Effectiveness of Semi-fowler's Position on Hemodynamic Function among Patients with Traumatic Head Injury

2021 
Head injury remains one of the most common causes of death worldwide. Approximately 10 to50% of patients with head injury developed disability at some points of their illness, and represent oneof the most common brain casualty encountered by neurosurgeons. Aim of the study: The study wasaimed to determine the effectiveness of semi-fowler's position on the hemodynamic function amongpatients with traumatic head injury. Research design: A quasi-experimental research design wasutilized in this study. Setting: The study was conducted at Emergency Care Unit at BenhaUniversity Hospital. Subjects: A convenient sample included 70 patients who were admitted at theabove mentioned setting. Tools: Two tools were used: patient's assessment data and hemodynamicparameters assessment. Results: Demonstrated that less than half of the studied patients aged between38 -<48 years old, (87.1%) of them were males, (55.7%) had traffic accident. As well, there werehighly statistically significant relations between the semi-fowler's position and the studied patient'shemodynamic state and ABG, indifferent assessment phases, there were highly statistically significantrelations between the studied patients' age, gender, smoking habits and the APACHE score, there werehighly statistically significant relations between the studied patients in semi-fowler's position and theAcute Physiology And Chronic Health Evaluation score in pre- position, after 15and 30 minutes of thesemi-fowler's position. Also, there were positive correlations between the studied patient's APACHEscore and their Glasgow coma scale Conclusion: There were highly statistically significant relationsbetween the semi-fowler's position and the studied patient's hemodynamic state and ABG results indifferent assessment phases of the study. Recommendations: Replication of the study using a largerprobability sample from various geographical areas to attain more generalizable results. A study shouldbe carried out on the aspects of knowledge, attitude, and skill towards therapeutic positions
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