Çelik, Sevim Çelik | Yıldırım, İsmail | Arslan, İbrahim | Yıldırım, Sinan | Erdal, Fatih | Yandı, Yunus Emre

Article | 2011 | International Journal of Nursing Practice17 ( 6 ) , pp.556 - 561

The purpose of this study was to determine the effects of fever and nursing interventions to lower fever on hemodynamic values and oxygenation in febrile (temperature greater than 38.3°C) surgical intensive care unit patients. This retrospective study was conducted in 53 febrile patients out of 519 patients admitted to the surgical intensive care unit at a university hospital. Data were obtained from the medical records, laboratory files and nursing notes. Statistical analysis of the data was analyzed by repeated measures analysis of variance and a paired sample t-test. The average hourly urine output (F=5.46; P=0.002) and systolic . . .blood pressure (F=2.87; P=0.03) were significantly lower after fever onset. Heart rate, respiratory rate, positive end-expiratory pressure settings and FiO 2 settings were unchanged after the development of fever. Diastolic blood pressure and oxygen saturation had non-statistically significant decreases. Nursing interventions for febrile patients consisted of medication administration (69.8%), ice (62.3%) and sponging with tepid water (62.3%). The present results showed that fever was associated with an increase in heart rate, decreased systolic arterial pressure, mean arterial pressure, oxygen saturation and hourly urine output. © 2011 Blackwell Publishing Asia Pty Ltd Daha fazlası Daha az

Kulakci Altintas H. | Korkmaz Aslan G.

Article | 2019 | International Journal of Nursing Practice25 ( 5 ) , pp.556 - 561

Aim: The aim of this study was to determine the incidence of falls among community-dwelling older adults and the impact of pain and insomnia on falls. Methods: This cross-sectional study recruited 659 older adults. Pain was assessed by the Geriatric Pain Measure, and insomnia was assessed by the Insomnia Severity Index. The history of falls was assessed within the last 12 months. Risk factors for falls were determined using logistic regression analysis. Results: The incidence of falls within the last year was 37.2%. Based on the analyses, pain and insomnia were found to be risk factors for falls. Conclusion: In this study, falls wer . . .e observed as a common problem among community-dwelling older adults, and pain and insomnia were determined as risk factors for falls. Therefore, pain and insomnia should be addressed when prevention of falls among community-dwelling older adults are planned by health care professionals including nurses. © 2019 John Wiley & Sons Australia, Lt Daha fazlası Daha az