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EFFE C T O F STANDARD NURSING CARE ON THE D EVELO PM EN T O F ORTHOSTATIC HYPOTENSION IN ELD ERLY

Yıl 2016, Cilt: 32 Sayı: 2, 85 - 96, 01.06.2016

Öz

Objective: Research was planned as a quasi experimental study with a single group on whichpre-test and post-test would be applied in order to determine the effects o f standard nursing care on the development o f orthostatic hypotension in the elderly people living in nursing homes.Methods: The sample o f the research was composed o f 30 elderly individuals who had orthostatic hypotension. Before standard nursing care, the individuals with orthostatic hypotension were defined by measuring the blood pressure and pulse rate o f all elderly people staying in nursing home in first evaluation. Blood pressure and pulse rate measurements were evaluated again on thetenth day before standard nursing care and on the second, fifth and tenth days o f standard nursing care process.Results: Difference between the systolic and diastolic blood pressure and heart rate measurements o f the first assessment before the standard nursing care and o f the second, fifth and tenth days o f the standard nursing care process was found statistically significant.Conclusion: As a conclusion, standard nursing care plays an important role in preventing the orthostatic hypotension among elderly people living in nursing homes

Kaynakça

  • Abdel-Rahman TA . Orthostatic Hypotension Before and After Meal Intake in Diabetic Patients and Healthy Elderly People. Journal of Family and Community Medicine 2012;19(1):20-25.
  • Atli T, Keven K. Orthostatic Hypotension in Healthy Elderly. Archives of Gerontology and Geriatrics 2006;43(3):313-317.
  • Aung AK, Corcoran SJ, Nagalingam V & et al. Prevalence, Associations, and Risk Factors for Orthostatic Hypotension in Medical, Surgical, and Trauma inpatients: An Observational Cohort Study. The Ochsner Journal 2012; 12:35-41.
  • Biaggioni I. Treatment: Special Conditions Orthostatic Hypotension. Journal of the American Society of Hypertension 2014;9(1):67-69.
  • Bouvette CM, McPhee BR, Opfer-Gehrking TL & et al. Role of Physical Countermaneuvers in the Management of Orthostatic Hypotension:Effiacy and Biofeedback Augmentation. Mayo Clinic Proceedings 1996;71:847-853.
  • Bragg F, Kumar NP. Orthostatic Hypotension in an Octogenarian-an Unusual Presentation. Age and Ageing 2005; 34;307-309.
  • Ejaz AA, Haley WE, Wasiluk A & et al. Characteristics of 100 Consecutive Patients Presenting With Orthostatic Hypotension. Mayo ClinicProceedings 2004;79(7): 890-894.
  • Gangavati A, Hajjar I, Quach L & et al. Hypertension, Orthostatic Hypotension, and the Risk of Falls in a Community-Dwelling Elderly Population: The Maintenance of Balance, independent Living, intellect, and Zest in The Elderly Of Boston Study. J Am Geriatr Soc 2011; 59(3):383- 389.
  • Grubb BP, Kosisnski DJ, Kanjwal Y. Orthostatic Hypotension: Causes, Classification, and Treatment. Pace 2003;26:892-901.
  • Guerin A, Bureau ML, Ghazali N & et al. Factors Associated With Orthostatic Hypotension in Hospitalized Elderly Patients. A ging Clin Exp Res. 2015 DOI 10.1007/s40520-015-0451-z.
  • Hajjar I. Postural Blood Pressure Changes and Orthostatic Hypotension in the Elderly Patient. Drugs Aging 2005; 22(1):55-68.
  • Hossain M, Ooi WL, Lipsitz LA. Intra Individual Postural Blood Pressure Variability and Stroke in Elderly Nursing Home Residents. Journal of Clinical Epidemiology 2001;54:488-494.
  • Humm AM, Mason LM, Mathias CJ. Effects of Water Drinking on Cardiovascular Response to Supine Exercise and on Orthostatic Hypotension After Exercise in Pure Autonomic Failure. Journal of Neurology Neurosurgery and Psychiatry 2008;79:1160-1164.
  • Iwanczyk L, Weintraub NT, Rubenstein LZ. Orthostatic Hypotension in the Nursing Home Setting. Journal of American Medical Directors Association 2005;7:163-167.
  • Lahrmann H, Cortelli P, Hilz M & et al. EFNS Guidelines on the Diagnosis and Management of Orthostatic Hypotension. European Journal of Neurology 2006;13:930-936.
  • Low PA, Singer W. Management of Neurogenic Orthostatic Hypotension: an Update. Lancet Neurology 2008;7:451-458.
  • Low PA. & Tomalia VA. Orthostatic Hypotension: Mechanisms, Causes, Management. J Clin Neurol 2015; 11(3):220-6.
  • Luukinen H, Koski K, Laippala P & et al. Prognosis of Diastolic and Systolic Orthostatic Hypotension in Older Persons. Archives of Internal Medicine 1999;159(8): 273-280.
