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http://dx.doi.org/10.7739/jkafn.2014.21.3.226

Effects of Endotracheal Suction and Position Change on Blood Pressure of Patients with Head and Intracranial Surgery  

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)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.21, no.3, 2014 , pp. 226-234 More about this Journal
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
Neurosurgery; Position; Suction; Blood pressure;
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