IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 9, Issue 5 Ser. IV (Sep. – Oct. 2020), PP 50-53 www.iosrjournals.org DOI: 10.9790/1959-0905045053 www.iosrjournals.org 50 | Page Impact of Early Ambulation after Femoral Approach Coronary Intervention (FACI) on Patient’s Outcome Anchal Gupta 1 , Dr. Suchana Roy Bhowmik 2 Dr. Rishi Sethi 3 1 (Medical Surgical Nursing, KGMU, College of Nursing/ King George’s Medical University, Lucknow, India) 2 (Medical Surgical Nursing, KGMU, College of Nursing/ King George’s Medical University, Lucknow, India) 3 (Department of Cardiology, KGMU / King George’s Medical University, Lucknow, India) Abstract: Background: Cardiovascular diseases are group of non-communicable disease burden not only in India but also globally. Technological advancement has important role in early diagnosis and treatment of cardiovascular diseases. Among those procedures, coronary angiography and angioplasty are helpful in diagnosis and treatment of coronary diseases. Early ambulation after this procedure improves patient outcomes and reduces cost of hospital stay. The purpose of the study was to assess impact of Early Ambulation after Femoral Approach Coronary Intervention (FACI) on patient outcome. Materials and Methods: Quasi-experimental (nonequivalent post test control group design) was applied. Purposive sampling technique was used to select 70 patients (35 in each control and study group) who met inclusion criteria. Early ambulation was initiated to study group while control group received hospital routine care. Patient outcome was assessed by Numerical Pain Rating Scale, Bleeding assessment tool, Hematoma assessment femoral scale, Urinary retention assessment scale and Satisfaction measurement tool. Data were collected at the end of 6 hour of intervention. Results: The result shown that there was statistically significant impact of early ambulation found on back pain (p<0.001), urinary retention (p=0.006) and level of satisfaction (p<0.001). There was no statistically significant impact of early ambulation on bleeding (p=0.513) and hematoma (p=0.513) was noticed. Conclusion: There was no significant effect found on bleeding and hematoma formation, so this study concluded that early ambulation was effective on reducing back pain, relieving urinary retention and increasing satisfaction level. Hence Early Ambulation after Femoral Approach Coronary Intervention (FACI) may be recommended as part of routine nursing care in the hospital. Key Word: Early ambulation intervention; Back pain; Bleeding; Hematoma; Urinary retention; Satisfaction. --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 24-09-2020 Date of Acceptance: 07-10-2020 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Cardiovascular diseases are a group of non-communicable disease burden not only in India but also globally. The non-communicable disease account for 41 million deaths in each year which corresponds to 71% of all death globally. 1 Technological advancement has made a major contribution to the early diagnosis and treatment of cardiovascular diseases. Among many coronary procedures, coronary angiography and angioplasty have major role in early diagnosis and treatment of blocked arteries. After these procedures, early treatment and fast recovery are the primary goal for the patient. Femoral artery puncture is assumed to be the standard technique used to access the coronary arteries during angiography and angioplasty. 2 Due to femoral approach, patients are confined to bed for longer period. So, this prolonged bed rest result in physical discomforts, like lower back pain and complications related to digestion and excretion. Prolonged bed rest also contribute in an extended hospital stay, which increases both medical fees and usage of medical resources. 3 Practicing evidence- based findings (early ambulation) reduces subjective complaints of the patient like back pain and voiding difficulty. 4 So, based on above findings the study was carried out with the purpose to assess the impact of Early Ambulation after Femoral Approach Coronary Intervention (FACI) on patient‟s outcome. II. Material And Methods The study was conducted in Cardiac Catheterization I.C.U, Lari, (Department of Cardiology) KGMU, Lucknow, Uttar Pradesh, India. Data collection was done from November 2019- January 2020. A total of 70 patients were selected for study. Study Design: Quasi-experimental (nonequivalent post test control group design)