| Summary: | 碩士 === 國立成功大學 === 護理學系碩博士班 === 96 === Patients are restricted to bed-ridden after percutaneous coronary interventions (PCI), in order to prevent bleeding. Back pain is common among patients after PCI and is associated with immobility and restricted positioning. The purpose of this research is to examine the effect of q1h positioning in preventing back pain among patients after PCI, who was required to restrict to supine position for eight hours. This is a Randomized Clinical Trail. Patients were recruited from cardiac center care, cardiac medicine room, and cardiac catheterization room of a medical center at southern Taiwan. Patients in the control group were provided routine nursing care while patients in the experimental group received position changing every hour after PCI last for eight hours. We compared the differences in the incidence and perception of back pain between two groups. Visual analog scale was applied to measure the presence and level of back pain. Data were analyses by SPSS for windows 14.0. A total of 30 patients agreed to participate in the study (experimental group n=15, control group n=15). The results showed that the perception of back pain in the experimental group was significantly lower than control group (p<0.05). Incidence of back pain and the use of pain-killing agents in the experimental group were also significantly lower than the control group. There was no statistical significance of bleeding complication between the two groups; positioning did not contribute to a risk factor of bleeding. However, positioning can prevent and relieve back pain effectively in patients with restricted bed-ridden in supine position. We suggested that for PCI patients, position changing per hour should be considered as routine nursing care to promote the comfort of patients.
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