  • Mansoor GA. A Orthostatic Hypotension Due to Autonomic Disorders in the Hypertension Clinic. American Journal of Hypertension 2006;19:319-326.
  • Mathias CJ, Young TM. Water Drinking in the Management of Orthostatic Intolerance Due to Orthostatic Hypotension, Vasovagal Syncope and the Postural Tachycardia Syndrome. European Journal of Neurology 2004;11:613-619.
  • Mauer MS, Cohen S, Cheng H. The Degree And Timing of Orthostatic Blood Pressure Changes in Relation to Falls in Nursing Home Residents. Journal of the American Medical Directors Association 2004;5:233-238.
  • Medow MS, Stewart JM, Sanyal S & et al. Pathophysiology, Diagnosis, and Treatment of Orthostatic Hypotension and Vasovagal Syncope. Cardiology in Review 2008;16:4-20.
  • Mittal S. Managing Orthostatic Hypotension: Is This Inspiration the Answer. Heart Rhythm 2007;4(2):136-137.
  • Mtinangi BL, Hainsworth R. Effects of Moderate Exercice Training on Plasma Volüme, Baroreceptor Sensitivity and Orthostatic Tolerance in Healthy Subjects. Experimental Physiology 1999;84:121-130.
  • Ooi WL, Hossain M. The Association Between Orthostatic Hypotension and Recurrent Falls in Nursing Home Residents. The American Journal of Medicine 2000; 108:106- 111.
  • Podoleanu C, Maggi R, Brignole M & et al. Lower Limb and Abdominal Compression Bandages Prevent Progressive Orthostatic Hypotension in Elderly Persons. Journal of American College of Cardiology 2006; 48(7):1425-1432.
  • Poon IO, Braun U. High Prevalence of Orthostatic Hypotension and it’s Correlation with Potentially Causative Medications Among Elderly Veterans. Journal of Clinical Pharmacy and Therapeutics 2005; 30:173-178.
  • Rose KM, Eigenbrodt ML, Biga RL & et al. Orthostatic Hypotension Predicts Mortality in Middle-Aged Adults: The Atherosclerosis Risk in Communities (Arıc) Study. Journal of The American Heart Association 2006;114:630-636.
  • Sahni M, Lowenthal DT, Meuleman JA. Clinical, Physiology And Pharmacology Evaluation of Orthostatic Hypotension in The Elderly. International Urology and Nephrolog 2005;37:669-674.
  • Schrezenmaier C, Gehrking JA, Hines SM & et al. Evaluation of Orthostatic Hypotension:Relationship of a New Selfreport instrument to Laboratory-Based Measures. Mayo Clinic Proceedings 2005; 80(39):330-334.
  • Sclater A, Alagiakrishnan K. Orthostatic Hypotension:A Primary Care Primer for Assessment and Treatment. Geriatrics 2004; 59(8):22-27.
  • Shaw BH, Ve Claydon VE. The Relationship Between Orthostatic Hypotension and Falling in Older Adults. C ln Auton Res 2014; 24:3-13.
  • Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik 2005; 49-52,11.baskı, Ankara.
  • Şahbaz M, Tel H. Evde yaşayan 65 Yaş ve Üzeri Bireylerin Günlük Yaşam Aktivitelerindeki Bağımlılık Durumu İle Ev Kazaları Arasındaki İlişkinin İncelenmesi. Turkish Journal of Geriatrics 2006; 9(2):85- 93.
  • Tabara Y, Kohara K, Azechi T & et al. Effects of Time Standing Up on Orthostatic Blood Pressure Change in The Elderly: The J-Shıpp Study. Geriatr Gerontol Int 2005; 5:254-258.
  • Tse HF, Siu CW, Tsang V & et al. Blood Pressure Response to Transition From Supine to Standing Posture Using an Orthostatic Response Algorithm. Pace 2005; 28:242-245.
  • Ueno LM, Moritani T. Effects of Long-Term Exercise Training on Cardiac Autonomic Nervous Activities and Baroreflex Sensitivity. European Journal of Applied Physiology 2003;89:109-114.
  • Van Lieshout JJ, Ten Harkel ADJ, Wieling W. Physical Manoeuvres for Combating Orthostatic Dizziness in Autonomic Failure. Lancet 1992;339(8798):897-898.
  • Walsh K, Hoffmayer K, Hamdan MH. Syncope: Diagnosis and Management. Curr Probl Cardiol 2015;40:51-86.
  • Weiss A, Beloosesky Y, Kornowski R & et al. Influence of Orthostatic Hypotension on Mortality Among Patients Discharged from on Acute Geriatric Ward. J Gen Intern Med 2006;21:602-606.
  • Wieling W, Colman N, Krediet CTP & et al. Nonpharmacological Treatment of Reflex Syncope. Clinical Autonomic Research 2004;14 (Suppl 1): 1/62-1/70.
  • Young TM , Mathias CJ. The Effects of Water Ingestion on Orthostatic Hypotension in Two Groups of Chronic Failure: Multiple System Atrophy and Pure Autonomic Failure. Journal of Neurology Neurosurgery and Psychiatry 2004;5:1737-1740.
  • Zion AS, Meersman RD, Diamond BE & et al. A Homebased Resistance-Training Program Using Elastic Bands for Elderly Patients with Orthostatic Hypotension. Clinical Autonomic Research 2003;13:286- 292.

