Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Effects of Endotracheal Suction and Position Change on Blood Pressure of Patients with Head and Intracranial Surgery

기관내 흡인과 체위변경이 두부 및 두 개내 수술을 받은 환자의 혈압에 미치는 영향

  • Jo, Eun Hee (Chonbuk National University Hospital Based cardiac intensive care unit, Chonbuk National University School of Nursing) ;
  • Jung, Yoo Jung (Chonbuk National University Hospital, Neurosurgery) ;
  • Kim, Eun Jin (Chonbuk National University Hospital, Neurological intensive care unit)
  • 조은희 (전북대학교병원 심장계중환자실, 전북대학교 대학원 간호학과) ;
  • 정여정 (전북대학교병원 신경외과) ;
  • 김은진 (전북대학교병원 신경계중환자실)
  • Received : 2014.04.10
  • Accepted : 2014.07.14
  • Published : 2014.08.31
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Abstract

Purpose: This study was done to present guidelines for deciding appropriate times for measuring blood pressure (BP) in patients with neurological disorders who had surgery due to brain damage. Method: It was a repeated measures-experimental research on time variants in BP after nursing care. SBP (Systolic BP) and DBP (Diastolic) were measured every 2 minutes up to 5 times using an EKG patient monitor. Measured data were analyzed using repeated measures ANOVA and paired t-test. Results: For suctioning, there were significantly higher differences for SBP averages after 2 min. (138mmHg, p<0.01) and 4 min. (133mmHg, p<0.01) compared to before suctioning (120mmHg). For position change, there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01) and 4 min. (130mmHg, p=0.01) compared to before changing position (121mmHg). For position change followed by suctioning there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01), 4 min. (136mmHg, p<0.01) and 6 min. (125mmHg, p=0.003) compared to before the interventions (121mmHg). Conclusions: Results indicate that there are significant differences in SBP and DBP over time during nursing interventions, suggesting clinical measurement of BP after 6 min. or 8 min. be done for patients with neurological disorders in neurosurgery clinics.

Keywords

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