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

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Preeclampsia; Blood Pressure Check (Hypertension Screening)

Treatments: Other: Left Lateral Position; Other: Semi Fowler Position (45° Fowler); Other: Right Lateral Position

Study type: Interventional

Funder types: Other

Identifiers

NCT06898567

29.01.2024 2024/06 (Registry Identifier)

PREECLAMPSIA

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 96 patients

Sex: Female

Ages: 18 to 45 months old

Volunteers: No Healthy Volunteers

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).

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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96 participants in 3 patient groups

Right Lateral Position

Experimental group

Description:

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.

Treatment:

Other: Right Lateral Position

Left Lateral Position

Experimental group

Description:

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.

Treatment:

Other: Left Lateral Position

Semi Fowler Position (45° Fowler)

Experimental group

Description:

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.

Treatment:

Other: Semi Fowler Position (45° Fowler)