Do Compression Stockings Used During Cesarean Sections Affect Intraoperative Hypotension and Nausea? A Single-Blinded Randomized-Controlled Study.

IF 2 4区 医学 Q2 NURSING
Seçil Yavaş, Tülay Bülbül, Gökhan Yavaş, Makbule Purtaş
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Abstract

Purpose: The present study aimed to determine the effects of compression stockings used during cesarean section on intraoperative hypotension.

Design: The study had a randomized-controlled single-blind design.

Methods: Seventy-two women were included in the study (36 in the intervention group and 36 in the control group). The closed envelope method was used for randomization. Women in the intervention group were fitted with compression stockings. During surgery, vital signs were monitored every 5 minutes using noninvasive methods, a Maternal Follow-up Form was filled out, and medications used were recorded. Standardization was achieved by applying the same protocol for spinal anesthesia, and preoperative and intraoperative fluid replacement in all women. This study adhered to the Consolidated Standards of Reporting Trials (CONSORT) checklist for reporting.

Findings: In the group where compression stockings were used, mean systolic blood pressure (8.5%), diastolic blood pressure (15.6%), and mean arterial pressure (11.5%) values were higher, and nausea (36%), vomiting (93%), antiemetic use (38%) and vasopressor agent use (53%) were reduced.

Conclusions: Compression stockings are a feasible method in cesarean section surgeries because they are a simple, accessible method that reduces reliance on pharmacological agents.

剖宫产术中使用压缩袜会影响术中低血压和恶心吗?一项单盲随机对照研究。
目的:本研究旨在确定在剖宫产术中使用的压缩袜对术中低血压的影响。设计:本研究采用随机对照单盲设计。方法:纳入72例妇女,其中干预组36例,对照组36例。随机化采用封闭包络法。干预组的妇女穿上了压缩袜。术中采用无创方法每5分钟监测一次生命体征,填写《产妇随访表》,记录用药情况。通过对所有女性采用相同的脊髓麻醉方案,以及术前和术中液体置换,实现了标准化。本研究遵循试验综合报告标准(CONSORT)清单进行报告。结果:在使用压缩袜的组中,平均收缩压(8.5%)、舒张压(15.6%)和平均动脉压(11.5%)值较高,恶心(36%)、呕吐(93%)、止吐剂(38%)和血管加压剂(53%)的使用减少。结论:加压丝袜是剖宫产手术中可行的一种方法,因为它是一种简单易行的方法,减少了对药物的依赖。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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