การจัดการอาการปวดหลังในผู้ป่วยหลังตรวจสวนหัวใจผ่านหลอดเลือดแดงฟีมอรอล: บทบาทของพยาบาล
คำสำคัญ:
อาการปวดหลัง, การจัดการอาการปวด, บทบาทพยาบาล, การตรวจสวนหัวใจทางหลอดเลือดแดงฟีมอรัลบทคัดย่อ
อาการปวดหลังเป็นปัญหาที่พบบ่อยในผู้ป่วยหลังตรวจสวนหัวใจผ่านหลอดเลือดแดงฟีมอรอล เกิดจากการที่ต้องนอนหงายราบเหยียดขาข้างที่ทำหัตถการอยู่ในอิริยาบทเดียวเป็นเวลานานเพื่อป้องกันภาวะแทรกซ้อนเลือดออก ส่งผลให้กล้ามเนื้อบริเวณหลังถูกกดทับนานเกินไป พยาบาลมีบทบาทสำคัญในการจัดการอาการปวดหลังในผู้ป่วยหลังตรวจสวนหัวใจผ่านหลอดเลือดแดงฟีมอรอลทั้งในลักษณะบทบาทอิสระและบทบาทร่วม บทความนี้อธิบาย กลไกการเกิดอาการปวดหลัง เครื่องมือที่ใช้ในการประเมินอาการปวดหลัง วิธีการจัดการอาการปวดหลังทั้งโดยวิธีการใช้ยาและไม่ใช้ยาที่ได้จากการทบทวนวรรรณกรรม และบทบาทของพยาบาลในการจัดการอาการปวดหลัง เพื่อนำไปใช้เป็นแนวทางดูแลผู้ป่วยต่อไป
เอกสารอ้างอิง
1. Loucks EB, Lynch JW, Pilote L, Fuhrer R, Almeida ND, Richard H, et al. Life-course socioeconomic position and incidence of coro-
nary heart disease: the Framingham Off spring Study. American journal of epidemiology 2009; 169(7): 829-36.
2. Bakhshi F, Namjou Z, Andishmand A, Panabadi A, Bagherinasab M, Sarebanhassanabadi M. Effect of positioning on patient outcomes after coronary angiography: A single-blind ran-domized controlled trial. Journal of Nursing Research 2014; 22(1): 45–50.
3. Teirstein PS, Lytle BW. Interventional and surgical treatment of coronary artery disease. In: Goldman, L, Schafer AI, Editors. Goldman’s Cecil Me-dicine. 24th ed. Philadelphia: Elsevier/Saunders; 2011.
4. Naowapanich S. Nursing care for patient with acute Coronary Syndrome and underwent percutaneous Coronary Intervention; 2009. (In Thai)
5. Aktürk E,Kurtoğlu E, Ermiş N, Açıkgöz N, Yağmur J, Altuntaş MS,et al.Comparision of pain levels of transradial versus transfemoral coronary catheterization : a prospective and randomized study2014;14(2):140–146.
6. Sulzbach-Hoke LM, Ratcliffe SJ, Kimmel SE, Kolansky DM,Polomano R. Predictors of complications following sheath removal with percutaneous coronary intervention. Journal of Cardiovascular Nursing2010;25(3):1–8.
7. Singh Mandeep.Bleeding Avoidance Strategies During Percutaneous Coronary Interventions. Journal of the American College of Cardiology 2015 ;65(20):2225–2238.
8. Piva CD, Vaz E, Moraes MA, Goldmeyer S, Fernanda G, Souza EN.Discomfort Reported byPatients After Cardiac Catheterization Using the Femoralor Radial Approaches. Revista Brasileira de Cardiologia Invasiva, 2014; 22(1): 36–40.
