J Korean Clin Nurs Res.  2017 Dec;23(3):293-301. 10.22650/JKCNR.2017.23.3.293.

Effects of Bed Angles and Bed Rest Time Combined with Hemostatic Methods on Discomfort and the Occurrence of Hemorrhagic Complications in Patients after Transfemoral Cerebral Angiography

Affiliations
  • 1Head Nurse, Department of Nursing, Chungnam National University Hospital, Korea.
  • 2Professor, College of Nursing, Chungnam National University, Korea. ispark@cnu.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the effects of bed angles and bed rest time combined with hemostatic methods on discomfort and hemorrhagic complications in patients after transfemoral cerebral angiography.
METHODS
Data were collected from 93 inpatients following transfemoral cerebral angiography, from April 20 to September 23, 2016. Patients were grouped according to bed angle (0° vs. 30°) and bed rest time combined with hemostatic methods (4-hour bed rest after manual compression vs. 2-hour bed rest after applying vascular closure device).
RESULTS
There was a significant group differences on discomfort (F=46.44, p<.001). The post-hoc analysis showed the lowest score of discomfort in those with bed angle 30o and 2-hour bed rest. There was no difference in hemorrhagic complications among 4 groups.
CONCLUSION
The postangiograpy discomfort can be effectively reduced with the least hemorrhagic complications by bed angle 30° elevation and 2-hour bed rest after applying vascular closure device for those underwent transfemoral cerebral angiography.

Keyword

Cerebral Angiography; Position; Bed Rest; Comfort; Hemorrhage

MeSH Terms

Bed Rest*
Cerebral Angiography*
Hemorrhage
Humans
Inpatients
Methods*
Vascular Closure Devices
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