set from 419 Chinese adults receiving nonemergency CC, were used. Following a review of literature, gender, age, history of back pain, type of dressing on the puncture site, length of bed rest duration, turning privilege during bed rest, catheter size used for CC, duration of the procedure, duration of hemostasis, and body weight were identified as potential factors affecting back pain level. Back pain was assessed at 6 h and the next morning after CC, using the Numeric Pain Intensity Scale (NPIS). Analysis was done using multivariate analysis of variance (MANOVA), after testing for normality of the distribution.
Results:
Turning privilege (p = 0.001), age (p = 0.04), and body weight (p = 0.006) were significantly related to level of back pain at 6 h and the next morning after CC.
Conclusion:
Results of this study may help nurses have a better understanding about patients' physical needs and appropriate nursing interventions that can be planned to enhance patient comfort following CC.
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