Fluid Balance and Level of Consciousness in Intensive Care Patients.
| Autor: | Celik, Selda, Yilmaz, Feride Taskin, Altas, Gulnaz |
|---|---|
| Předmět: |
INTENSIVE care units
RESEARCH KRUSKAL-Wallis Test SCIENTIFIC observation WATER-electrolyte balance (Physiology) CRITICALLY ill CROSS-sectional method PATIENTS COMPARATIVE studies T-test (Statistics) GLASGOW Coma Scale DESCRIPTIVE statistics STATISTICAL correlation DATA analysis DATA analysis software CONSCIOUSNESS |
| Zdroj: | International Journal of Caring Sciences; Sep-Dec2023, Vol. 16 Issue 3, p1641-1649, 9p |
| Abstrakt: | Background: The management of fluid balance in the intensive care unit (ICU) is an indispensable part of the care and treatment process. Especially, changes in the level of consciousness may make it difficult to manage fluid balance. Purpose: This study was conducted to determine the relationship between fluid balance and level of consciousness in ICU. Methods: This cross-sectional and observational study included 209 patients hospitalized in ICU. An input-output monitoring form was used to assess the fluid balance of the patients, while the Glasgow Coma Scale (GCS) was used to assess their levels of consciousness. Results: Among the patients who were monitored for a week, the mean fluid balance value was 689.90±101.37 ml on the first day and 1141.53±1188.28 ml on the seventh day, where a significant increase occurred in positive fluid balance within the week (p<0.01). While there was no significant relationship between the patients' levels of consciousness and their fluid balance on the first day (p>0.05), on the seventh day; the mean fluid balance value of the patients who were categorized as 'coma' in the GCS was significantly higher than others (p<0.05). Conclusions: It was observed that the ICU patients had a positive fluid balance, while an increase in positive fluid balance was observed in time in the patients who were in a coma. Nurses are recommended to pay more importance to the monitoring of the fluid balance of patients who are experiencing advanced changes in consciousness like a coma. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|