The Effect of Lying Position on Hemodynamic Parameters in Patients With Mechanical Ventilated and Spontaneously Breathing.

NCT06538051 | Completed

• 1 other identifier: position
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The study was carried out to examine the effect of lying positions on hemodynamic parameters in patients with mechanical ventilation (MV) and spontaneous breathing. Material and Methods: The research was carried out semi-experimentally with a single-group posttest design, between November 2021 and May 2022 in the Internal Medicine Intensive Care (ICU) Unit a University Hospital. The study of the sample consisted of 60 patients in the ICU. Data were collected with the patient identification form and the hemodynamic parameters follow-up form. The patients were given different lying positions for 3 days. Hemodynamic parameters were measured and recorded at the 10th minute, 1st hour and 2nd hour after position changes. The measurement results obtained were compared with one-way ANOVA test.

Conditions

Position Sense Disorders; Hemodynamic Instability

Keywords

Patient position; nurse; Hemodynamic parameter; Intensive care unit

Outcome Measures

Primary Outcomes (4)

• Respiratory rate

  The patients' respiratory rate were measured and compared separately in the supine semi-fowler's and lateral positions.

  Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.

• oxygen saturation

  The patients' oxygen saturation were measured and compared separately in the supine semi-fowler's and lateral positions.

  Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.

• Arterial blood pressure

  The patients' arterial blood pressure were measured and compared separately in the supine semi-fowler's and lateral positions.

  Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.

• pulse rate

  The patients' pulse rate were measured and compared separately in the supine semi-fowler's and lateral positions.

  Measurements were made 3 times a day (10th minute, 1st hour and 2nd hour) for 3 days.

Study Arms (1)

lying positions

OTHER

Other: lying positions

Interventions

lying positions OTHER

All patients were placed in supine, semi-fowler's and lateral positions, respectively. The effects of positions on hemodynamic parameters were examined.

lying positions

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hospitalized in intensive care for at least 3 days
• over 18 years of age
• monitored
• spontaneously breathing or connected to a mechanical ventilator,
• conscious or unconscious,
• receiving or not receiving oxygen support,
• with or without a tracheostomy,
• hemoglobin level of 8g/dl.

You may not qualify if:

• Patients with movement restrictions
• inotropic/vasopressor and sedative group medications
• body temperature of 38˚C and above
• patients receiving CPAP (Continuous Positive Airway Pressure) treatment

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Sevil Olğun

Aydin, 09010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Somatosensory Disorders

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Adnan Menderes University

Study Record Dates

• First Submitted: July 1, 2024
• First Posted: August 5, 2024
• Study Start: November 15, 2021
• Primary Completion: November 15, 2021
• Study Completion: May 15, 2022
• Last Updated: August 5, 2024

Record last verified: 2024-06

Locations

TU (1)