Effects of Endotracheal Suction and Position Change on Blood Pressure of Patients with Head and Intracranial Surgery.
10.7739/jkafn.2014.21.3.226
- Author:
Eun Hee JO
1
Author Information
1. Chonbuk National University Hospital Based cardiac intensive care unit, Chonbuk National University School of Nursing Ph.D, Korea. almaz0920@hanmail.net
- Publication Type:Original Article
- Keywords:
Neurosurgery;
Position;
Suction;
Blood pressure
- MeSH:
Blood Pressure*;
Brain;
Electrocardiography;
Head*;
Humans;
Nervous System Diseases;
Neurosurgery;
Nursing;
Nursing Care;
Suction*
- From:Journal of Korean Academy of Fundamental Nursing
2014;21(3):226-234
- CountryRepublic of Korea
- Language:Korean
-
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.
