EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA
Vol. 4 No. 2 (2018), Original Research Article
Vol. 4 No. 2 (2018)

EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA

Original Research Article
Categories: Adult Nursing (Medical-Surgical Nursing) | Intensive, Emergency and Critical Care Nursing
https://doi.org/10.33546/bnj.356
Theresia Febriana Christi Tyas Utami
Program Studi Keperawatan, Program Pascasarjana Magister Terapan Kesehatan, Politeknik Kesehatan Kementerian Kesehatan Semarang, Jawa Tengah, Indonesia
Diyah Fatmasari
Program Studi Keperawatan, Program Pascasarjana Magister Terapan Kesehatan, Politeknik Kesehatan Kementerian Kesehatan Semarang, Jawa Tengah, Indonesia
Mardiyono Mardiyono
Program Studi Keperawatan, Program Pascasarjana Magister Terapan Kesehatan, Politeknik Kesehatan Kementerian Kesehatan Semarang, Jawa Tengah, Indonesia
Shobirun Shobirun
Program Studi Keperawatan, Program Pascasarjana Magister Terapan Kesehatan, Politeknik Kesehatan Kementerian Kesehatan Semarang, Jawa Tengah, Indonesia
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Keywords

positioning
 arterial bleeding
 subcutaneous bleeding
 back pain

How to Cite

Tyas Utami, T. F. C., Fatmasari, D., Mardiyono, M., & Shobirun, S. (2018). EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA. Belitung Nursing Journal, 4(2), 145–153. https://doi.org/10.33546/bnj.356
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Accepted for publication: 2018-03-20
Peer reviewed: Yes

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Abstract

Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. 

Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.

Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.

Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). 

Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.

https://doi.org/10.33546/bnj.356
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Supporting Agencies

Program Pascasarjana Magister Terapan Kesehatan Keperawatan, Poltekkes Kemenkes Semarang, Indonesia

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Copyright (c) 2018 Theresia Febriana Christi Tyas Utami, Diyah Fatmasari, Mardiyono, Shobirun

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

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