الفهرس 
Acknowledgments
Anatomy of the heart and distribution of the coronary arteriesOnly 14 pages are availabe for public view
 |  | from | 148 |  |  |
| | | from | 148 | | |
Abstract
The current study aimed to investigate the impact of a designed early ambulation protocol among Post transfemoral coronary procedures on knowledge and practices levels, back pain, urinary discomfort, satisfaction, length of hospital stay, and vascular complications including bleeding and hematoma after invasive coronary procedures in catheterization unit at Assiut University Hospital. The design of this study was quasi experimental research design. This study was carried out in catheterization unit and coronary care unit. Moreover, this study was conducted to test the research hypotheses that the patient knowledge and practices levels, back pain, urinary discomfort, satisfaction, length of hospital stay, and vascular complications including bleeding and hematoma after invasive coronary procedures.
A convenience sample of all adult educable and mentally competent male and female patients aged from (18-60 years old) who are scheduled for non emergency percutaneous coronary intervention (PCI) and coronary angiography (CA) via femoral artery during a period of twelve months were eligible for inclusion in the sample at Assiut University Hospital.
All patients had a six French sheath, normal prothrombin time and renal function test. They were assigned into both study and control groups. Patients in the study group were ambulate after four hours bed rest post transfemoral PCI, whereas patients in the control group were ambulate after 12–24 hours (usual care). And Patients in the study group were ambulate after two hours bed rest post transfemoral coronary angiography, whereas patients in the control group were ambulate after 6-8 hours (usual care).
Summary
- 93 -
Six tools were utilized to collect data pertinent to the study, which are: tool I Assessment of patients after femoral sheath removal and angioplasty related data tool II: pre/post femoral cardiac catheterization knowledge sheet tool III:pre/ post femoral cardiac catheterization early ambulation observational checklist hnique tool IV: post femoral cardiac catheterization vebal rating scale tool V:post femoral cardiac catheterization assessment of patient satisfaction Tool VI: post femoral cardiac catheterization complications assessment. sheet. A pilot study on 30 patients (22 patient with CA ,8 patients with PCI those patients were included in the actual study as the developed tools needed minimal modifications).
The main results:-
Finding of the present study revealed that no statistical significant difference between both studied groups in CA and PCI in relation to age. However, most patients had previous angina in CA and PCI. Further more, statistical significant differences were existed between both studied groups and in CA and PCI in relation to back pain and urinary discomfort.
As regarded vascular complication, no significant statistical difference between both groups among CA and PCI. In addition to, positive correlation was found between satisfaction and back pain and satisfaction and urinary discomfort in patients in CA and PCI.
It can conclude that early ambulation is safe and feasible for patients undergoing to in CA and PCI. Information and knowledges before in CA and PCI very important for cardiac patient especially undergoning to diagnostic and therapeutic cardiac catheterization.
Summary
- 94 -
Based on the study findings, the following recommendations are suggested:-
Equip the cardiac catheterization unit with simple illustrated guidelines protocol covering the major early ambulation practices /knowledge post femoral cardiac catheterization
Develop an in service audiovisual materials training/education about early ambulation ,complications and its management after cardiac catheterization for patients
Developing protocol using a smaller sheath sizes and radial artery access.
Bundle of care for early ambulation after femoral cardiac catheterization.
Early ambulation should be added to the routine care.
Studing the implementing of early ambulation among percutaneous vulvoplasty.
Reapply this research on a larger probability sample acquired from different geographical areas in Egypt for generalization.
Studing the risk factors associated with local complication for patient undergoing cardiac catheterization.
Studing to use other vascular closure devices after cardiac catheterization.
Assessment of nurses’ knowledge and practices in relation to bundle of care.