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Effects of early ambulation after ca...

Ng, Sek Ying Chair.

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Effects of early ambulation after cardiac catheterization.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Effects of early ambulation after cardiac catheterization./
作者:	Ng, Sek Ying Chair.
面頁冊數:	179 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1250.
Contained By:	Dissertation Abstracts International65-03B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3127069
ISBN:	9780496743346

Effects of early ambulation after cardiac catheterization.
Ng, Sek Ying Chair.

Effects of early ambulation after cardiac catheterization. - 179 p.

Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1250.

Thesis (Ph.D.)--University of Colorado Health Sciences Center, 2004.

Cardiac catheterization is a widely used cardiac diagnostic procedure. Patients are required to remain on bed rest for up to 24 hours after the procedure in Hong Kong. Early ambulation after the procedure and introduction of a transradial approach to the procedure were interventions examined in this study to improve patient outcomes after cardiac catheterization.

ISBN: 9780496743346Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Effects of early ambulation after cardiac catheterization.
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100 1 $a Ng, Sek Ying Chair. $3 1914942
245 1 0 $a Effects of early ambulation after cardiac catheterization.
300 $a 179 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1250.
500 $a Director: Katherine Jones.
502 $a Thesis (Ph.D.)--University of Colorado Health Sciences Center, 2004.
520 $a Cardiac catheterization is a widely used cardiac diagnostic procedure. Patients are required to remain on bed rest for up to 24 hours after the procedure in Hong Kong. Early ambulation after the procedure and introduction of a transradial approach to the procedure were interventions examined in this study to improve patient outcomes after cardiac catheterization.
520 $a The purpose of the study was to compare outcomes of vascular complications, back pain, urinary discomfort, general well-being, patient satisfaction, puncture site pain, and hospital costs among patients undergoing cardiac catheterization and assigned to one of three groups: transradial, early ambulation, or control group. After the procedure, the transradial patient was restricted to bed rest for 4 hours then they were allowed to ambulate. These patients were discharged on the evening of the procedure day unless complications developed. Patients undergoing cardiac catheterization using the transfemoral approach were randomly assigned to the early ambulation group or the control group. Patients in the early ambulation group were ambulated at 4 hours after returning from the cardiac catheterization laboratory, whereas patients in the control group were ambulated the morning after the procedure (routine care).
520 $a A total of 129 subjects (43/group) completed the study. The three groups differed significantly on back pain, urinary discomfort, and puncture site pain after the procedure. Patients in the transradial and early ambulation groups experienced significant less back pain and less urinary discomfort. The transradial group, however, experienced the highest puncture site pain at discharge. There was no significant difference among the three groups on vascular complications.
520 $a The three groups were not significantly different in general well-being and patient satisfaction level after the procedure. However, the transradial group had the highest general well-being level and the control group had the lowest. In this study, HK $1 36,800 ( $1 7,539) was saved on the 38 transradial subjects who were discharged the same day after cardiac catheterization without incurring an overnight stay.
520 $a In conclusion, patients allowed to ambulate after cardiac catheterization (both the early ambulation group and the transradial group) experienced less back pain and urinary discomfort, and higher general well-being while not experiencing a significant increase in puncture site bleeding. Therefore, allowing patients to get out of bed after 4 hours of bed rest post cardiac catheterization could readily be introduced into practice in Hong Kong, as this was found to be safe and might aid in promoting patient comfort without increasing the incidence of vascular complications.
590 $a School code: 0831.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
690 $a 0569
690 $a 0564
710 2 0 $a University of Colorado Health Sciences Center. $3 1023815
773 0 $t Dissertation Abstracts International $g 65-03B.
790 1 0 $a Jones, Katherine, $e advisor
790 $a 0831
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3127069