9. Suksamai J,Nipatsiripol Y, Daengsri T, samai Th. Nursing clinical practice guidelines to reduce back pain for patients underwent percutaneous coronary interventions. Siriraj Nursing Journal 2011; 4(1): 56-64. (In Thai)
10. Leaungsomnapa Y, Ngamkham Sr. Attention to pain. J Prapokklao Hosp Clin Med Educat Center 2013; 30(1): 83-93. (In Thai)
11. Pianbanyat K, ChooWattanapakorn T. Pain and nursing care in older persons with cancer. Thai Red Cross Nursing Journal 2014; 7(1): 10-25. (In Thai)
12. Jessell TM, Iverson LL. Opiate analgesics inhibit substance P release from rat trigeminal nucleus. Nature 1977; 5620: 549-551.
13. Manit N. Effect of stretching exercise on low back pain and functional ability in home-based garment workers [Thesis]. Chiang Mai: Chiang Mai University; 2010. (In Thai)
14. Koontalay A.Pain management in critically ill patients:Nursing roles. Journal of Nursing Science & Health 2019; 42(2):126-136. (In Thai)
15. Burn KL, Marshall B, Scrymgeour G. Early mobilization after femoral approach diagnostic coronary angiography to reduce back pain. Journal of Radiology Nursing 2015; 34(3):162-169.
16. Van Dijk JF, Van Wijck AJ, Kappen TH, Peelen LM, Kalkman CJ, Schuurmans MJ. Postoperative pain assessment based on numericratings is not the same for patients and professionals: A cross-sectional study.Inter-
national Journal of Nursing Studies 2012;49(1)
:65–71.
17. Rezaei-Adaryani M, Ahmadi F, AsghariJafa-
rabadi M.The effect of changing position and early ambulation after cardiac catheterization
on patients’outcomes:asingle-blind randomized controlled trial. International journal of nursing studies 2009;46(8): 1047-1053.
18. Kovindha A.Textbook of spinal cord injury : comprehensive rehabilitation vol.1. Chiang Mai: sutin printing;2012. (In Thai)
19. Hassan AK., Hasan-Ali H, Demetry S R, Refaat R, Ali AS.Early sheath removal after percutaneous coronary intervention using Assiut Femoral Compression Device is feasible and safe. Results of a randomized controlled trial. The Egyptian Heart Journal, 2015; 67(1): 69-77.
20. Bashoe TM, Balter S, Barac A, Byrne JG, Cavendish JJ, Chambers CE, et al. 2012 American College of Cardiology Foundation/
Society for Cardiovascular Angiography and Interventions expert consensus document on cardiac catheterization laboratory standards update: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Journal of the American College of Cardiology 2012;59(24): 2221-2305.
21. Chair SY, Thompson DR, Li SK. The effect of ambulation after cardiac catheterization on patient outcomes. Journal of Clinical Nursing,
2007; 16(1): 212-214
22. Augustin AC, Quadros AS, Sarmento-Leite RE.Early sheath removal and ambulation in patients submitted to percutaneous coronary intervention : A randomised clinical trial. Inter-
national Journal of NursingStudies. 2010; 47(8)
:939–945.
23. Cha NH, Sok S. Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study. Journal of physical therapy science. 2016; 28(10): 2742-2747.
24. Rolley JX, Salamonson Y, Wensley C, Dennison CR, Davidsn PM. Clinical Guideline:
Nursing clinical practice guidelines to improve care for people undergoing percutaneous coronary interventions. Australian Critical Care 2011; 24(1):18–38.
25. Olson NC. Comparison of Head Coronary Angiography. Critical Care Nurse 2016; 36(3)
:20-35.
26. Scriver V, Wilkinson A, Madowcroft C. A randomized controlled trial of the effectiveness of exercise and/or alternating air mattress in the control of back pain after percutaneous trans-luminal coronary angioplasty. Heart Lung 1994; 23(4):308-316.
27. Fereidouni Z, Kameli Morandini M, Najafi Kalyani M.The efficacy of interventions for back pan in patients after transfemoral coronary angiography: A rapid systematic review. Journal of Vascular Nursing. 2019; 37(1): 52–57.
