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The effects of early position change and ambulation on lower back pain and discomfort in patients with cancer witnessing angiography with Vascular Closure Device (VCD).

Vaishali Tayade, Manisha Pawar, Suyash Kulakrni, Vikas Ostwal, Nitin Shetty, Anant Ramaswamy

Abstract


Interventional Radiology (IR) is having a key role in the care of patients with cancer in terms
of therapeutic and diagnostic treatment. Angiography is one of the modality procedures used in
cancer treatment which is associated with vascular complications such as bleeding and
hematoma. To prevent these complications, patients are restricted to bed rest in the supine
position for hours after the procedure. Patients frequently complain of lower back pain and
discomfort because of the prolonged bed rest. Objectives-Positioning is an independent nursing
action as it focuses on the patients basic needs of getting comfortable and free of pain. To assess
the reduction in low back pain with early position change and ambulation in patients with cancer
undergoing angiography with VCD. Methodology - In this study total 20 cancer patients were
included who has undergone angiography procedure with vascular closure device by using non
probability purposive sampling technique and design is used as prospective experimental cohort.
The intervention includes two aspects- 1. Position 2. Ambulation As patient received early
change of position and ambulation there was no urination difficulty in a supine position. None of
the sample experienced bleeding and hematoma. Conclusion-The study concluded that the
effects of early position change and ambulation was effective to reduce low back pain and
discomfort in patients with cancer undergoing angiography with vascular closure device (VCD).


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