Authors (including presenting author) :
Lau YTE(1), Lam SY(1), Yiu SC(1), Lee PYV(1), Ko CMT(1), Yiu KH(1), Choo KL(1)
Affiliation :
(1) Department of Medicine, North District Hospital
Introduction :
Transfemoral approach of cardiac procedure may induced a range of vascular complications such as bleeding and hematoma. Traditionally, prolonged bed rest in supine position of 12 hours is required after operation to prevent those complications from occurring, patients often complain of back pain and urinary difficulty, which leads to a negative impact on their quality of life (QoL) as well as general satisfaction during hospitalisation.
Objectives :
(1)To reduce patients back pain and urinary difficulties by allowing early mobilisation after procedure;
(2)To improve their quality of life and satisfaction during the recovery stage.
Methodology :
After exploring patient experiences adopting current practice, which acts as control group, an early mobilisation protocol was developed and implemented in CCU. It allows the head of bed to be elevated by 15 degrees hourly to a maximum of 45 degrees for a total of six hours. A pretest vs posttest design was employed. Outcome measures were categorised as the level of back pain and urinary difficulties in each hour and satisfaction survey.
Result & Outcome :
There were a total of 22 patients recruited for the program from November 2021 to February 2022, in which the number of patients included in control group and intervention group were 11 respectively. The range of mean score of back pain of intervention group (0.45-1.27) was much lower than that control group (3.09-3.81). The range of mean score of urinary difficulties of intervention group was 1-2, but that of control group was 1.63-2.27. Patient's overall satisfaction during hospitalisation increased with a better insight on their progress.
