الفهرس 
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Abstract
Coronary heart disease (CHD) is a major cause of
death and disability in developed countries (World Health
Organization, 2012). Cardiac Catheterization (CC) is the
gold standard diagnostic test for coronary heart disease
(Gaziano, et al., 2011). Cardiac catheterization has
evolved over the last six decades to a highly specializes
discipline for diagnostic purpose and an expanding
repertoire of therapeutic advance to treat many problems
(National Center for Health Statistics, 2011).
The demand for cardiac catheterization exerts
constant pressure on health care systems to meet the
growing needs of patient. The role of the professional nurse
in the care of the patient undergoing CC is beneficial for
obtaining a positive outcome for the patients (Chair et al.,
2012). Changing position and early ambulation after CC
benefits all patients involved, reducing the length of bed
rest, decreasing patients’ pain and significantly decrease the
nursing staff workload, reducing in hospital stay and also
enabling the patients to meet self-care needs as eating,
drinking, and voiding (Rezaei-Adryani et al., 2009).Aim of the study:
The present of the study was conducted to assess the
association between time of ambulation and clinical
outcome of patients after cardiac catheterization through
the following objectives:
1. What are the association between time of patient
ambulation and vital signs?
2. What are the association between time of patient
ambulation and pain intensity?
3. What are the association between time of patient
ambulation and anxiety level?
Subjects and methods:
Setting: The study was conducted at cardiac
catheterization unit at Ain Shams University Hospital and
Ain Shams University Specialized Hospital affiliated to
Ain Shams University.
Research design: The descriptive exploratory
research design was utilized in this study to meet the aim of
the present study.
Subject: A purposive sample of 150 adult patients
undergoing cardiac catheterization procedure was included
the study.Inclusion criteria: Adult patients from both gender
undergoing diagnostic cardiac catheterization. All included
patients using right femoral artery access site.
Exclusion criteria: chronic back pain, any bleeding
disorders or apparent hematoma formation at the access
site.
Tools of data collection:
Data collection was started which covered a period
of 6 months from September 2016 to February 2017.
To fulfill the objective of the study, four tools were
used to collect the necessary data for this study:
Tool one: Patients’ interview questionnaire tool: this
tool was developed by the researcher after reviewing the
literature in an Arabic language and divided into two parts
as follows:
Part I: Patients’ demographic characteristics data: it
includes the studied sample characteristics such as age,
gender, residence, marital status, level of education,
occupational status, smoking, and date of admission.
Part II: Patients’ medical history: It was used to collect
the present and history of the patients.’Tool two: Patient post cardiac catheterization clinical
outcomes:
This tool was designed by the researcher and it
included Vital signs: (temperature, blood pressure,
respiration, pulse), O2 saturation, lower peripheral
perfusion and cardiac catheterization site assessment.
Tool three: A Visual Analogue Pain Scale used to assess
pain intensity.
Tool four: Anxiety Scale used to measure anxiety level.