EFFECT OF BLOOD PRESSURE MEASUREMENT IN DIFFERENT POSITIONS ON BLOOD PRESSURE VALUES AND ANXIETY LEVELS IN PREGNANT WOMEN WITH PREECLAMPSIA

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-01

Study Completion Date

2024-06-01

Brief Summary

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Aim: This study examined the effects of blood pressure measurement in different positions on diastolic and systolic blood pressure values and anxiety levels in pregnant women diagnosed with preeclampsia.

Method: The study was conducted between March and June 2024 as a pre-test post-test quasi-experimental study with 96 pregnant women diagnosed with preeclampsia in the perinatology department of a training and research hospital. Participants were divided into three groups and their blood pressures were measured in the left lateral, right lateral and semi-Fowler positions. Data were collected using an introductory information form and the State Anxiety Scale.

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Detailed Description

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Aim: This study examined the effects of blood pressure measurement in different positions on diastolic and systolic blood pressure values and anxiety levels in pregnant women diagnosed with preeclampsia.

Method: The study was conducted between March and June 2024 as a pre-test post-test quasi-experimental study with 96 pregnant women diagnosed with preeclampsia in the perinatology department of a training and research hospital. Participants were divided into three groups and their blood pressures were measured in the left lateral, right lateral and semi-Fowler positions. Data were collected using an introductory information form and the State Anxiety Scale.

Conditions

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Preeclampsia Blood Pressure Check (Hypertension Screening)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Participants were divided into three groups and their blood pressures were measured in the left lateral, right lateral and semi-fowler positions.

Left Lateral Position: The pregnant patient was lying in the left lateral position on the bed, her head supported by a pillow of medium height. The left arm to be measured was positioned at heart level and supported by a pillow underneath. Blood pressure was measured using the arm extended at a 45° angle to the body in the left lateral position. Considering that taking measurements from the right arm above the heart level may decrease blood pressure values, both measurements were taken only from the left arm.

Right Lateral Position: The pregnant woman was placed in the right lateral position on the bed. Her head was supported by a pillow of medium height. The right arm to be measured was held at heart level and extended at a 45° angle to the body. Considering that taking measurements from the left arm above the heart level may decrease blood

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Right Lateral Position

The pregnant woman was placed in the right lateral position on the patient bed. Her head was supported by a medium-height pillow. The right arm to be measured was held at heart level and extended at a 45° angle to the body. Considering that taking measurements from the left arm above heart level could lower blood pressure values, both measurements were made only from the right arm.

Group Type EXPERIMENTAL

Right Lateral Position

Intervention Type OTHER

Participants rested for 10 minutes in a fully seated position, leaning their backs on a chair, without crossing their legs and placing their feet parallel to the floor. During this time, the arm to be measured was kept at heart level.

Left Lateral Position

The pregnant patient was lying in the left lateral position on her bed, her head supported by a pillow of medium height. The left arm to be measured was positioned at heart level and supported by a pillow underneath. Blood pressure was measured using the arm extended at a 45° angle to the body in the left lateral position. Considering that taking measurements from the right arm above heart level may lower blood pressure values, both measurements were taken from the left arm only.

Group Type EXPERIMENTAL

Left Lateral Position

Intervention Type OTHER

Left Lateral Position

Semi Fowler Position (45° Fowler)

The pregnant woman was laid on her back at a 45° angle on the patient bed. Her head was supported with a medium-height pillow. The arm to be measured was held at heart level and supported with a pillow underneath to provide the appropriate position.

Group Type EXPERIMENTAL

Semi Fowler Position (45° Fowler)

Intervention Type OTHER

Semi Fowler Position (45° Fowler)

Interventions

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Right Lateral Position

Participants rested for 10 minutes in a fully seated position, leaning their backs on a chair, without crossing their legs and placing their feet parallel to the floor. During this time, the arm to be measured was kept at heart level.

Intervention Type OTHER

Left Lateral Position

Intervention Type OTHER

Semi Fowler Position (45° Fowler)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being primigravida (first pregnancy),

* Being in the third trimester of pregnancy,
* Being between the ages of 18-45,
* Being diagnosed with preeclampsia,
* Having an arm circumference of less than 36 cm,
* Having a history of hospitalization of at least 24 hours (in order to minimize anxiety, uncertainty, lack of information and disorientation related to hospitalization).

Exclusion Criteria

* • Presence of a physical disability that would make it difficult to perform the positions included in the study (e.g. loss of extremity),

* Presence of decompensated disease (e.g. eclampsia, pulmonary edema),
* Presence of a history of cardiological disease,
* Diagnosis of obstructive sleep apnea,
* Presence of additional risk factors other than preeclampsia (e.g. threat of premature birth, placental anomalies).

Minimum Eligible Age

18 Months

Maximum Eligible Age

45 Months

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No