Koroner Anjiyoplasti Uygulanan Hastalarda Erken Mobilizasyon ve Spongostan Destekli Pansumanın Kanama, Ağrı ve Idrar Yapma Üzerine Etkileri

Abstract

The aim of this randomized controlled study was to identify the impacts of early mobilization and spongostan-supported dressing on bleeding, pain and urination among coronary angioplasty patients. The sample of the study consisted of a total of 90 randomly selected coronary angioplasty patients, including a control group (n=30), an early mobilization group (n=30) and a group that had spongostan-supported dressing (n=30). The sheath catheters of the control group patients (1st group) were withdrawn at the end of the 4th hour, and then compressed dressing and sand bags were applied to the procedure region for 5 hours, and patient mobilization was ensured after a total of nine-hour bed rest. In the early mobilization group (2nd group), the sheath catheters were withdrawn one hour after the procedure, and then compressed dressing and sand bags were applied to the procedure region for 4 hours, and patient mobilization was ensured in the 5th hour. In the spongostan-supported dressing group (3rd group), the sheath catheters were withdrawn one hour after the procedure, and spongostan was placed on the procedure area, and the patients were followed for 4 hours with compressed dressing and sand bags, and they were mobilized in the 5th hour. The patients were assessed in terms of bleeding, hematoma, pain and urination during monitoring process. The ratio of patients that felt pain was significantly higher among the 1st group patients when compared to the patients in the 2nd and 3rd groups (p<0.01). In the 4th hour after the procedure, bleeding was significantly higher in the 1st group patients compared to ones in the 2nd and 3rd groups (p<0.05). The ratio of patients expressing difficulty in urination was significantly higher in the control group patients compared to the ones in the 2nd and 3rd groups (p<0.05). The results of this study indicated that early mobilization decreased the severity of pain experienced by patients during bed rest and it did not have an impact on bleeding and hematoma, that the spongostan-supported dressing had no effect on bleeding and hematoma.