Determination of the effect of elevated supine position and back support on back pain, anxiety and comfort level in coronary angiography patients

Aim: To determine the effect of high supine position with back support on back pain, anxiety and comfort level in coronary angiography patients. Material and method: The research was carried out between 01 September 2021 – 30 January 2022 as a randomized single-blind interventional study with a pre-test post-test control group. The sample consisted of coronary angiography patients. Data; The patient information form was collected with the visual analog scale, state anxiety and immobilization comfort scale. The intervention group was provided with back support with a pillow at the exit of the angiogram and the head of the bed was raised 30 degrees. Back pain at 0, 2 and 4 hours, anxiety and comfort level at 0 and 4 hours were measured. The control group received routine care. Back pain at 0, 2 and 4 hours, anxiety and comfort level at 0 and 4 hours were measured. Results: A decrease in back pain scores was observed at the 2nd and 4th hours of the intervention group (p<0.05). The decrease in the anxiety score at the 4th hour of the intervention group (p<0.001) and the increase in the comfort score were found to be statistically significant (p<0.001). There was a positive correlation between the back pain score and the anxiety score of the groups, and a negative correlation between the back pain score and the anxiety score and the comfort score. Conclusion: It was determined that the back pain and anxiety levels of the patients decreased and their comfort increased. Keywords: Anxiety, Patient Position, Coronary Angiography, Comfort, Back Pain, Pillow