A Modified Supine Position Facilitates Bladder Function in Patients Undergoing Percutaneous Coronary Intervention: A...

Area of Science:

• Cardiology
• Urology
• Nursing Care

Background:

• Percutaneous coronary intervention (PCI) is a common cardiovascular disease treatment.
• Standard post-PCI care involves supine bed rest, which can cause voiding difficulties.
• Impaired micturition post-PCI can negatively impact patient recovery and comfort.

Purpose of the Study:

• To evaluate the effectiveness of a modified supine position in facilitating bladder emptying after PCI.
• To compare bladder function outcomes between patients receiving standard care and those in a modified supine position.
• To identify potential improvements in post-procedural voiding for cardiovascular patients.

Main Methods:

• A randomized controlled trial was conducted with 300 patients undergoing PCI.
• The intervention group was positioned supine with the bed tilted 20° upright and a pillow support.
• The control group received standard supine positioning post-PCI.

Main Results:

• The intervention group showed a significantly shorter time to first void (5 vs. 15 minutes).
• Fewer patients in the intervention group required voiding assistance (8.6% vs. 35.3%).
• Residual urinary volumes were significantly lower in the modified supine position group (88.71 vs. 248.22 mL).

Conclusions:

• A modified supine position effectively reduces impaired micturition after PCI.
• This nursing intervention helps preserve normal bladder function in patients post-cardiac procedure.
• The modified position offers a simple, non-invasive method to improve patient outcomes after PCI.