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Effects of a back-care bundle for reducing back pain among patients undergoing transfemoral artery coronary

Chaiwat Chaiyagad1, Siwanon Rattanakanokchai2, Orathai Suebkinorn3

  • 1Cardiac Care Unit, Khon Kaen Hospital, Thailand.

Applied Nursing Research : ANR
|January 12, 2023
PubMed

Insights

A back-care bundle significantly reduced back pain after transfemoral coronary angiography (TFA). This intervention effectively managed pain without increasing bleeding risks in patients undergoing TFA.

Area of Science:

  • Cardiology
  • Pain Management
  • Interventional Procedures

Background:

  • Transfemoral coronary angiography (TFA) is a common procedure associated with post-procedural back pain.
  • Effective pain management strategies are crucial for patient recovery and satisfaction after TFA.

Purpose of the Study:

  • To evaluate the efficacy of a back-care bundle in alleviating back pain among patients undergoing TFA.
  • To assess the impact of the back-care bundle on potential vascular complications such as hemorrhage and thrombosis.

Main Methods:

  • A randomized controlled trial involving 34 patients undergoing TFA.
  • Patients were assigned to either a back-care bundle group or a comparison group.
  • Back pain was measured using a visual analogue scale at multiple time points post-TFA; vascular complications were monitored hourly.

Main Results:

  • The back-care bundle group showed a significant decrease in back pain scores over time.
  • The comparison group experienced a significant increase in back pain scores.
  • No instances of hemorrhage or subcutaneous thrombosis were observed in either group.

Conclusions:

  • The back-care bundle is effective in alleviating back pain post-TFA.
  • The intervention appears safe regarding vascular complications in patients with normal bleeding times.
  • Further research is recommended to explore interventions for patients with prolonged bleeding times.
Abstract

Keywords:
Back painCare bundleHaemorrhageSubcutaneous thrombosisTransfemoral artery coronary angiography

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