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Indian Journal of Surgical Nursing 8(3):p 73-77, Sep-Dec 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijsn.2277.467X.8319.2
Original Article
Effectiveness of Intradialytic Modified Trendelenburg Position on Selected Post Dialytic Complications Among Patients Undergoing Hemodialysis in Selected Hospital
Amol C Temkar , Suresh T Saravade1 , Amol C Temkar2 , Mighila M Nair3
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Indian Journal of Surgical Nursing 8(3):p 73-77, Sep-Dec 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijsn.2277.467X.8319.2
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Suresh T Saravade, Amol C Temkar, Mighila M Nair. Effectiveness of Intradialytic Modified Trendelenburg Position on Selected Post Dialytic Complications Among Patients Undergoing Hemodialysis in Selected Hospital. Indian J Surg Nurs. 2019;8(3):73–77.
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Abstract
Introduction: Positioning the client in good body alignment and change the position regularly and systematically is used as therapeutic significant in nursing practice. Trendelenburg position is for treating intradialytic hypotension. With so much blood out of the patient’s body and with ultrafiltration over 3–4 hours, it is common for hemodialysis patients to become hypotensive. The study conducted with the aim and objectives of observing the effect of modified trendelenburg positioning against existing hospital practice on selected post dialytic complications such as hypotension, muscle cramps, nausea, vomiting, dyspnea & perspiration. Materials and methods: Quasi experimental two group pre and post-test interventional design was selected for the study with a sample size 50 of both groups. Non probability purposive sampling technique used, patient selected for both groups with sealed envelope methods. Inclusion criteria were patient who is undergoing hemodialysis, conscious and oriented to time, place and person. Exclusion criteria were patient undergoing first hemodialysis, neurological disorder, esophageal surgery, distended abdomen and lower limb ischemia. Patient developed with severe complication during hemodialysis. Modified observational check list was used to assess the selected post dialytic complication. Baseline data was collected from patient records. Unpaired t test was used to compare the effectiveness between the group, chi-square test and fisher exact test was used for association. Result: In experimental group the mean score of post-test (9.16) and in control group mean score of post-test was (15). Unpaired “t” test value for this present study was 4.45 with 48 degrees of freedom. Tabulated t value 2.0106 with 48 degrees of freedom. So, the null hypothesis was rejected at 0.05 level of significant and alternative hypothesis was accepted at 0.05 level of significant. Conclusion: The study finding revealed that the use of modified trendelenburg position for patient undergoing hemodialysis is more effective than the exsiting hospital practice positions. Unpaired t test value 4.45 with 48 degrees of freedom. Tabulated t value 2.0106 with 48 degree of freedom.
Keywords: Hemodialysis; Intradialytic hypotension; Trendelenburg position.
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Suresh T Saravade, Amol C Temkar, Mighila M Nair. Effectiveness of Intradialytic Modified Trendelenburg Position on Selected Post Dialytic Complications Among Patients Undergoing Hemodialysis in Selected Hospital. Indian J Surg Nurs. 2019;8(3):73–77.
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DOI: DOI: http://dx.doi.org/10.21088/ijsn.2277.467X.8319.2
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