STANDART HEMŞİRELİK BAKIMININ YAŞLI BİREYLERDE ORTOSTATIK HİPOTANSİYON GELİŞİMİNE ETKİSİ

Yıl 2016, Cilt: 32 Sayı: 2, 85 - 96, 01.06.2016

Öz

Amaç: Bu çalışma, standart hemşirelik bakımının huzurevinde yaşayan bireylerde ortostatik hipotansiyon oluşumuna etkisini belirlemek amacıyla tek gruplu ön test-son test deseninde yarı deneysel olarak yapılmıştır.Gereç ve Yöntem: Çalışmanın örneklemini ortostatik hipotansiyonu olan 30 yaşlı birey oluşturmuştur. Standart hemşirelik bakımı öncesi ilk değerlendirmede huzurevinde kalan tüm yaşlı bireylerin kan basıncı ve kalp atım hızı ölçülerek ortostatik hipotansiyonu olan bireyler belirlenmiştir. Standart hemşirelik bakımı öncesi onuncu günde ve standart hemşirelik bakım sürecinin ikinci, beşinci ve onuncu günlerinde, kan basıncı ve kalp atım hızı ölçümleri tekrar değerlendirilmiştir.Bulgular: Standart hemşirelik bakımı öncesi onuncu günde ve standart hemşirelik bakım sürecinin ikinci, beşinci ve onuncu günlerindeki kan basıncı ve kalp atım hızı ölçümleri arasındaki fark istatistiksel olarak anlamlı bulunmuştur.Sonuç: Standart hemşirelik bakımı huzurevinde yaşayan yaşlılar arasında ortostatik hipotansiyon oluşumunu önlemede etkilidir

