Lagerungstherapie und Frühmobilisation auf der Intensivstation

Hermes, Carsten; Nydahl, Peter; Henzler, Dietrich; Bein, Thomas

doi:10.1007/s00063-016-0196-2

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…According to this guide, unsuitable positions can cause harm to the patient. Flat supine position should only be used in cases of urgent medical or nursing procedures and to have the head raised at an angle of 20-45° in patients with mechanical ventilation (12). Proper position should be determined according to the health condition of the patient.…”

Section: Introductionmentioning

confidence: 99%

Effects of Different Position Changes on Hemodynamic Parameters and Dyspnea Severity in Patients with Dyspnea

Baysal¹,

Midilli²,

Ergın³

2017

Clin Exp Health Sci

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Objective: This study was planned to determine the effects of different position changes on hemodynamic parameters and dyspnea severity in patients with dyspnea. Methods: This was a quasi-experimental study, using a one-group, pre-test and posttest design. From March-December, 2015, 58 pulmonary service patients who had been hospitalized due to dyspnea and various respiratory diseases were assessed for dyspnea severity, oxygen saturation (SpO 2 ), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and respiratory rate (RR). Results: According to repeated measures variance analysis of patients in the prone and orthopnea position, there was no statistically significant difference between the measurement of dyspnea severity, O 2 saturation, SBP, DBP, and RR. However, the HR of patients increased in the prone position and dyspnea severity was shown to be reduced in the orthopnea position. Conclusion: Comparing all the positions given to the patients, it was found that towards the 15 th minutes, the orthopnea position had a positive effect on patients' mean dyspnea severity, SBP and O 2 saturation but a significant difference was observed only on the mean dyspnea severity. ÖZAmaç: Dispnesi olan hastalarda pozisyon değişiminin yaşamsal bulgular, oksijen saturasyonu ve dispne şiddeti üzerine etkisini belirlemek amaçlanmıştır. Matreryal Metot: Bu araştırma ön test ve son test tasarımı kullanılan yarı deneysel bir çalışmadır. Mart-Aralık 2015 tarihleri arasında göğüs hastalıkları servisinde dispne ve çeşitli solunum hastalıkları nedeniyle yatarak tedavi gören 58 hastanın dispne şiddeti, oksijen saturasyonu (SpO 2 ), sistolik kan basıncı, diyastolik kan basıncı, kalp hızı ve solunum hızı değerlendirilmiştir. Bulgular: Tekrarlayan varyans analizi sonuçlarına göre hastaların prone ve ortopne pozisyonunda dispne şiddeti, O 2 saturasyonu, sistolik kan basıncı, diyastolik kan basıncı ve solunum hızı istatistiksel olarak anlamlı farklılık göstermemiştir. Fakat hastaların kalp hızı prone pozisyonunda artış göstermiş ve dispne şiddeti ise ortopne pozisyonunda azalmıştır. Sonuç: Hastalara verilen tüm pozisyonlar karşılaştırıldığında, ortopne pozisyonunun 15. dakikasında hastaların ortalama dispne şiddeti, sistolik kan basıncı ve O 2 satürasyonunda pozitif bir etki olduğu fakat sadece ortalama dispne şiddetinde anlamlı bir fark olduğu saptanmıştır. Anahtar Kelimeler: Pozisyon değişimi, dispne algısı, hemodinamik parametreler, prone pozisyonu, ortopne pozisyonu

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Section: Introductionmentioning

confidence: 99%

Effects of Different Position Changes on Hemodynamic Parameters and Dyspnea Severity in Patients with Dyspnea

Baysal¹,

Midilli²,

Ergın³

2017

Clin Exp Health Sci

View full text Add to dashboard Cite

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“…Similarly, in a study on the effect of 0 degrees (supine) and 45 degrees (semifowler) bed head positions on hemodynamic parameters of on hemodialysis ICU patients, it was shown that hemodynamic parameters were not significantly affected by position changes 24 . In another study on the analysis of the effect of lateral positioning on oxygenation and heart rate in trauma neurosurgical ICU patients, the lateral position did not significantly affect the oxygenation and heart rate 25,26 . Additionally, in a study including hemodynamically stable patients with a head injury, the patients were placed in four different positions (supine lying, right lateral lying, left lateral lying, and semi-fowler), and the heart rate, respiration rate, and blood pressure became stabilized at lower values at the end of 15 minutes in every position 16 .…”

Section: Discussionmentioning

confidence: 93%

Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage

KİŞİAL,

ERDEN

2023

Cukurova Medical Journal

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Purpose: This study was conducted to investigate the effects of postoperative lateral positioning on the patients’ outcomes with subarachnoid hemorrhage. Materials and Methods: This study, which is a randomized controlled intervention study, was conducted with 42 (experimental group: 21, control group: 21) patients who underwent subarachnoid hemorrhage surgery in the neurosurgery intensive care unit of a university hospital and met the sampling criteria. In the study, "Patient Descriptive Information Form" and "Patient Results Form" were used as data collection tools. A total of 42 patients operated on for subarachnoid hemorrhage were included in the study. While the patients in the intervention group were placed in the left lateral, right lateral, and semi-fowler position (30 degrees) every 2 to 4 hours for the first 72 hours, those in the control group were routinely placed in the semi-fowler position (20 to 45 degrees). Results: The power of hydrogen value and partial oxygen pressure and arterial oxygen saturation at the 48th hour in the intervention group were statistically significantly higher than the control group at the 72nd hour. In the intervention group, a slight decrease was observed only in the heart rate at 72 hours, which was near normal. Conclusion: Lateral and semi-fowler positions with a 2 to 4 hour interval contributed to improved oxygenation and prevented secondary complications of subarachnoid hemorrhage.

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