The efficacy of interventions for back pain in patients after transfemoral coronary angiography: A rapid systematic review.

Coronary angiography is a gold standard tool for diagnosis of coronary artery disease. After this test, patients are restricted in bed to prevent vascular complications. Immobilization and bed rest can cause back pain in these patients. The objective of this rapid systematic review is to assess the efficacy of interventions for reducing back pain after transfemoral coronary angiography. All published, peer-reviewed, English-language interventional studies from 1990 to 2017 were identified in a search of Scopus, PubMed, and CINAHL databases. Relevant studies were surveyed with experimental and quasiexperimental designs that assessed the interventions for reducing back pain after coronary angiography. Data were extracted from studies and assessed. Totally 9 studies with 1062 participants which evaluated the interventions for reducing back pain after coronary angiography were included. The findings of these studies suggest that early ambulation and modified positioning were effective to reduce back pain in patients undergoing coronary angiography. The use of early ambulation 2-4 hours after angiography and changing the patients' position along with modified positioning cause a reduction in the back pain of the patients.

Experiences of self-medication among people: a qualitative meta-synthesis.

BACKGROUND: Self-medication is one of the major health-related problems in the world, which causes many problems for people and health systems. No comprehensive qualitative meta-synthesis has been done to understand the perceptions and experiences of self-medication among people. OBJECTIVES: This study aimed to analyze, re-interpret, and synthesize the existing qualitative studies on perceptions and experiences of self-medication among people around the world. METHODS: In this meta-synthesis, all published qualitative studies in PubMed, Scopus, CINAHL, and Web of Science databases were searched in May 2018. A total of 543 articles were screened in the primary stage and finally five articles that met the inclusion criteria were included in the meta-synthesis. The included studies were analyzed using Noblit & Hare approach. RESULTS: Initially, 115 codes were identified. In the second stage, the codes were merged based on similarity and shared meanings. Finally, after checking by two authors, the following five themes were emerged: cost-effectiveness, affectivity, inefficiency of the healthcare system, previous experiences, and oversimplification. CONCLUSION: The findings of this first meta-synthesis provided a comprehensive understanding of the perceptions and experiences of self-medication around the world. The findings showed that the experiences of self-medication could be classified into personal, social, organizational, and cultural categories. These findings could help policymakers address these perceptions and experiences in effective health planning.