J Korean Acad Fundam Nurs.  2014 Aug;21(3):226-234. 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 EH

• KMID: 2296012
• DOI: http://doi.org/10.7739/jkafn.2014.21.3.226

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.

Keyword

Neurosurgery; Position; Suction; Blood pressure

MeSH Terms

Blood Pressure*
Brain
Electrocardiography
Head*
Humans
Nervous System Diseases
Neurosurgery
Nursing
Nursing Care
Suction*