Incidence of Orthostatic Hypotension during Early Postoperative Mobilization in Cardiac Surgery Patients

Authors : Belma Ay, Hülya Bulut, Murat Kurtoğlu

Pages : 491-503

View : 15 | Download : 14

Publication Date : 2024-12-25

Article Type : Research Paper

Abstract :This study aimed to determine the incidence of orthostatic hypotension and orthostatic intolerance during early mobilization in patients who underwent coronary artery bypass graft surgery. The study was conducted as single group pre-experimental study. Patients who underwent coronary artery bypass graft surgery (n=108) in a private hospital and a university hospital in Ankara were included in the sample. Data were collected between May 2018 and February 2019. The data were collected using a Patient Diagnostic Form and Patient Mobilization Follow-Up Form developed by the researcher. Patients were mobilized according to the mobilization program developed by the researchers. The study is reported according to Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines. The sample consisted of 108 patients (72.2% male, mean age 64.67 ± 9.40 years). Postoperative mobilization was 19.23 ± 3.08 hours. According to preoperative data, 52 participants (48.1%) had orthostatic hypotension, and 47 participants (43.5%) had orthostatic intolerance. Participants often presented signs of intolerance (26.9%) in the second mobilization phase. There was no significant difference in the incidence of orthostatic intolerance between participants with and without orthostatic hypotension (p = 0.269). The results indicate that orthostatic hypotension and orthostatic intolerance are prevalent in patients after coronary artery bypass graft surgery. Healthcare professionals should diagnose orthostatic hypotension early with accurate hemodynamic measurements and monitoring of symptoms.
Keywords : Kardiyak Cerrahi, Erken Ambülasyon, Yoğun Bakım Üniteleri, Ortostatik Hipotansiyon