The effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trial

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dc.authorid0000-0001-6881-8288en_US
dc.contributor.authorYüksel, Serpil
dc.contributor.authorÖztekin, Seher Deniz
dc.contributor.authorTemiz, Zeynep
dc.contributor.authorUğraş, Gülay Altun
dc.contributor.authorŞengül, Emel
dc.contributor.authorTeksöz, Serkan
dc.contributor.authorSunal, Nihal
dc.contributor.authorÖztekin, İlhan
dc.contributor.authorGöksoy, Ertuğrul
dc.date.accessioned2020-06-10T05:47:52Z
dc.date.available2020-06-10T05:47:52Z
dc.date.issued2020
dc.departmentAÇÜ, Rektörlüken_US
dc.description.abstractBackground: The patient’s position is important for ensuring patient comfort and preventing complications after thyroidectomy. Objectives: This study was carried out to determine the effects of different degrees of head-of-bed elevation (HOBE) on the respiratory pattern and drainage following thyroidectomy and to provide suggestions for evidence-based clinical practice. Methods: The sample of this prospective, parallel arm, randomized controlled trial included 114 patients undergoing thyroidectomy in a university hospital in Turkey. The patients were randomly assigned (1:1:1) to supine 0° (baseline), 30° and 45° HOBE groups. Respiratory pattern including respiratory rate (RR), peripheral oxygen saturation (SpO2 ) and dyspnea, and drainage including amount of drainage and hematoma formation were evaluated at the 1st, 2nd, 3rd and 4th hours following thyroidectomy. Results: The majority of the patients (83.3%) were female and 84.2% had undergone total thyroidectomy. The mean RR (18.47, 95% CI=17.85-19.09) of the patients in the supine 30° HOBE group at the 1st hour was significantly higher than that of the patients in the supine 0° group (17.32, 95% CI=16.88-17.76; p<0.05). There was no significant difference between the SpO2 values of the patients in the groups (p>0.05). The amount of drainage was significantly higher in the supine 0° group at the 2nd hour than that of the patients in the supine 45° HOBE group (5.92±5.18; 3.34±5.56 respectively; p<0.05). None of the patients in the groups had hematoma formation. While no patient in the supine 30° HOBE group had dyspnea, dyspnea occurred in 9 patients in the supine 0° group and in 3 patients in the supine 45° HOBE group. Conclusion: This study showed that different HOBE positions resulted in clinically insignificant changes on the RR and amount of drainage during the first 4 hours following thyroidectomy but did not affect SpO2 value.
dc.identifier.citationYüksel, S., Öztekin, S. D., Temiz, Z., Uğraş, G. A., Şengül, E., Teksöz, S., ... & Göksoy, E. (2020). The effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trial. African Health Sciences, 20(1), 488-497.en_US
dc.identifier.doi10.4314/ahs.v20i1.55
dc.identifier.endpage497en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage488en_US
dc.identifier.urihttps://hdl.handle.net/11494/2089
dc.identifier.volume20en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTemiz, Zeynep
dc.language.isoenen_US
dc.publisherMakerere Unİven_US
dc.relation.ispartofAfrican Health Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHead-of-bed elevationen_US
dc.subjectthyroidectomyen_US
dc.subjectcontrolled trialen_US
dc.titleThe effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trialen_US
dc.typeArticle

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