The Effect of Lying Positions on Hemodynamic Parameters in Intensive Care Patients
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Position Sense Disorders
- 发起方
- Aydin Adnan Menderes University
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Respiratory rate
- 状态
- 已完成
- 最后更新
- 去年
概览
简要总结
Aim: The study was carried out to examine the effect of lying positions on hemodynamic parameters in patients with mechanical ventilation (MV) and spontaneous breathing.
Material and Methods: The research was carried out semi-experimentally with a single-group posttest design, between November 2021 and May 2022 in the Internal Medicine Intensive Care (ICU) Unit a University Hospital. The study of the sample consisted of 60 patients in the ICU. Data were collected with the patient identification form and the hemodynamic parameters follow-up form. The patients were given different lying positions for 3 days. Hemodynamic parameters were measured and recorded at the 10th minute, 1st hour and 2nd hour after position changes. The measurement results obtained were compared with one-way ANOVA test.
详细描述
Aim: The study was carried out to examine the effect of lying positions on hemodynamic parameters in patients with mechanical ventilation (MV) and spontaneous breathing. Material and Methods: The research was carried out semi-experimentally with a single-group posttest design, between the dates of 15.11.2021 and 15.05.2022 in the Internal Medicine Intensive Care (ICU) Unit a University Hospital. Since repeated measurements were planned in the study when determining the sample, A-priori power analysis was performed based on ANOVA repeated measures analysis and the effect size was calculated according to the etasquared value (Abd El-Aziz et al., 2021). Accordingly, the sample of the study was calculated as 34 patients to reach at least 80% power within a 95% confidence interval. The research was completed with a total of 60 patients who were spontaneously breathing (n=30) and mechanically ventilated (n=30). Data were collected with the patient identification form and the hemodynamic parameters follow-up form. Right lateral, semi Fowler's, left lateral and supine positions were applied to the patients every 2 hours between 9 am 5 pm for 3 days and then pulse rate, respiratory rate, systolic blood pressure (SBP), diastolic blood pressure (DBP) and oxygen saturation (SpO₂) were measured at 10th minute, 1st hour and 2nd hour. In data analysis, number, arithmetic mean, standard deviation, chi-square, independent groups t test and one-way ANOVA test were used.
研究者
Sevil Olğun
Adnan Menderes University
Aydin Adnan Menderes University
入排标准
入选标准
- •Hospitalized in intensive care for at least 3 days
- •over 18 years of age
- •monitored
- •spontaneously breathing or connected to a mechanical ventilator,
- •conscious or unconscious,
- •receiving or not receiving oxygen support,
- •with or without a tracheostomy,
- •hemoglobin level of 8g/dl.
排除标准
- •Patients with movement restrictions
- •inotropic/vasopressor and sedative group medications
- •body temperature of 38˚C and above
- •patients receiving CPAP (Continuous Positive Airway Pressure) treatment
结局指标
主要结局
Respiratory rate
时间窗: Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.
The patients' respiratory rate were measured and compared separately in the supine semi-fowler's and lateral positions.
Arterial blood pressure
时间窗: Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.
The patients' arterial blood pressure were measured and compared separately in the supine semi-fowler's and lateral positions.
oxygen saturation
时间窗: Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.
The patients' oxygen saturation were measured and compared separately in the supine semi-fowler's and lateral positions.
pulse rate
时间窗: Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.
The patients' pulse rate were measured and compared separately in the supine semi-fowler's and lateral positions.