Effect of position change on back pain and bleeding complications in Hajj Pilgrims Undergoing Percutaneous Coronary Intervention

Background:-Although extended bed rest in the spinal posture has become a tradition, it can have unfavorable outcomes. To prevent transfemoral artery problems, various measures such as therapeutic positioning of the patient, elevation of the head of the bed, and early ambulation, have been suggested. This study aimed to assess the effect of positional change on back pain and bleeding complications following percutaneous coronary intervention during the Hajj season. Methods:-Quasi-experimental study was conducted in King Abdullah Medical City. The researchers employed a tool to gather data from the participants. Sixty patients were selected using a convenient sampling method. After percutaneous coronary intervention, patients in the control group received routine treatment and the intervention group of patients underwent a series of positional changes following the procedure. The categorical variables as age, sex, past medical history was represented using numerical values and percentages, whilst the continuous variables as back pain was represented using the mean and standard deviation. Fisher's exact test was used to determine if there are associations between the demographic data, health relevant data and laboratory investigation of the control group and hematoma and bleeding’ occurrence. The Mann-Whitney U test was used to compare differences between two groups (control and intervention). Results:-The There was a highly statistically significant difference in low back pain after percutaneous coronary intervention between the groups (p=0.000). Moreover, 3.3 %of the patients in the control group experienced hematomas occurrence with no statistically significant difference between the intervention and control groups. Conclusion:-Changing the patients’ position following femoral percutaneous coronary intervention decreases back pain without causing any vascular complications compared with routine methods. Additionally, changing positions during the first six hours is safe.