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Promoting early ambulation after coronary angiographic procedures: a best practice implementation project
Xiao Ting Tan1, Jun Khai Tiong2, Adrienne S Sho1
1Nursing, National University Heart Centre Singapore (NUHCS); Department of Nursing, National University Hospital, Singapore.
Early ambulation 4 hours after coronary angiography reduces patient discomfort and is safe. This evidence-based practice improves recovery without increasing vascular complications, supporting wider adoption.
Area of Science:
- Cardiology
- Evidence-Based Practice
- Patient Safety
Background:
- Prolonged bed rest post-coronary angiography is standard practice.
- Concerns exist regarding vascular complications with early movement.
- Emerging evidence supports early ambulation for improved outcomes.
Purpose of the Study:
- To assess the impact of ambulating patients 4 hours post-coronary angiography.
- To evaluate feasibility of early ambulation regarding back pain, urinary difficulty, and vascular complications.
Main Methods:
- A best practice implementation project in two cardiology wards.
- 30 adult patients ambulated 4 hours post-procedure.
- Utilized JBI Evidence Implementation Framework, GRiP tool, and PACES for data analysis.
Main Results:
- Nurse compliance with early ambulation exceeded 80%.
- Significant reductions observed in patient back pain and urinary difficulty.
- No increase in vascular complication rates, confirming safety and effectiveness.
Conclusions:
- Early ambulation 4 hours post-coronary angiography is feasible and safe.
- Enhances patient recovery by reducing discomfort.
- Supports wider adoption of this evidence-based practice in cardiology.
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