sand pillow
cold pack
cardiac catheterization

How to Cite

Ginanjar, R., Hadisaputro, S., Mardiyono, M., & Sudirman, S. (2018). EFFECTIVENESS OF COLD PACK WITH EARLY AMBULATION IN PREVENTING COMPLICATIONS OF HAEMORRHAGE AND HAEMATOMA IN PATIENTS POST CARDIAC CATHETERIZATION. Belitung Nursing Journal, 4(1), 83–88. https://doi.org/10.33546/bnj.352
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Objective: To examine the effect of early ambulation with cold pack on the prevention of bleeding and haematoma complications in patients post-cardiac catheterization.

Methods: This research used an experimental method with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, with 15 assigned in the experiment and control group. The experiment group was given cold pack and early mobilization, while the control group was given sand pillow with immobilization for 6 hours. Independent t-test and Fisher’s exact test were used for data analysis.

Results: Findings showed that there was no significant difference in haemorrhage between experiment and control group after given intervention (p= 1.000), and found a significant difference in haematoma between the two groups (p=0.001).

Conclusion: Cold packs with early ambulation and sand pillow with immobilization for 6 hours were equally effective in preventing haemorrhage. However, cold packs with early ambulation was more effective in preventing haematoma.


Supporting Agencies

Poltekkes Kemenkes Semarang, Indonesia


Copyright (c) 2018 Rizal Ginanjar, Soeharyo Hadisaputro, Mardiyono, Sudirman

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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Boztosun, B., Güneş, Y., Yildiz, A., Bulut, M., Saglam, M., Kargin, R., & Kirma, C. (2008). Early ambulation after diagnostic heart catheterization. Angiology, 58(6), 743-746.

Corwin, E. J. (2008). Handbook of pathophysiology. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Doyle, B. J., Konz, B. A., Lennon, R. J., Bresnahan, J. F., Rihal, C. S., & Ting, H. H. (2006). Ambulation 1 hour after diagnostic cardiac catheterization: A prospective study of 1009 procedures. Mayo Clinic Proceedings, 81(12), 1537-1540.

Hall, J. E. (2015). Guyton and Hall textbook of medical physiology. Philadelphia: Elsevier Health Sciences.

Junait, J., & Rifqi, S. (2014). Perbandingan efektifitas antara bantal pasir dan arfeband sebagai penekanan luka paska angiografi koroner [Comparison of effectiveness of sand pillow and arfeband as wound suppression post coroner angiography]. Medica Hospitalia-Journal of Clinical Medicine, 2(1).

Kern, M. J., Sorajja, P., & Lim, M. J. (2015). Cardiac catheterization handbook. Philadelphia: Elsevier Health Sciences.

King, N. A., Philpott, S. J., & Leary, A. (2008). A randomized controlled trial assessing the use of compression versus vasoconstriction in the treatment of femoral haematoma occurring after percutaneous coronary intervention. Heart & Lung: The Journal of Acute and Critical Care, 37(3), 205-210.

Mah, J., Smith, H., & Jensen, L. (1999). Evaluation of 3-hour ambulation post cardiac catheterization. Canadian Journal of Cardiovascular Nursing= Journal canadien en soins infirmiers cardio-vasculaires, 10(1-2), 23-30.

Manik, M. J. (2015). Perbedaan bantal pasir dan cold-pack dalam mencegah komplikasi pasca kateterisasi jantung [Difference in sand pillow and cold pack in preventing complication post heart catheterization]. Jurnal Keperawatan Soedirman, 10(2), 105-113.

Rifki, S. (2013). Primary Percutaneous Coronary Intervention (Primary PCI), senjata" baru" untuk melawan serangan jantung akut [Primary Percutaneous Coronary Intervention (Primary PCI), "new" weaon to fight acute heart attack]. Medica Hospitalia-Journal of Clinical Medicine, 1(2), 139-142.

Sadikin, M. (2001). Biokimia darah [Biochemistry of blood]. Jakarta: Widya Medika.

Sinaga, J., Nurachmah, E., & Gayatri, D. (2012). Penekanan bantal pasir efektif untuk klien paska kateterisasi jantung dengan komplikasi: Randomized controlled trial [Sand pillow suppression is effective for client post heart catheterization with complication: Randomized controlled trial]. Jurnal Keperawatan Indonesia, 15(3), 171-178.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H., Townsend, M. C., & Gould, B. (2008). Brunner & Suddarth’s textbook of medical surgical nursing (12th ed.): Philadelphia: Wolters Kluwer: Lippincott Williams and Wilkins.

Wnorowski, D. (2016). Before you call the doctor. Retrieved 6 September, 2016, from http://genufix.com/runners-corner/treatments/