Title: Effectiveness of intervention for orthostatic hypotension among psychiatric patients in mental hospitals
Abstract:
Introduction: Orthostatic hypotension is a sudden drop in blood pressure when changing position. Treatment of psychiatric patients with antipsychotics has the potential to cause orthostatic hypotension and the risk of falls. The risk of falls is an indicator of the quality of hospital services as a guarantee of patient safety. Psychiatric patients need to have the same safety and treatment rights as patients in general. The various potential changes in behavior in psychiatric patients make it possible for all orthostatic management hypotension measures to be given so that nurses can carry out analyses regarding interventions based on appropriate research results.
Purpose: This study to determine the effectiveness of intervention management for orthostatic hypotension in psychiatric patients.
Design: Experiment with Pre-test-Post-test Control Group Design.
Methods: Participants in this study were psychiatric inpatients on antipsychotic therapy, aged over 18 years. The first stage is screening to identify patients who experience orthostatic hypotension. Sample measurements used comparative proportion analysis with a total of 45 participants for each group providing intervention for five days. Group A was the control group, Group B received the intervention of providing 2 liters of adequate fluids/24 hours and received leg exercise intervention, Group C received the intervention of leg exercises only and Group D received 2 liters of adequate fluids/24 hours only. Test the analysis using the Regression Analysis.
Conclusion and Recommendations: The outcome of this research was the management of orthostatic hypotension clients in psychiatric mental services. Health professionals in psychiatric hospital services need to observe the incidence of orthostatic hypotension in patients given antipsychotics because orthostatic hypotension can have an impact on the risk of falls. Nurses need to increase their awareness of the importance of carrying out standard operational processes for measuring fall risk correctly.
Audience Take Away Notes:
1. The results of this study will enable nurses in psychiatric services to understand and realize the importance of observing the incidence of orthostatic hypotension
2. This study presents the management of patients with orthostatic hypotension in psychiatric services and knowing the effectiveness of the interventions provided and application in nursing services
3. Professional care for orthostatic hypotension patients can reduce the risk of falls in psychiatric care and will improve the quality indicators of hospital services
