The Effect of Position Change on Vital Signs, Back Pain and, Vascular Complications following Percutaneous Coronary Intervention.

AIMS AND OBJECTIVES: To determine the effect of position change that is applied after percutaneous coronary intervention on vital signs, back pain, and vascular complications.

BACKGROUND: In order to minimize the post-procedure complications, patients are restricted to prolonged bed rest that is always accompanied by back pain and and hemodynamic instability.

DESIGN: Randomized-controlled quasi-experimental study.

METHODS: The study sample chosen for this study included 200 patients who visited a hospital in Turkey between July 2014 and November 2014. Patients were divided into two groups by randomization. Patients in the control group (CG, n = 100) were put in a supine position, in which the head of the bed (HOB) was elevated to 15°, the patient's leg on the side of the intervention was kept straight and immobile; positional change was applied to patients in the experimental group (EG, n = 100).

RESULTS: After the procedure in the EG; the systolic blood pressure (T4-T6), the rate of post-procedural vascular complications (1%) and the back pain scores were significantly lower (between T5 and T6) than the CG, also, the back pain was the lowest level in the standard fowler's position in the sixth hour where in the HOB was elevated by 45° to 60°.

CONCLUSIONS: It was found that systolic blood pressure and back pain were at the lowest levels in the standard fowler's position in the sixth hour after the procedure when the HOB was elevated 45 to 60° and the result was clinically significant and the position change decreased back pain without causing any vascular complications.

RELEVANCE TO CLINICAL PRACTICE: LFP was applied in which HOB was elevated 15° to 30° and SFP was applied in which the HOB was elevated 45° to 60° could be safe and applicable in patients by nurses after the procedure. This article is protected by copyright. All rights reserved.