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KMID : 1004620110170020275
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Clinical Nursing Research
2011 Volume.17 No. 2 p.275 ~ p.285
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Changes in Orthostatic Hypotension According to the Levels of Head-up Position during Sleep in Patients with Parkinsonian Disorders
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Kim Sung-Reul
Chae Hyun-Sook
Youn Mi-Jung
Park Su-Young
Jung Da-Hee
Lee Hyang-Hee
Chung Sun-Ju
An Young-Hee
Kim Kyoung-Ok
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Abstract
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Purpose: Head-up position during sleep is one of the non-pharmacologic interventions for the treatment of orthostatic hypotension. Because the head-up position causes discomfort in many patients, this approach may not be acceptable to all patients. We compared the systolic blood pressure in erect position, orthostatic hypotension, orthostatic disability score, and the improvement rates of orthostatic hypotension between the 20 cm head-up group and the 10 cm head-up group.
Methods:A control pre/post-test design was used. Between August 1, 2009 and November 15, 2010, we consecutively enrolled patients who showed orthostatic hypotension in patients with Parkinsonian disorders. Sixty-seven patients were prospectively enrolled and forty-four patients were completed the study.
Results: There were no statistically significant differences found in the systolic blood pressure in erect position, orthostatic hypotension, and orthostatic disability scores between the two groups. However, five patients showed improvement in 20 cm head-up group and one patient was showed improvement in 10 cm head-up Group.
Conclusion:Orthostatic hypotension is decreased with 20 cm head-up position in some patients with Parkinsonian disorders (p=.034). Further research investigating the relationships between orthostatic hypotension and head-up position are warranted.
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KEYWORD
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Orthostatic hypotension, Parkinsonian disorders
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