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

Istanbul University - Cerrahpasa96 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Preeclampsia

Interventions

Right Lateral PositionOTHER

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 PositionOTHER

Left Lateral Position

Semi Fowler Position (45° Fowler)OTHER

Semi Fowler Position (45° Fowler)

Eligibility

Sex: FEMALEMin age: 18 MonthsMax age: 45 Months

Medical Language ↔ Plain English

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).

Outcomes

Primary Outcomes

blood pressure measurement

The effect of blood pressure measurement in different positions on diastolic and systolic blood pressure values in pregnant women diagnosed with preeclampsia will be examined. Measurement will be made with a blood pressure device. Systolic pressure and diastolic pressure will be measured in mmhg.

Time frame: 4 month

anxiety levels

The effects of blood pressure measurement in different positions on anxiety levels in pregnant women diagnosed with preeclampsia will be measured. The anxiety level will be measured with the state anxiety scale. The score obtained from the scale varies between 20 and 80. A high score indicates a high level of anxiety, a low score indicates a low level of anxiety. The same applies when interpreting scores according to percentile rank. In other words, a low percentile rank (1, 5, 10) indicates low anxiety. The average score level determined in applications varies between 36 and 41.