Pramote Thangkratok
Bangkok Hospital Group, Thailand
Title: Development of clinical practice guidelines for reduce back pain after cardiovascular angiography and interventions
Biography
Biography: Pramote Thangkratok
Abstract
Back pain is quite common after Cardiovascular Angiography and Interventions. Patients are restricted to rest in bed with their foot in a straight position for 4-6 hours after the procedure due to potential vascular complications from using a femoral approach. This study aimed to develop a Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions. This Clinical Practice Guidelines was constructed based on the framework of the development of clinical practice guideline of Australian National Health and Medical Research Council. Eight articles were obtained which comprised of one systematic review, six randomized-controlled trials, and one descriptive study. The empirical evidences were analyzed and synthesized yielding the Clinical Practice Guidelines. The content and feasibility of developed Clinical Practice Guidelines was approved by three experts and corrected following their suggestion. The results showed that the Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions: (1) Early ambulation (2) Changing patients' position in bed (3) The Device to support the straight leg and had no application of a sandbag. The recommendation of this study is that the Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions should be implemented in practice and developed appropriately. The Clinical Practice Guidelines nurse can easily take a few are safe for patients. And the independent role of the nurse can. And should evaluate both the process and outcomes, and tailored to the context of the agency, together with the research results.