改變臥位對經股動脈行心導管術後照護之成效

The Effect of Body Positioning in Patients after Femoral Artery Cardiac Catheterization

古玉貞(Yu-Chen Ku) ； 詹雅惠(Ya-Hui Chian) ； 陳雅莉(Ya-Li Chen) ； 簡毓芳(Yu-Fang Chien) ； 李淑瓊(Shu-Chiung Lee) ； 王敏華(Min-Hua Wang) ； 翁新惠(Shin-Huey Wung)

《榮總護理》 30卷2期 (2013/06) Pp. 191-198

https://doi.org/10.6142/VGHN.30.2.191

摘要

In order to prevent the complication of wound bleeding, patients who received cardiac catheterization through the femoral artery were restricted from being supine position in the bed, therefore, resulting back pain and discomfort. The purpose of this research was to explore the effect of changing positions to relieve patients' back pain when lying in bed to undergo the cardiac catheterization through the femoral artery. Quasi-experimental design was applied in this research. Participants in this research were 98 non-emergency cardiac catheterization patients in a Taipei medical center. The control group lying in bed for six hours by conventional way. Changing the lying position was provided at first hour, third and fifth hours in the experimental group, and self-observation records table was used to assess the degree of back pain, heart rate and blood pressure. The results of this research showed that the degree of back pain in control group increased as time accumulation, and the degree of back pain in the experimental group was not increased. The degree of backache had the significant difference (p＜.05) on the fourth, fifth hours after the operation; however, there were no bleeding complications, heart rate and blood pressure were no significant difference in both groups. The research demonstrated that cardiac catheterization through the femoral artery could alleviate the degree of back pain by changing the lying position of patients after underwent operation, and did not affect the physiological signs and bleeding complications. It is recommended to change the lying position every two hours in patients after cardiac catheterization through femoral artery to enhance the nursing care quality.

關鍵字

股動脈心導管術 ； 改變臥位 ； 背痛

並列摘要

In order to prevent the complication of wound bleeding, patients who received cardiac catheterization through the femoral artery were restricted from being supine position in the bed, therefore, resulting back pain and discomfort. The purpose of this research was to explore the effect of changing positions to relieve patients' back pain when lying in bed to undergo the cardiac catheterization through the femoral artery. Quasi-experimental design was applied in this research. Participants in this research were 98 non-emergency cardiac catheterization patients in a Taipei medical center. The control group lying in bed for six hours by conventional way. Changing the lying position was provided at first hour, third and fifth hours in the experimental group, and self-observation records table was used to assess the degree of back pain, heart rate and blood pressure. The results of this research showed that the degree of back pain in control group increased as time accumulation, and the degree of back pain in the experimental group was not increased. The degree of backache had the significant difference (p＜.05) on the fourth, fifth hours after the operation; however, there were no bleeding complications, heart rate and blood pressure were no significant difference in both groups. The research demonstrated that cardiac catheterization through the femoral artery could alleviate the degree of back pain by changing the lying position of patients after underwent operation, and did not affect the physiological signs and bleeding complications. It is recommended to change the lying position every two hours in patients after cardiac catheterization through femoral artery to enhance the nursing care quality.

並列關鍵字

femoral artery cardiac catheterization ； change position ； back pain

參考文獻

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周昭蓉、楊培弟、黃淑慧、李淑瓊(2009)．經 股動脈行心導管術後病患腰酸背痛之改 善專案．嘉基護理，9(1)，12-20。

黃郁蕙、陳清惠(2010)．緩解經皮冠狀動脈介 入治療後背痛之照護經驗．護理雜誌， 57(2)，75-80。doi: 10.6224/JN.57.2S.75

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Chair, S. Y., Taylor-Piliae, R. E., Lam, G., & Chan, S. (2003). Effect of positioning on back pain after coronary angiography. Journal of Advanced Nursing, 42(5), 470-478. doi:10.1046/j.1365-2648.2003.02646. x