ABSTRACT
Coronary heart disease is an increasing illness and one of the gold standards for their diagnosis is catheterization [CA]. Post-CA bed rest may cause back pain. In Iran, there has been no study about the effects of changing the position on their back pain after coronary angiography. This study was designed to explore these effects amongst the patients admitted to Taleghani hospital, 2006-2007. This clinical trial was carried out on 130 patients hospitalized for coronary angiography. Each Patient was assigned randomly to either the control group [which remained in supine position for 6 hours after coronary angiography], or experimental group. The position of experimental group were changed hourly, from supine to 30 degree elevation and semi position [elevated to 45 degrees] during the first 6 hours after coronary angiography. Check list and numeric pain intensity scale were used for data collection. None of patients developed bleeding, haematoma and arterial thrombosis. There were no significant difference between two groups. There was a significantly lesser pain intensity in experimental group [P<0.001]. The extention of back pain was lesser in experimental group but it was not significantly different [P<0.07]. Changing the bed position of patients would reduce the back pain without increasing the risk of vascular complications. It also promotes physical comfort among patients undergone coronary angiography
Subject(s)
Humans , Low Back Pain , Supine Position , PostureABSTRACT
Clinical training is an essential part of nursing education. Its evaluation can deeply affect on its quality and has always been a challenge for nursing education. The aim of this descriptive study was to compare satisfaction of nursing students with two methods of clinical evaluation, namely, objective structured clinical examination [OSCE] and practical examination in faculty of nursing and midwifery affiliated to Shahid Beheshti University of Medical Sciences in Tehran in 2007. 44 sophomore students in their orthopedic clinical training were selected by convenience sampling method and evaluated by the two evaluation methods. Data were collected by a satisfaction questionnaire in 3 cognitive, affective, and psychomotor domains. Content and inter-rater methods were used for validity and reliability of the questionnaire respectively. SPSS package [ver. 13] was used for data analysis. Satisfaction rates of nursing students in the 3 domains were higher in OSCE than in practical examination with a significant difference in achieving educational goals in the domains and in total [P < 0.001]. In this study, OSCE was used in this group of students for thier clinical training for the first time. It seems that this type of evaluation may better satisfy nursing students in their clinical training
Subject(s)
Humans , Personal Satisfaction , Students, Nursing , Educational Measurement/methods , Evaluation Studies as Topic , Clinical CompetenceABSTRACT
Coronary heart diseases are increasing and one of the gold standards for diagnosis is coronary angiography [CA]. Bed rest after CA may cause back pain. Since, there are a few studies about change position effects on reducing back pain and patients comfort during bed rest after CA in Iran, the study was designed to explore these effects in Taleghani hospital patients [2006-2007]. This clinical trial was conducted on 130 patients hospitalized for coronary angiography. Each Patient was assigned randomly to either the control group, which remained is supine position 6 hours of bed rest after CA, or experimental group. The experimental group changed position hourly, varying between supine, elevated to 3o degrees and semi position [elevated to 45 degrees] during the first 6 hours after coronary angiography. Checklist and numeric pain intensity scale were used for data collection. None of patients developed bleeding, haematoma and arterial thrombosis, so there was no significant difference between two groups. There was significantly less pain intensity of back pain [P<0.001] and nausea [P<0.01] in experimental group. Urinary difficulty, Groin and leg pain were lower in the experimental group but they were not significantly different between the two groups. Changing positions in bed without increased vascular complications may cause reduced back pain; and promote physical comfort among patients who had undergone coronary angiography