28. Thailand Nursing and Midwifery council. Professional Nursing and Midwifery Act B.E. 2540 (1997).Bangkok: The best graphic and print; 1997. (In Thai)
29. Sattari M, Baghdadchi ME, Kheyri M, Khakzadi H, Mashayekhi SO. Study of patient pain management after heart surgery. Adv Pharm Bull 2013; 3(2):373-377.
30. Herr K, Coyne PJ, Manworren R, McCaffery M, Merter S, Kelly JP et al. Pain assessment in the nonverbal patient: position statement with clini-
cal practice recommendations. Pain Manage Nurs 2006; 7(2):44-52.
nary heart disease: the Framingham Off spring Study. American journal of epidemiology 2009; 169(7): 829-36.
2. Bakhshi F, Namjou Z, Andishmand A, Panabadi A, Bagherinasab M, Sarebanhassanabadi M. Effect of positioning on patient outcomes after coronary angiography: A single-blind ran-domized controlled trial. Journal of Nursing Research 2014; 22(1): 45–50.
3. Teirstein PS, Lytle BW. Interventional and surgical treatment of coronary artery disease. In: Goldman, L, Schafer AI, Editors. Goldman’s Cecil Me-dicine. 24th ed. Philadelphia: Elsevier/Saunders; 2011.
4. Naowapanich S. Nursing care for patient with acute Coronary Syndrome and underwent percutaneous Coronary Intervention; 2009. (In Thai)
5. Aktürk E,Kurtoğlu E, Ermiş N, Açıkgöz N, Yağmur J, Altuntaş MS,et al.Comparision of pain levels of transradial versus transfemoral coronary catheterization : a prospective and randomized study2014;14(2):140–146.
6. Sulzbach-Hoke LM, Ratcliffe SJ, Kimmel SE, Kolansky DM,Polomano R. Predictors of complications following sheath removal with percutaneous coronary intervention. Journal of Cardiovascular Nursing2010;25(3):1–8.
7. Singh Mandeep.Bleeding Avoidance Strategies During Percutaneous Coronary Interventions. Journal of the American College of Cardiology 2015 ;65(20):2225–2238.
8. Piva CD, Vaz E, Moraes MA, Goldmeyer S, Fernanda G, Souza EN.Discomfort Reported byPatients After Cardiac Catheterization Using the Femoralor Radial Approaches. Revista Brasileira de Cardiologia Invasiva, 2014; 22(1): 36–40.
9. Suksamai J,Nipatsiripol Y, Daengsri T, samai Th. Nursing clinical practice guidelines to reduce back pain for patients underwent percutaneous coronary interventions. Siriraj Nursing Journal 2011; 4(1): 56-64. (In Thai)
10. Leaungsomnapa Y, Ngamkham Sr. Attention to pain. J Prapokklao Hosp Clin Med Educat Center 2013; 30(1): 83-93. (In Thai)
11. Pianbanyat K, ChooWattanapakorn T. Pain and nursing care in older persons with cancer. Thai Red Cross Nursing Journal 2014; 7(1): 10-25. (In Thai)
12. Jessell TM, Iverson LL. Opiate analgesics inhibit substance P release from rat trigeminal nucleus. Nature 1977; 5620: 549-551.
13. Manit N. Effect of stretching exercise on low back pain and functional ability in home-based garment workers [Thesis]. Chiang Mai: Chiang Mai University; 2010. (In Thai)
14. Koontalay A.Pain management in critically ill patients:Nursing roles. Journal of Nursing Science & Health 2019; 42(2):126-136. (In Thai)
15. Burn KL, Marshall B, Scrymgeour G. Early mobilization after femoral approach diagnostic coronary angiography to reduce back pain. Journal of Radiology Nursing 2015; 34(3):162-169.
