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Related Experiment Videos

Research-based practice: early ambulation for PTCA patients

P Price, B Fowlow

    Canadian Journal of Cardiovascular Nursing = Journal Canadien En Soins Infirmiers Cardio-Vasculaires
    |January 1, 1994
    PubMed
    Summary
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    Reducing bedrest after percutaneous transluminal coronary angioplasty (PTCA) to 6 hours is safe and effective. Patients experienced less discomfort without increased bleeding or hematoma, improving nursing care quality.

    Area of Science:

    • Cardiovascular Nursing
    • Clinical Research
    • Patient Care Improvement

    Background:

    • Evidence-based nursing practice is crucial for quality, cost-effective, and innovative patient care.
    • Clinical research directly impacts and advances nursing practice standards.
    • Implementing research findings enhances professional nursing accountability.

    Purpose of the Study:

    • To evaluate the impact of reduced post-procedure bedrest on patient outcomes after percutaneous transluminal coronary angioplasty (PTCA).
    • To determine if a 6-hour bedrest protocol is as safe and effective as an 8-hour protocol for PTCA patients.
    • To inform evidence-based nursing practice changes in a tertiary care setting.

    Main Methods:

    • A randomized controlled trial was conducted with 85 patients undergoing PTCA.

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  • Patients were assigned to either an 8-hour bedrest (control) or a 6-hour bedrest (experimental) group post sheath removal.
  • Data on pain, bleeding, and hematoma formation were collected at 2-hour intervals.

    • Main Results:

    • Patients ambulating after 6 hours reported significantly less discomfort compared to the 8-hour group.
    • There was no statistically significant increase in bleeding or hematoma formation in the 6-hour bedrest group.
    • The study demonstrated the safety and efficacy of early ambulation post-PTCA.

    Conclusions:

    • Reducing bedrest to 6 hours following PTCA is a safe and beneficial nursing intervention.
    • This change in practice leads to improved patient comfort without compromising safety.
    • The findings support the adoption of shorter bedrest periods in routine PTCA care.