title: Body Posture Angle Affects the Physiological Indices of Patients With Liver Cirrhosis Ascites.
abstract: The study objective was to compare the effect of different angles of lying positions on the physiological indices of patients with cirrhosis ascites. Chronic liver disease and cirrhosis were ranked 9th among the top 10 causes of death. Ascites is the most common cirrhosis comorbidity. Body posture can affect pulmonary ventilation and arterial oxygen partial pressure, making it an important clinical nursing intervention significantly affecting patient recovery. This was a quasi-experimental study design. From a medical center in Taiwan, 252 patients with cirrhosis ascites were recruited. Subjects were randomly divided into three groups by bed angle: 15°, 30°, and 45°. Physiological indices were measured at 5, 10, 15, 20, 25, and 30 minutes to determine any changes in heart rate, respiration rate, and oxygenation saturation. Data analysis included descriptive statistics and the generalized estimating equation for statistical analysis with significance set at α= 0.05. After controlling for confounding variables, the three groups differed significantly in heart rate at 20, 25, and 30 minutes, oxygenation saturations at 15 and 20 minutes, and respiration rate at 5 and 10 minutes (α< 0.05). Body posture can affect pulmonary ventilation and arterial oxygen partial pressure and is thus an important clinical nursing intervention that significantly affects the recovery of patients. When caring for patients with cirrhosis ascites, nurses should help patients to choose the most comfortable angle for them with no particular restrictions. Our results can be used to guide nurses in making a plan for health education and nursing that improves the quality of care for patients with chronic liver disease and cirrhosis patients with ascites.
authors.affiliation: Wen-chuan Hsu, BSN, RN, is Head Nurse, Department of Nursing, Chang Gung Medical Foundation, Linkao Branch, Taoyuan City, Taiwan. Lun-hui Ho, MS, RN, is Deputy Director, Department of Nursing, Chang Gung Medical Foundation, Linkao Branch, Taoyuan City, Taiwan. Mei-hsiang Lin, EdD, RN, is Associate Professor, Graduate Institute of Health Allied Education, School of Nursing, National Taipei University of Nursing and Health Science, Taipei City, Taiwan. Hsiu-ling Chiu, MS, RN, is Supervisor, Department of Nursing, Chang Gung Medical Foundation, Tao-yuan Branch, Taoyuan City, Taiwan.
authors.forename: Wen-chuan
authors.initials: WC
authors.lastname: Hsu
authors.forename: Lun-hui
authors.initials: LH
authors.lastname: Ho
authors.forename: Mei-hsiang
authors.initials: MH
authors.lastname: Lin
authors.forename: Hsiu-ling
authors.initials: HL
authors.lastname: Chiu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D011187:Posture