16. Van Dijk JF, Van Wijck AJ, Kappen TH, Peelen LM, Kalkman CJ, Schuurmans MJ. Postoperative pain assessment based on numericratings is not the same for patients and professionals: A cross-sectional study.Inter-
national Journal of Nursing Studies 2012;49(1)
:65–71.
17. Rezaei-Adaryani M, Ahmadi F, AsghariJafa-
rabadi M.The effect of changing position and early ambulation after cardiac catheterization
on patients’outcomes:asingle-blind randomized controlled trial. International journal of nursing studies 2009;46(8): 1047-1053.
18. Kovindha A.Textbook of spinal cord injury : comprehensive rehabilitation vol.1. Chiang Mai: sutin printing;2012. (In Thai)
19. Hassan AK., Hasan-Ali H, Demetry S R, Refaat R, Ali AS.Early sheath removal after percutaneous coronary intervention using Assiut Femoral Compression Device is feasible and safe. Results of a randomized controlled trial. The Egyptian Heart Journal, 2015; 67(1): 69-77.
20. Bashoe TM, Balter S, Barac A, Byrne JG, Cavendish JJ, Chambers CE, et al. 2012 American College of Cardiology Foundation/
Society for Cardiovascular Angiography and Interventions expert consensus document on cardiac catheterization laboratory standards update: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Journal of the American College of Cardiology 2012;59(24): 2221-2305.
21. Chair SY, Thompson DR, Li SK. The effect of ambulation after cardiac catheterization on patient outcomes. Journal of Clinical Nursing,
2007; 16(1): 212-214
22. Augustin AC, Quadros AS, Sarmento-Leite RE.Early sheath removal and ambulation in patients submitted to percutaneous coronary intervention : A randomised clinical trial. Inter-
national Journal of NursingStudies. 2010; 47(8)
:939–945.
23. Cha NH, Sok S. Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study. Journal of physical therapy science. 2016; 28(10): 2742-2747.
24. Rolley JX, Salamonson Y, Wensley C, Dennison CR, Davidsn PM. Clinical Guideline:
Nursing clinical practice guidelines to improve care for people undergoing percutaneous coronary interventions. Australian Critical Care 2011; 24(1):18–38.
25. Olson NC. Comparison of Head Coronary Angiography. Critical Care Nurse 2016; 36(3)
:20-35.
26. Scriver V, Wilkinson A, Madowcroft C. A randomized controlled trial of the effectiveness of exercise and/or alternating air mattress in the control of back pain after percutaneous trans-luminal coronary angioplasty. Heart Lung 1994; 23(4):308-316.
27. Fereidouni Z, Kameli Morandini M, Najafi Kalyani M.The efficacy of interventions for back pan in patients after transfemoral coronary angiography: A rapid systematic review. Journal of Vascular Nursing. 2019; 37(1): 52–57.
28. Thailand Nursing and Midwifery council. Professional Nursing and Midwifery Act B.E. 2540 (1997).Bangkok: The best graphic and print; 1997. (In Thai)
29. Sattari M, Baghdadchi ME, Kheyri M, Khakzadi H, Mashayekhi SO. Study of patient pain management after heart surgery. Adv Pharm Bull 2013; 3(2):373-377.
30. Herr K, Coyne PJ, Manworren R, McCaffery M, Merter S, Kelly JP et al. Pain assessment in the nonverbal patient: position statement with clini-
cal practice recommendations. Pain Manage Nurs 2006; 7(2):44-52.
ดาวน์โหลด
เผยแพร่แล้ว
2021-01-20
รูปแบบการอ้างอิง
1.
Ruaisungnoen W. การจัดการอาการปวดหลังในผู้ป่วยหลังตรวจสวนหัวใจผ่านหลอดเลือดแดงฟีมอรอล: บทบาทของพยาบาล. SRIMEDJ [อินเทอร์เน็ต]. 20 มกราคม 2021 [อ้างถึง 23 ธันวาคม 2025];36(1):111-8. available at: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/244559
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