Kaynakça

  • Abdel-Rahman TA . Orthostatic Hypotension Before and After Meal Intake in Diabetic Patients and Healthy Elderly People. Journal of Family and Community Medicine 2012;19(1):20-25.
  • Atli T, Keven K. Orthostatic Hypotension in Healthy Elderly. Archives of Gerontology and Geriatrics 2006;43(3):313-317.
  • Aung AK, Corcoran SJ, Nagalingam V & et al. Prevalence, Associations, and Risk Factors for Orthostatic Hypotension in Medical, Surgical, and Trauma inpatients: An Observational Cohort Study. The Ochsner Journal 2012; 12:35-41.
  • Biaggioni I. Treatment: Special Conditions Orthostatic Hypotension. Journal of the American Society of Hypertension 2014;9(1):67-69.
  • Bouvette CM, McPhee BR, Opfer-Gehrking TL & et al. Role of Physical Countermaneuvers in the Management of Orthostatic Hypotension:Effiacy and Biofeedback Augmentation. Mayo Clinic Proceedings 1996;71:847-853.
  • Bragg F, Kumar NP. Orthostatic Hypotension in an Octogenarian-an Unusual Presentation. Age and Ageing 2005; 34;307-309.
  • Ejaz AA, Haley WE, Wasiluk A & et al. Characteristics of 100 Consecutive Patients Presenting With Orthostatic Hypotension. Mayo ClinicProceedings 2004;79(7): 890-894.
  • Gangavati A, Hajjar I, Quach L & et al. Hypertension, Orthostatic Hypotension, and the Risk of Falls in a Community-Dwelling Elderly Population: The Maintenance of Balance, independent Living, intellect, and Zest in The Elderly Of Boston Study. J Am Geriatr Soc 2011; 59(3):383- 389.
  • Grubb BP, Kosisnski DJ, Kanjwal Y. Orthostatic Hypotension: Causes, Classification, and Treatment. Pace 2003;26:892-901.
  • Guerin A, Bureau ML, Ghazali N & et al. Factors Associated With Orthostatic Hypotension in Hospitalized Elderly Patients. A ging Clin Exp Res. 2015 DOI 10.1007/s40520-015-0451-z.
  • Hajjar I. Postural Blood Pressure Changes and Orthostatic Hypotension in the Elderly Patient. Drugs Aging 2005; 22(1):55-68.
  • Hossain M, Ooi WL, Lipsitz LA. Intra Individual Postural Blood Pressure Variability and Stroke in Elderly Nursing Home Residents. Journal of Clinical Epidemiology 2001;54:488-494.
  • Humm AM, Mason LM, Mathias CJ. Effects of Water Drinking on Cardiovascular Response to Supine Exercise and on Orthostatic Hypotension After Exercise in Pure Autonomic Failure. Journal of Neurology Neurosurgery and Psychiatry 2008;79:1160-1164.
  • Iwanczyk L, Weintraub NT, Rubenstein LZ. Orthostatic Hypotension in the Nursing Home Setting. Journal of American Medical Directors Association 2005;7:163-167.
  • Lahrmann H, Cortelli P, Hilz M & et al. EFNS Guidelines on the Diagnosis and Management of Orthostatic Hypotension. European Journal of Neurology 2006;13:930-936.
  • Low PA, Singer W. Management of Neurogenic Orthostatic Hypotension: an Update. Lancet Neurology 2008;7:451-458.
  • Low PA. & Tomalia VA. Orthostatic Hypotension: Mechanisms, Causes, Management. J Clin Neurol 2015; 11(3):220-6.
  • Luukinen H, Koski K, Laippala P & et al. Prognosis of Diastolic and Systolic Orthostatic Hypotension in Older Persons. Archives of Internal Medicine 1999;159(8): 273-280.
  • Mansoor GA. A Orthostatic Hypotension Due to Autonomic Disorders in the Hypertension Clinic. American Journal of Hypertension 2006;19:319-326.
  • Mathias CJ, Young TM. Water Drinking in the Management of Orthostatic Intolerance Due to Orthostatic Hypotension, Vasovagal Syncope and the Postural Tachycardia Syndrome. European Journal of Neurology 2004;11:613-619.
  • Mauer MS, Cohen S, Cheng H. The Degree And Timing of Orthostatic Blood Pressure Changes in Relation to Falls in Nursing Home Residents. Journal of the American Medical Directors Association 2004;5:233-238.
  • Medow MS, Stewart JM, Sanyal S & et al. Pathophysiology, Diagnosis, and Treatment of Orthostatic Hypotension and Vasovagal Syncope. Cardiology in Review 2008;16:4-20.
  • Mittal S. Managing Orthostatic Hypotension: Is This Inspiration the Answer. Heart Rhythm 2007;4(2):136-137.
