Öztürk Gülay, Yılmaz Emel, Aydın Murat, Baydur Hakan
Neurosurgery Intensive Care Unit, Health Sciences University, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Department of Surgical Nursing, Faculty of Health Science, Manisa Celal Bayar University, Manisa, Turkey.
ANZ J Surg. 2021 Dec;91(12):2780-2787. doi: 10.1111/ans.17101. Epub 2021 Aug 2.
Orthostatic hypotension (OH) is a common early postoperative finding in patients who undergo major surgery, and it might delay early mobilization, which is the main building block of modern perioperative care programs. The aim of this study was to determine the effect of using thigh-length elastic pressure socks in patients who undergo spinal surgery in development of OH at first mobilization after surgery.
The study was a randomized-controlled intervention study. A total of 70 patients who underwent spinal surgery were included in the study. The patients were allocated randomly to the intervention group (n = 35) who used thigh-length elastic pressure socks and the control group (n = 35) which received no intervention other than routine nursing care.
It was found in the study that 2.9% of the patients in the intervention group developed OH during the first mobilization after the surgery, and 48.6% of the patients in the control group developed OH at first mobilization. The patients in the intervention group were found to have the risk ratio (RR): 0.06 times less probability of developing OH than the patients in the control group (95% confidence interval [CI]:0.01-0.42). The OH symptoms were lower in the patients in the intervention group.
It was found as a result of the study that using thigh-length elastic pressure socks in spinal surgery patients reduced OH development and symptoms at first mobilization after the surgery.
体位性低血压（OH）是接受大手术患者术后早期常见的表现，它可能会延迟早期活动，而早期活动是现代围手术期护理计划的主要组成部分。本研究的目的是确定在脊柱手术患者术后首次活动时使用大腿长度的弹性压力袜对OH发生的影响。
本研究为随机对照干预研究。共有70例接受脊柱手术的患者纳入研究。患者被随机分配到干预组（n = 35），使用大腿长度的弹性压力袜；以及对照组（n = 35），除常规护理外不接受其他干预。
研究发现，干预组2.9%的患者在术后首次活动时发生OH，对照组48.6%的患者在首次活动时发生OH。干预组患者发生OH的风险比（RR）：比对照组患者低0.06倍（95%置信区间[CI]：0.01 - 0.42）。干预组患者的OH症状较轻。
研究结果表明，脊柱手术患者使用大腿长度的弹性压力袜可降低术后首次活动时OH的发生率和症状。
