Effect of using elastic‐pressure socks in spinal surgery patients on orthostatic hypotension in the first mobilization

• Published in: ANZ journal of surgery 2021-12, Vol.91 (12), p.2780-2787
• Main Authors: Öztürk, Gülay, Yılmaz, Emel, Aydın, Murat, Baydur, Hakan
• Format: Article
• Language: English
• Subjects: Back surgery; Confidence intervals; Early Ambulation; elastic pressure socks; Group dynamics; Humans; Hypotension; Hypotension, Orthostatic; Intervention; mobilization; Neurosurgical Procedures; Orthostatic hypotension; Patients; Perioperative Care; Postoperative Period; Pressure; Pressure effects; spinal surgery; Statistical analysis; Surgery; Thigh
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/ans.17101

Background Orthostatic hypotension (OH) is a common early postoperative finding in patients who undergo major surgery, and it might delay early mobilization, which is the main building block of modern perioperative care programs. The aim of this study was to determine the effect of using thigh‐length elastic pressure socks in patients who undergo spinal surgery in development of OH at first mobilization after surgery. Methods The study was a randomized‐controlled intervention study. A total of 70 patients who underwent spinal surgery were included in the study. The patients were allocated randomly to the intervention group (n = 35) who used thigh‐length elastic pressure socks and the control group (n = 35) which received no intervention other than routine nursing care. Results It was found in the study that 2.9% of the patients in the intervention group developed OH during the first mobilization after the surgery, and 48.6% of the patients in the control group developed OH at first mobilization. The patients in the intervention group were found to have the risk ratio (RR): 0.06 times less probability of developing OH than the patients in the control group (95% confidence interval [CI]:0.01–0.42). The OH symptoms were lower in the patients in the intervention group. Conclusion It was found as a result of the study that using thigh‐length elastic pressure socks in spinal surgery patients reduced OH development and symptoms at first mobilization after the surgery. The purpose of the management of orthostatic hypotension (OH) during the first mobilization is to prevent the decrease in blood pressure, reduce symptoms, ensure safe mobilization, and prevent falls using thigh‐length elastic pressure socks in spinal surgery patients reduce the OH development and the symptoms during the first mobilization after the surgery.