Clinical observation and nursing of postprandial hypotension and orthostatic hypotension in the geriatric inpatients
10.3760/cma.j.issn.1674-2907.2009.10.008
- VernacularTitle:老年住院病人餐后低血压及体位性低血压的临床观察与护理
- Author:
Jing WANG
1
;
Wen-Bing LI
;
Jie ZHANG
;
Li-Bing MA
Author Information
1. 解放军总医院(南楼)
- Keywords:
Postprandial hypotension;
Orthostatic hypotension;
The aged;
Nursing
- From:
Chinese Journal of Modern Nursing
2009;15(10):925-927
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prevalence of postprandial hypotension (PPH) and orthostatichypotension (OH) in the geriatric inpatients and the nursing measures. Methods Blood pressures weremeasured before and after meals and after standing for 3 minutes when getting up in the morning among 78elderly inpatients whose disease conditions were relatively stable using the non-invasion electrocardiogrammonitor. Results Among 78 patients, PPH was present in 57 patients with a significant postmeal SBP decreaseof (37 +6)mmHg. OH was present in46 patients with a mean SBP decline of (41 ～5)mmHg. 36 patients hadOH and PPH. 74% PPH patients had symptoms, including sleepiness and syncope as the most commonsymptoms. OH was symptomatic in 64% of patients, with dizziness and risk for falls as the most commonsymptoms. Conclusions PPH and OH are common in elderly inpatients, and the clinical syndromes of both areobviously different. PPH and OH's harm are large. So it is very important to give health care education andadopt reasonable measures to elderly patients in order to prevent the decrease of blood pressure after meal andunexpected accidents associated with OH.
