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http://dx.doi.org/10.22650/JKCNR.2011.17.2.13

Changes in Orthostatic Hypotension According to the Levels of Head-up Position during Sleep in Patients with Parkinsonian Disorders  

Kim, Sung Reul (Departments of Nursing, Asan Medical Center)
Chae, Hyun Sook (Departments of Nursing, Asan Medical Center)
Yoon, Mi Jung (Departments of Nursing, Asan Medical Center)
Park, Su Young (Departments of Nursing, Asan Medical Center)
Jung, Da Hee (Departments of Nursing, Asan Medical Center)
Lee, Hyang Hee (Departments of Nursing, Asan Medical Center)
Chung, Sun Ju (Department of Neurology, Asan Medical Center)
An, Young Hee (Departments of Nursing, Asan Medical Center)
Kim, Kyoung Ok (Departments of Nursing, Asan Medical Center)
Publication Information
Journal of Korean Clinical Nursing Research / v.17, no.2, 2011 , pp. 275-285 More about this Journal
Abstract
Purpose: Head-up position during sleep is one of the non-pharmacologic interventions for the treatment of orthostatic hypotension. Because the head-up position causes discomfort in many patients, this approach may not be acceptable to all patients. We compared the systolic blood pressure in erect position, orthostatic hypotension, orthostatic disability score, and the improvement rates of orthostatic hypotension between the 20 cm head-up group and the 10 cm head-up group. Methods: A control pre/post-test design was used. Between August 1, 2009 and November 15, 2010, we consecutively enrolled patients who showed orthostatic hypotension in patients with Parkinsonian disorders. Sixty-seven patients were prospectively enrolled and forty-four patients were completed the study. Results: There were no statistically significant differences found in the systolic blood pressure in erect position, orthostatic hypotension, and orthostatic disability scores between the two groups. However, five patients showed improvement in 20 cm head-up group and one patient was showed improvement in 10 cm head-up Group. Conclusion: Orthostatic hypotension is decreased with 20 cm head-up position in some patients with Parkinsonian disorders (p=.034). Further research investigating the relationships between orthostatic hypotension and head-up position are warranted.
Keywords
Orthostatic hypotension; Parkinsonian disorders;
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