{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:47:25Z","timestamp":1782470845748,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    Transfemoral coronary angiography (TFA) is widely used for the diagnosis and treatment of coronary artery disease. Prolonged bed rest after TFA may lead to discomfort, groin and back pain, and delayed recovery. Gradual mobilization has been suggested to improve post-procedural outcomes and patient comfort. This study aimed to evaluate the effects of planned gradual mobilization on vital signs, post-procedural symptoms, and comfort levels in patients undergoing TFA. A randomized controlled experimental study was conducted with 40 patients in a single cardiology clinic. Participants were assigned to an intervention group (planned gradual mobilization) or a control group (standard mobilization) 12\u2009hr post-angiography. Vital signs were recorded before and 20\u2009min after mobilization. Post-procedural symptoms including dizziness, palpitations, and falling sensations\u2014as well as complications such as bleeding or hematoma\u2014were documented. Patient comfort was assessed using the General Comfort Scale Short Form 2\u2009hr after mobilization. The intervention group experienced significantly lower rates of dizziness (15% vs. 70%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001), falling sensations (5% vs. 85%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001), and palpitations (25% vs. 65%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.011) compared to the control group. No significant differences were observed in systolic or diastolic blood pressure, pulse rate, or overall comfort scores. Minor post-mobilization changes were noted in respiratory rate, body temperature, and SpO\n                    <jats:sub>2<\/jats:sub>\n                    , with a significant increase in SpO\n                    <jats:sub>2<\/jats:sub>\n                    within the intervention group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05). No major complications, such as hematoma or significant bleeding, were reported in either group. Planned gradual mobilization 12\u2009hr after TFA effectively reduced dizziness, palpitations, and falling sensations without adversely affecting vital signs or comfort. Implementing gradual mobilization in nursing care may enhance patient safety, comfort, and recovery outcomes.\n                  <\/jats:p>","DOI":"10.1177\/10547738261429818","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:00:27Z","timestamp":1775469627000},"page":"267-275","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Gradual Mobilization on Vital Signs and Comfort Level After Transfemoral Coronary Angiography"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2349-6331","authenticated-orcid":false,"given":"H\u00fcmeyra","family":"Y\u00fcksel","sequence":"first","affiliation":[{"name":"Erciyes University, Kayseri, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1869-8713","authenticated-orcid":false,"given":"\u00d6zlem","family":"Ceyhan","sequence":"additional","affiliation":[{"name":"Erciyes University, Kayseri, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00fcr\u00fcvvet","family":"Ba\u015fer","sequence":"additional","affiliation":[{"name":"Erciyes University, Kayseri, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Abdollahi A. A. Mehranfard S. Behnampour N. Kordnejad A. M. (2015). Effect of positioning and early ambulation on coronary angiography complications: A randomized clinical trial. Journal of Caring Sciences 4(2) 125\u2013134. https:\/\/doi.org\/10.15171\/jcs.2015.013","DOI":"10.15171\/jcs.2015.013"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"Augustin A. C. de Quadros A. S. Sarmento-Leite R. E. (2010). Early sheath removal and ambulation in patients submitted to percutaneous coronary intervention: A randomised clinical trial. International Journal of Nursing Studies 47(8) 939\u2013945. https:\/\/doi.org\/10.1016\/j.ijnurstu.2010.01.004","DOI":"10.1016\/j.ijnurstu.2010.01.004"},{"key":"e_1_3_4_4_1","doi-asserted-by":"crossref","unstructured":"Bakhshi F. Namjou Z. Andishmand A. Panabadi A. Bagherinasab M. Sarebanhassanabadi M. (2014). Effect of positioning on patient outcomes after coronary angiography: A single-blind randomized controlled trial. Journal of Nursing Research 22(1) 45\u201350. https:\/\/doi.org\/10.1097\/jnr.0000000000000020","DOI":"10.1097\/jnr.0000000000000020"},{"issue":"5","key":"e_1_3_4_5_1","first-page":"41","article-title":"The effect of audiovisual training given to patients undergoing coronary angiography on physiological and psychosocial parameters","volume":"4","author":"Balc\u0131 A.","year":"2013","unstructured":"Balc\u0131 A., En\u00e7 N. (2013). The effect of audiovisual training given to patients undergoing coronary angiography on physiological and psychosocial