Effect of position changes on back pain and hemodynamic stability following percutaneous coronary intervention: A...

Area of Science:

• Cardiovascular Nursing
• Interventional Cardiology
• Patient Recovery

Background:

• Percutaneous coronary intervention (PCI) can lead to vascular complications like hematoma and bleeding.
• Current post-PCI protocols mandate prolonged flat bed rest, causing patient discomfort (back pain) and hemodynamic instability.
• Nurse-led non-pharmacological interventions are sought as cost-effective solutions for managing post-PCI complications.

Purpose of the Study:

• To evaluate the effectiveness of changing patient positions as a non-pharmacological intervention after PCI.
• To assess the impact of position changes on back pain intensity and hemodynamic stability in post-PCI patients.

Main Methods:

• A randomized controlled trial involving 65 patients undergoing PCI was conducted in Iraq.
• Patients were randomly assigned to either a control group or an experimental group (position change).
• Back pain was measured using a visual analog scale, and hemodynamic parameters (heart rate, blood pressure) were monitored. Data were analyzed using SPSS, employing descriptive statistics and the Mann-Whitney U test.

Main Results:

• Statistically significant differences were observed between the position change and control groups regarding back pain (P=0.000).
• Hemodynamic parameters also showed significant differences: heart rate (P=0.019), systolic blood pressure (P=0.001), and diastolic blood pressure (P=0.007).
• The position change group experienced reduced back pain and improved hemodynamic stability compared to the control group.

Conclusions:

• Changing patient position is a safe and effective maneuver following PCI.
• This intervention significantly minimizes back pain severity.
• It also contributes to stabilizing hemodynamic parameters in patients post-PCI.