Effect of Nursing Interventions on the Severity of Orthostatic Hypotension among Older Adults Residing in Assisted Living Facilities

Document Type : Research articles

Authors

1 Gerontological Nursing, Faculty of Nursing, Damanhour University

2 Gerontological Nursing, Faculty of Nursing, Alexandria University

3 Medical Surgical Nursing, Faculty of Nursing, Alexandria University

Abstract

Orthostatic hypotension (OH) is a predominant insufficiently evaluated and treated problem
among older people. In this context, it is important for the gerontological nurses to assess and manage
OH to avoid its serious consequences. Objective: Determine the effect of nursing interventions on the
severity of orthostatic hypotension among older adults. Settings: Two assisted living facilities
affiliated to the Ministry of Social Solidarity, Egypt were selected. Subjects: Forty older adults who
were eligible for the study. Tools: Five tools were used: Saint Louis University Mental Status
(SLUMS) Examination, Geriatric Depression Scale Short-Form (GDS-SF), Orthostatic Vital Signs
Measurement Scale, Older Adults Socio–Demographic and Clinical Data Structured Interview
Schedule, and Orthostatic Hypotension Grading Scale. Results: A statistical significant increase in
standing blood pressure was found post interventions compared to pre interventions. As well as, a
highly significant improvement of OH symptoms among older adults was declared. Conclusion:
Nursing interventions resulted in a statistically significant increase in standing blood pressure and
improved the OH symptoms among older adults. Recommendations: In-service health education
program about OH has to be offered on regular basis to the nurses at the different assisted living
facilities.

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