Abstract
BACKGROUND: Percutaneous coronary intervention (PCI) is associated with vascular complication, including hematoma and bleeding. To prevent complications, patients are required to remain on prolonged bed rest in a flat position after the procedure. Immobilization is associated with back pain and hemodynamic instability. Therefore, nurse-led nonpharmacological interventions are a suitable, reliable, and cost-effective options to be empirically examined. MATERIALS AND METHODS: This study was a randomized controlled trial, which was executed on 65 patients at Al-Hussein Teaching Hospital in Al-Muthana City and Karbala Heart Center, and Imam Al-Hassan Al-Mujtaba Hospital in Karbala City, Iraq. With simple randomization, subjects were assigned to either control or experimental group. In addition to demographic and clinical data, back pain intensity was assessed using a visual analog scale, and hemodynamic parameters were measured. Furthermore, data were analyzed by using the Statistical Package for Social Sciences, version 26, including descriptive statistics and Mann-Whitny U test. RESULTS: There are statistically significance differences among change position and control groups concerning back pain (U = 0.000, P = 0.000 < 0.05), and hemodynamic parameters involving heart rate (U = 348.000, P = 0.019), systolic blood pressure (U = 267.000, P = 0.001), and diastolic blood pressure (U = 338.500, P = 0.007) in patients after PCI. However, this study indicated that the change positions have an impact in reducing back pain and stability of hemodynamic parameters compared with the control group. CONCLUSION: Changing position is safe and effective maneuver in minimizing the severity of back pain and stabilizing the hemodynamics parameters for patient who underwent PCI.