Yıl: 2023 Cilt: 48 Sayı: 3 Sayfa Aralığı: 1053 - 1061 Metin Dili: İngilizce DOI: 10.17826/cumj.1277791 İndeks Tarihi: 04-10-2023

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

Öz:
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.
Anahtar Kelime: Subarachnoid Hemorrhage Position Patient Outcomes Intensive Care Unit

Subaraknoid kanamalı hastalarda ameliyat sonrası lateral pozisyonun hasta sonuçlarına etkisi

Öz:
Amaç: Bu çalışma, subaraknoid kanamalı hastalarda ameliyat sonrası verilen lateral pozisyonun hasta sonuçlarına etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Randomize kontrollü müdahale çalışması olan bu çalışma, bir üniversite hastanesinin beyin cerrahisi yoğun bakım ünitesinde subaraknoid kanama cerrahisi geçiren ve örneklem kriterlerini taşıyan 42 (deney grubu: 21, kontrol grubu: 21) hasta ile gerçekleştirildi. Araştırmada veri toplama aracı olarak “Hasta Tanımlayıcı Bilgi Formu” ve “Hasta Sonuç Formu” kullanılmıştır. Subaraknoid kanama nedeniyle opere edilen toplam 42 hasta çalışmaya dahil edildi. Müdahale grubundaki hastalar ilk 72 saat boyunca 2-4 saatte bir sol lateral, sağ lateral ve semi-fowler pozisyonunda (30 derece) yatırılırken, kontrol grubundaki hastalar rutin olarak semi-fowler (20 ila 45 derece) pozisyonuna yerleştirildi. Bulgular: Müdahale grubunda 48. saatte hidrojen değerinin gücü ve parsiyel oksijen basıncı ve arteriyel oksijen satürasyonu 72. saatte kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksekti. Müdahale grubunda sadece 72. saatte kalp hızında hafif bir azalma gözlendi, bu normale yakındı. Sonuç: 2 ila 4 saatlik aralıklarla lateral ve semi-fowler pozisyonlarının oksijenizasyonun iyileşmesine katkıda bulunduğu ve subaraknoid kanamanın ikincil komplikasyonlarını önlediği saptanmıştır.
Anahtar Kelime: Subaraknoid kanama pozisyon hasta sonuçları yoğun bakım ünitesi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Kişial C, erden s (2023). Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. , 1053 - 1061. 10.17826/cumj.1277791
Chicago Kişial Ceylan,erden sevilay Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. (2023): 1053 - 1061. 10.17826/cumj.1277791
MLA Kişial Ceylan,erden sevilay Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. , 2023, ss.1053 - 1061. 10.17826/cumj.1277791
AMA Kişial C,erden s Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. . 2023; 1053 - 1061. 10.17826/cumj.1277791
Vancouver Kişial C,erden s Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. . 2023; 1053 - 1061. 10.17826/cumj.1277791
IEEE Kişial C,erden s "Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage." , ss.1053 - 1061, 2023. 10.17826/cumj.1277791
ISNAD Kişial, Ceylan - erden, sevilay. "Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage". (2023), 1053-1061. https://doi.org/10.17826/cumj.1277791
APA Kişial C, erden s (2023). Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. Cukurova Medical Journal, 48(3), 1053 - 1061. 10.17826/cumj.1277791
Chicago Kişial Ceylan,erden sevilay Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. Cukurova Medical Journal 48, no.3 (2023): 1053 - 1061. 10.17826/cumj.1277791
MLA Kişial Ceylan,erden sevilay Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. Cukurova Medical Journal, vol.48, no.3, 2023, ss.1053 - 1061. 10.17826/cumj.1277791
AMA Kişial C,erden s Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. Cukurova Medical Journal. 2023; 48(3): 1053 - 1061. 10.17826/cumj.1277791
Vancouver Kişial C,erden s Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage. Cukurova Medical Journal. 2023; 48(3): 1053 - 1061. 10.17826/cumj.1277791
IEEE Kişial C,erden s "Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage." Cukurova Medical Journal, 48, ss.1053 - 1061, 2023. 10.17826/cumj.1277791
ISNAD Kişial, Ceylan - erden, sevilay. "Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage". Cukurova Medical Journal 48/3 (2023), 1053-1061. https://doi.org/10.17826/cumj.1277791