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Asian Journal of Nursing Education and Research
Year : 2019, Volume : 9, Issue : 3
First page : ( 373) Last page : ( 378)
Print ISSN : 2231-1149. Online ISSN : 2349-2996.
Article DOI : 10.5958/2349-2996.2019.00080.6

A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography

Rai Parisha1, Dhandapani Manju2, Bagga Shiv3, Gopichandran L4, Sharma Yash Paul5

1M Sc Cardiac Nursing, NINE, PGIMER. Lecturer, B & B Medical Institute, Gwarko, Lalitpur, Nepal

2M. Sc Neuroscience Nursing, PhD Nursing, Lecturer, NINE, PGIMER, Chandigarh

3MD, DM, Assistant Professor, Department of Cardiology, PGIMER

4M. Sc Cardiac-Nursing, Lecturer, PhD Nursing, College of Nursing, All India Institute of Medical Sciences (AIIMS), New Delhi

5MD, DM, Professor and Head of Department of Cardiology, PGIMER

Corresponding Author Email: miyaka9285@yahoo.com, manjuseban@gmail.com, shivbagga@gmail.com, pravigopi@gmail.com, ypspgi@gmail.com

Online published on 31 December, 2019.


Background and Aim

Femoral route is a common approach for doing coronary angiography, but bed rest is recommended due to risk of vascular complications. The aim of present study was to assess effect of position change followed by early ambulation after coronary angiography via femoral approach on comfort, fatigue and vascular complications of the patients

Subjects and Methods

A randomized controlled trial was conducted on 80 patients (40 each in control and experimental group) undergoing coronary angiography in a tertiary care institute in India. Patients in control group were placed in supine position and ambulated after 6 hours. Experimental group were kept in supine position for 2 hours after angiography, followed by right lateral position (1 hour), supine position (1 hour) and ambulated after 4 hours. Kolcaba's Outcome was assessed using General Comfort Questionnaire, Numerical pain rating scale and Fatigue Visual Numeric Scale at 2, 4, 6 and 24 hours after angiography. Incidence of vascular complications was documented at 24th hours


At 4th and 6th hours after angiography, fatigue experienced by experimental group was significantly lower than control group. At 6th and 24th hour, experimental group had significantly lesser back pain and better comfort. There was no significant difference in the incidence of vascular complications between the control and experimental groups


Position change followed by early ambulation after coronary angiography via femoral approach is safe and effective as it decreases back pain, fatigue and improve comfort without increasing vascular complications.



Bed rest, Cardiac catheterization, Coronary angiography, Early ambulation, Position change, Cardiac nursing.


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