parameters. Turkish Society of Cardiology Journal of Cardiovascular Nursing, 4(5), 41\u201350.","journal-title":"Turkish Society of Cardiology Journal of Cardiovascular Nursing"},{"key":"e_1_3_4_6_1","doi-asserted-by":"crossref","unstructured":"Batmaz M. Cengiz Z. (2023). Comparison of sleep quality comfort level and affecting factors in patients using sandbag and close pad after coronary angiography. Archives of Health Science Research 10 193\u2013200. https:\/\/doi.org\/10.5152\/ArcHealthSciRes.2023.23031","DOI":"10.5152\/ArcHealthSciRes.2023.23031"},{"issue":"5","key":"e_1_3_4_7_1","first-page":"1","article-title":"Comparison of closure of the \u0131ntervention site after coronary angiography through the femoral artery using traditional sandbag and closure device","volume":"9","author":"Bekta\u015f O.","year":"2017","unstructured":"Bekta\u015f O., Bayramo\u011flu A. (2017). Comparison of closure of the \u0131ntervention site after coronary angiography through the femoral artery using traditional sandbag and closure device. Journal of Clinical Medicine Family Medicine, 9(5), 1\u20135.","journal-title":"Journal of Clinical Medicine Family Medicine"},{"key":"e_1_3_4_8_1","doi-asserted-by":"crossref","unstructured":"Bundgaard-Nielsen M. J\u00f8rgensen C. C. J\u00f8rgensen T. B. Ruhnau B. Secher N. H. Kehlet H. (2009). Orthostatic intolerance and the cardiovascular response to early postoperative mobilization. British Journal of Anaesthesia 102(6) 756\u2013762. https:\/\/doi.org\/10.1093\/bja\/aep083","DOI":"10.1093\/bja\/aep083"},{"key":"e_1_3_4_9_1","doi-asserted-by":"crossref","unstructured":"\u00c7\u0131rac\u0131 B. R\u0131zalar S. (2023). Patient comfort in percutaneous coronary interventions. Saudi Medical Journal 44(5) 471\u2013478. https:\/\/doi.org\/10.15537\/smj.2023.44.5.20220872","DOI":"10.15537\/smj.2023.44.5.20220872"},{"issue":"2","key":"e_1_3_4_10_1","first-page":"16","article-title":"Turkish validity and reliability of general comfort scale short form","volume":"10","author":"\u00c7\u0131tl\u0131k Sar\u0131ta\u015f S.","year":"2018","unstructured":"\u00c7\u0131tl\u0131k Sar\u0131ta\u015f S., \u00c7evik S., \u00d6zden G. (2018). Turkish validity and reliability of general comfort scale short form. Journal of Nursing Forum in Diabetes, Obesity and Hypertension, 10(2), 16\u201322.","journal-title":"Journal of Nursing Forum in Diabetes, Obesity and Hypertension"},{"key":"e_1_3_4_11_1","doi-asserted-by":"crossref","unstructured":"Elsaman S. E. A. (2022). Association of position change and back massage and early ambulation with post-transfemoral coronary angiography complications. Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing 40(3) 128\u2013133. https:\/\/doi.org\/10.1016\/j.jvn.2022.08.003","DOI":"10.1016\/j.jvn.2022.08.003"},{"key":"e_1_3_4_12_1","doi-asserted-by":"crossref","unstructured":"Ertan Yaman H. G\u00fcrses B. (2019). Technical specifications local vascular complications and patient experiences regarding the vascular access route used for percutaneous coronary intervention. Turkiye Klinikleri Journal of Cardiovascular Sciences 31(1) 41\u201351. https:\/\/doi.org\/10.5336\/cardiosci.2018-62008","DOI":"10.5336\/cardiosci.2018-62008"},{"issue":"4","key":"e_1_3_4_13_1","first-page":"177","article-title":"The effect of position change and bed-rest duration after coronary angiography on vascular complications","volume":"4","author":"Farmanbar R.","year":"2012","unstructured":"Farmanbar R., Mohammadiyan M. A., Moghaddamniya M. T., Nejad E. K., Salari A. (2012). The effect of position change and bed-rest duration after coronary angiography on vascular complications. Iranian Journal of Critical Care Nursing, 4(4), 177\u2013182.","journal-title":"Iranian Journal of Critical Care Nursing"},{"issue":"1","key":"e_1_3_4_14_1","first-page":"3","article-title":"Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography","volume":"3","author":"Hajbaghery M. A.","year":"2014","unstructured":"Hajbaghery M. A., Moradi T., Mohseni R. (2014). Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography. Nursing and Midwifery Studies, 3(1), 3\u20137.","journal-title":"Nursing and Midwifery Studies"},{"key":"e_1_3_4_15_1","doi-asserted-by":"crossref","unstructured":"Hanada M. Tawara Y. Miyazaki T. Sato S. Morimoto Y. Oikawa M. Niwa H. Eishi K. Nagayasu T. Eguchi S. Kozu R. (2017). Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery. BMC Surgery 17(1) Article 111. https:\/\/doi.org\/10.1186\/s12893-017-0314-y","DOI":"10.1186\/s12893-017-0314-y"},{"key":"e_1_3_4_16_1","doi-asserted-by":"crossref","unstructured":"Hasrat S. Hussain S. Ahmed Z. Naeem H. Khan M. S. Rauf S. Malik A. R. Ashraf Butt A. U. Khali A. (2020). Comparison of mean fluoroscopic time and mean contrast volume used in patients undergoing coronary angiography by the transfemoral versus transradial route. Cureus 12(11) e11700. https:\/\/doi.org\/10.7759\/cureus.11700","DOI":"10.7759\/cureus.11700"},{"key":"e_1_3_4_17_1","doi-asserted-by":"crossref","unstructured":"Hodgson C. Needham D. Haines K. Bailey M. Ward A. Harrold M. Young P. Zanni J. Buhr H. Higgins A. Presneill J. Berney S. (2014). Feasibility and inter-rater reliability of the ICU Mobility Scale. Heart & Lung 43(1) 19\u201324. https:\/\/doi.org\/10.1016\/j.hrtlng.2013.11.003","DOI":"10.1016\/j.hrtlng.2013.11.003"},{"key":"e_1_3_4_18_1","doi-asserted-by":"crossref","unstructured":"Ibdah R. K. Ta\u2019an W. F. Shatnawi R. M. Suliman M. M. Rababah J. A. Rawashdeh S. I. (2020). The effectiveness of early position change postcardiac catheterization on patient\u2019s outcomes: A randomized controlled trial. Nursing Forum 55(3) 380\u2013388. https:\/\/doi.org\/10.1111\/nuf.12438","DOI":"10.1111\/nuf.12438"},{"key":"e_1_3_4_19_1","doi-asserted-by":"crossref","unstructured":"Jang M. H. Shin M. J. Shin Y. B. (2019). Pulmonary and physical rehabilitation in critically ill patients. Acute and Critical Care 34(1) 1\u201313. https:\/\/doi.org\/10.4266\/acc.2019.00444","DOI":"10.4266\/acc.2019.00444"},{"key":"e_1_3_4_20_1","unstructured":"Karaaslan E. (2020). Evaluation of factors affecting mobility in patients undergoing abdominal region surgery [Master\u2019s thesis T.C. Hasan Kalyoncu University Institute of Health Sciences Gaziantep]."},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2000.9.3.185"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2006.02.006"},{"key":"e_1_3_4_23_1","doi-asserted-by":"crossref","unstructured":"Niknam Sarabi H. Farsi Z. Butler S. Pishgooie A. H. (2021). Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: A randomized clinical trial. BMC Cardiovascular Disorders 21 Article 114. https:\/\/doi.org\/10.1186\/s12872-021-01922-w","DOI":"10.1186\/s12872-021-01922-w"},{"key":"e_1_3_4_24_1","unstructured":"\u00d6nen M. (2017). The effect of patients undergoing abdominal surgery on the pain and anxiety levels of their postoperative experiences of getting up after surgery [Master\u2019s Thesis Ege University Institute of Health Sciences Surgical Diseases Nursing Izmir]."},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.02.004"},{"key":"e_1_3_4_26_1","doi-asserted-by":"crossref","unstructured":"Rezaei-Adaryani M. Ahmadi F. Mohamadi E. Asghari-Jafarabadi M. (2009b). The effect of three positioning methods on patient outcomes after cardiac catheterization. Journal of Advanced Nursing 65(2) 417\u2013424. https:\/\/doi.org\/10.1111\/j.1365-2648.2008.04889.x","DOI":"10.1111\/j.1365-2648.2008.04889.x"},{"key":"e_1_3_4_27_1","doi-asserted-by":"crossref","unstructured":"Santos Ramos D. Aquaroni R. N. Aparecida Bordignon S. \u00c9. de Moraes Paisani D. Dias Chiavegato L. (2017). Effects of early mobilisation in patients after cardiac surgery: A systematic review. Physiotherapy 103(1) 1\u201312. https:\/\/doi.org\/10.1016\/j.physio.2016.08.003","DOI":"10.1016\/j.physio.2016.08.003"},{"key":"e_1_3_4_28_1","doi-asserted-by":"crossref","unstructured":"Senduran M. Yurdalan S. U. Karadibak D. Gunerli A. (2010). Haemodynamic effects of physiotherapy programme in intensive care unit after liver transplantation. Disability and Rehabilitation 32(17) 1461\u20131466. https:\/\/doi.org\/10.3109\/09638280903531212","DOI":"10.3109\/09638280903531212"},{"key":"e_1_3_4_29_1","doi-asserted-by":"crossref","unstructured":"Stiller K. (2007). Safety issues that should be considered when mobilizing critically ill patients. Critical Care Clinics 23(1) 35\u201353. https:\/\/doi.org\/10.1016\/j.ccc.2006.11.005","DOI":"10.1016\/j.ccc.2006.11.005"},{"issue":"2","key":"e_1_3_4_30_1","first-page":"129","article-title":"Evaluation of movement levels of patients in the postoperative period and factors related to movement levels","volume":"13","author":"Yolcu S.","year":"2016","unstructured":"Yolcu S., Ak\u0131n S., Durna Z. (2016). Evaluation of movement levels of patients in the postoperative period and factors related to movement levels. Journal of Education and Research in Nursing, 13(2), 129\u2013138.","journal-title":"Journal of Education and Research in Nursing"}],"container-title":["Clinical Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10547738261429818","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10547738261429818","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10547738261429818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:51:58Z","timestamp":1782467518000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10547738261429818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/10547738261429818"],"URL":"https:\/\/doi.org\/10.1177\/10547738261429818","relation":{},"ISSN":["1054-7738","1552-3799"],"issn-type":[{"value":"1054-7738","type":"print"},{"value":"1552-3799","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}