Thisstudyaimtocompare Blood Pressure (BP) values obtained sitting, talking, supine, and standing positions.The study was planned in a comparative and descriptive design and conducted on 357 hypertensive patients in the cardiology department at a private health center in Istanbul in 2016.The data were collected with a patient identification form and BP Measurements form. BP measurement was done with aneroid sphygmomanometer. Measurements were done on the the patients left and right arms, respectively, sitting, talking, supine and standing position.The blood pressure measurement process lasted about 30 minutes in each patient. The obtained data were analyzed with percentages, repeated measures (in order to determine from which measurement the difference originated) ANOVA and Bonferroni tests.The mean of the sitting position BP, talking and standing SBP was significantly lower than average (p<0.05). There was no significant difference between talking and standing SBP averages (p>0.05). Standing DBP, mean, talking, sitting and supine measured diastolic blood pressure was significantly higher than average (p<0.05). Talking and sitting diastolic BP measured was no significant difference between the averages (p> 0.05).At the end of the study, we concluded that sitting is the most reliable position for the measurement of BP.
EKİM -OCTOBER 2015 205Özet Amaç: Bu çalışmada doku defekti nedeniyle, kısmi kalınlıkta deri grefti (KKDG) uygulanan hastalarda donör alanı ağrı şiddeti incelendi. Anahtar sözcükler: Donör alan ağrısı; kısmi kalınlıkta deri grefti.
SummaryObjectives: İn this study we examined the donor site pain intensity of the patients who were reconstructed by split thickness skin graft (STSG) due to tissue defect. Methods: This descriptive study was performed in a Plastic and Reconstructive Surgery Clinic of a State Hospital in Istanbul. Sampling selection wasn't made, all (31) cases were studied with STSG in 2013. As data collection forms, we used Patient Information Form and Visual Analog Scale (VAS). In the analysis of the data percentage, Kruskal-Wallis and Mann-Whitney-U tests were used. Results: 38.71% of the patients were female and 61.29% were male. It was determined that grafting application was mostly made in the lower extremity and 61% of the patients were able to perform individual functions independently. It was observed that pain intensity increased as the donor area expanded. It was also determined that semi-dependent patients' pain intensity was higher than independent patients' . In 64.52% of the patients graft donor area was wider than 10cm². The postoperative pain intensity of the patients who were reconstructed by STSG in the lower extremity was higher than patients who were reconstructed by STSG in the upper extremity area. Conclusion: It was observed that the donor area pain intensity of patients was the most severe on the first day after surgery and the least severe on the sixth day after surgery. In conclusion, the pain evaluation of the donor area has to be assessed by the nurse on the first day after surgery.Keywords: Donor site pain; split thickness skin graft.
Kısmi kalınlıkta deri grefti uygulanan hastalarda donör alanı ağrısının değerlendirilmesiThe donor site pain assessment of the patients who were reconstructed split-thickness graft
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