  • Mtinangi BL, Hainsworth R. Effects of Moderate Exercice Training on Plasma Volüme, Baroreceptor Sensitivity and Orthostatic Tolerance in Healthy Subjects. Experimental Physiology 1999;84:121-130.
  • Ooi WL, Hossain M. The Association Between Orthostatic Hypotension and Recurrent Falls in Nursing Home Residents. The American Journal of Medicine 2000; 108:106- 111.
  • Podoleanu C, Maggi R, Brignole M & et al. Lower Limb and Abdominal Compression Bandages Prevent Progressive Orthostatic Hypotension in Elderly Persons. Journal of American College of Cardiology 2006; 48(7):1425-1432.
  • Poon IO, Braun U. High Prevalence of Orthostatic Hypotension and it’s Correlation with Potentially Causative Medications Among Elderly Veterans. Journal of Clinical Pharmacy and Therapeutics 2005; 30:173-178.
  • Rose KM, Eigenbrodt ML, Biga RL & et al. Orthostatic Hypotension Predicts Mortality in Middle-Aged Adults: The Atherosclerosis Risk in Communities (Arıc) Study. Journal of The American Heart Association 2006;114:630-636.
  • Sahni M, Lowenthal DT, Meuleman JA. Clinical, Physiology And Pharmacology Evaluation of Orthostatic Hypotension in The Elderly. International Urology and Nephrolog 2005;37:669-674.
  • Schrezenmaier C, Gehrking JA, Hines SM & et al. Evaluation of Orthostatic Hypotension:Relationship of a New Selfreport instrument to Laboratory-Based Measures. Mayo Clinic Proceedings 2005; 80(39):330-334.
  • Sclater A, Alagiakrishnan K. Orthostatic Hypotension:A Primary Care Primer for Assessment and Treatment. Geriatrics 2004; 59(8):22-27.
  • Shaw BH, Ve Claydon VE. The Relationship Between Orthostatic Hypotension and Falling in Older Adults. C ln Auton Res 2014; 24:3-13.
  • Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik 2005; 49-52,11.baskı, Ankara.
  • Şahbaz M, Tel H. Evde yaşayan 65 Yaş ve Üzeri Bireylerin Günlük Yaşam Aktivitelerindeki Bağımlılık Durumu İle Ev Kazaları Arasındaki İlişkinin İncelenmesi. Turkish Journal of Geriatrics 2006; 9(2):85- 93.
  • Tabara Y, Kohara K, Azechi T & et al. Effects of Time Standing Up on Orthostatic Blood Pressure Change in The Elderly: The J-Shıpp Study. Geriatr Gerontol Int 2005; 5:254-258.
  • Tse HF, Siu CW, Tsang V & et al. Blood Pressure Response to Transition From Supine to Standing Posture Using an Orthostatic Response Algorithm. Pace 2005; 28:242-245.
  • Ueno LM, Moritani T. Effects of Long-Term Exercise Training on Cardiac Autonomic Nervous Activities and Baroreflex Sensitivity. European Journal of Applied Physiology 2003;89:109-114.
  • Van Lieshout JJ, Ten Harkel ADJ, Wieling W. Physical Manoeuvres for Combating Orthostatic Dizziness in Autonomic Failure. Lancet 1992;339(8798):897-898.
  • Walsh K, Hoffmayer K, Hamdan MH. Syncope: Diagnosis and Management. Curr Probl Cardiol 2015;40:51-86.
  • Weiss A, Beloosesky Y, Kornowski R & et al. Influence of Orthostatic Hypotension on Mortality Among Patients Discharged from on Acute Geriatric Ward. J Gen Intern Med 2006;21:602-606.
  • Wieling W, Colman N, Krediet CTP & et al. Nonpharmacological Treatment of Reflex Syncope. Clinical Autonomic Research 2004;14 (Suppl 1): 1/62-1/70.
  • Young TM , Mathias CJ. The Effects of Water Ingestion on Orthostatic Hypotension in Two Groups of Chronic Failure: Multiple System Atrophy and Pure Autonomic Failure. Journal of Neurology Neurosurgery and Psychiatry 2004;5:1737-1740.
  • Zion AS, Meersman RD, Diamond BE & et al. A Homebased Resistance-Training Program Using Elastic Bands for Elderly Patients with Orthostatic Hypotension. Clinical Autonomic Research 2003;13:286- 292.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Özgün Araştırma
Yazarlar

Gülengün Türk Bu kişi benim

İsmet Eşer Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 32 Sayı: 2

Kaynak Göster

APA Türk, G., & Eşer, İ. (2016). STANDART HEMŞİRELİK BAKIMININ YAŞLI BİREYLERDE ORTOSTATIK HİPOTANSİYON GELİŞİMİNE ETKİSİ. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 32(2), 85-96.