Hu li za zhi The journal of nursing · 2018
[Reducing the Incidence of Back Pain in Post-Percutaneous Coronary Intervention Patients With Femoral Sheath].
СтатьяНазвание и аннотация: Перевод в очереди
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Lu Yu-Zhen, Chuang Pao-Yu
Аннотация
BACKGROUND & PROBLEMS: Patients undergoing percutaneous coronary interventions (PCIs) are restricted to bedrest and immobilization of the affected leg for sheath retention. These result in high incidences of back pain and emotional irritation, which may negatively affect cardiac rehabilitation. One-hundred percent of the post-transfemoral PCI patients in our unit had a back-pain score of 3 or higher, with an average pain score of 6. Analysis showed the main causes to be: poor awareness of nurses regarding back pain and physical activity; lack of physical activity guidelines and no regular auditing of physical activity; and lack of education and related materials.
PURPOSE: To increase the completion rate of instruction for physical activity to over 90.0% and to reduce the incidence of back pain (score of 3 or higher) among post-PCIs to 35.0% or less.
RESOLUTIONS: We conducted in-service education, revised related instruction materials, filmed the recommended physical activity for post-PCIs, and conducted a quality assurance audit.
RESULTS: The completion rate among post-PCIs for the instructions for physical activity increased from 32.5% to 90.0%. The incidence of back pain (score >3) reduced from 100% to 26.8%.
CONCLUSIONS: Implementing a physical activity education program with multimedia materials and regular audits effectively reduces the discomfort of patients following PCIs.
PURPOSE: To increase the completion rate of instruction for physical activity to over 90.0% and to reduce the incidence of back pain (score of 3 or higher) among post-PCIs to 35.0% or less.
RESOLUTIONS: We conducted in-service education, revised related instruction materials, filmed the recommended physical activity for post-PCIs, and conducted a quality assurance audit.
RESULTS: The completion rate among post-PCIs for the instructions for physical activity increased from 32.5% to 90.0%. The incidence of back pain (score >3) reduced from 100% to 26.8%.
CONCLUSIONS: Implementing a physical activity education program with multimedia materials and regular audits effectively reduces the discomfort of patients following PCIs.