Effect of Nursing Measures on Orthostatic Hypotension and risk of falling for Patients after Total Hip Replacement Surgery

Document Type : Original Article

Authors

1 Assistant professors of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.

2 Lecture of Gerontological nursing, Faculty of Nursing, Assiut University, Egypt

3 Assistance professor in Gerontological nursing, Faculty of Nursing, Assiut University, Egypt.

4 Lecture of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Background: A notable medical issue in hospitalized individuals, orthostatic
hypotension is both widespread and clinically consequential after total hip
replacement, yet it remains commonly overlooked. Therefore, it is important for
patients to understand the nursing measures that can help prevent orthostatic
hypotension, as well as the risk of falling associated with total hip replacement.
Aim: Evaluate the effect of nursing measures on orthostatic hypotension and risk
of falling for patients after total hip replacement surgery. Research design: A
quasi-experimental research design. Sample: A purposive sample of 60 patients
who undergoing Total Hip Replacement. Setting: orthopedic department, trauma
unit and its outpatient clinics at Assiut University hospital. Tools: Tool I; Patient
assessment sheet, Tool II; Morse Fall Scale, Tool III; Orthostatic vital signs
AfterResults:toms grading scale.Tool IV; Orthostatic sympmeasurement, and
implementing nursing measures, the mean value of orthostatic vital signs and
orthostatic symptoms was improved among the study group more than the control
group with p value = 0.0001 as well as there were statistically significant
n the studied groups about the risk of falling with p value=differences betwee
Compared to the control group, the study group showedConclusion:.0.001
statistically significant improvements in orthostatic hypotension and fall risk
following nursing measures. Recommendations: Replication of this study in
multicenter trials with broader participant demographics.

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History

  • Receive Date: 21 July 2025
  • Accept Date: 21 July 2025

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