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IRCT20191020045166N1 IRCT 2020-01-17 Hamedan University of Medical Sciences The Effect of Nursing Interventions on the Preventing Hypotension in Patients Undergoing Plasmapheresis Comparing the Effects of Wearing of Elastic Socks with Leg Elevation on preventing Hypotension in patients undergoing Plasmapheresis 2019-12-22 anticipated 35 Complete https://irct.ir/trial/43328 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients will be grouped by permutation blocks, So that each combination of ABCD, BCAD, CDAB and DABC will be placed in a separate envelope to the same count of patient so at first we select a patient who chooses an envelope randomly; for example if ABCD sequence is selected, method A will be run at first then B and respectively C and D. N/A Prevention of Hypotension due to Plasmapheresis. Intervention 1: Intervention group A: In addition to receiving routine care, the patient also uses elastic socks; at the beginning of the plasmapheresis session, the patient wears elastic socks and is maintained until the end of the session, Also at the start, during and after the intervention, the patient's blood pressure and pulse are recorded. Intervention 2: Intervention group B: In addition to receiving routine care, the patient's legs are raised 45 degrees at the start of the session and this position is maintained until the end of the plasmapheresis and the patient's blood pressure and pulse rate are recorded during the session. Intervention 3: Intervention group C: At the beginning of plasmapheresis, elastic socks are used to raise the legs 45 degrees simultaneously until the end of the session and the patient's blood pressure and pulse are recorded during plasmapheresis. Intervention 4: Control group: The patient does not receive any intervention and only the routine care for patients during plasmapheresis will be implemented and the patient's blood pressure and pulse are recorded during the session. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Publication of information is subject to permission from Hamedan University of Medical Sciences.
public Armin Mohamadiparsa
No20, Meraj street, Amirkabir
Hamedan Iran (Islamic Republic of) 6515819173 +98 81 3272 7710 armin94g@gmail.com Hamedan University of Medical Sciences scientific Armin Mohamadiparsa
No20, Meraj street, Amirkabir
Hamedan Iran (Islamic Republic of) 6515819173 +98 81 3272 7710 armin94g@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) All patients undergoing plasmapheresis for at least 4 sessions with at least one day interval Age 20 to 60 years The minimum volume of plasma separation should be 1.5 liters The duration of plasmapheresis is between 3 and 4 hours Patient alertness 20 years 60 years Both Cardiovascular disease and severe anemia Use of medications that affect blood pressure over the past 24 hours Any prohibition on measuring blood pressure and upper limb pulse Any prohibition on wearing elastic socks or lifting legs Pregnancy I95 Hypotension Prevention Prevention Prevention Other Intervention group A: In addition to receiving routine care, the patient also uses elastic socks; at the beginning of the plasmapheresis session, the patient wears elastic socks and is maintained until the end of the session, Also at the start, during and after the intervention, the patient's blood pressure and pulse are recorded. Intervention group B: In addition to receiving routine care, the patient's legs are raised 45 degrees at the start of the session and this position is maintained until the end of the plasmapheresis and the patient's blood pressure and pulse rate are recorded during the session. Intervention group C: At the beginning of plasmapheresis, elastic socks are used to raise the legs 45 degrees simultaneously until the end of the session and the patient's blood pressure and pulse are recorded during plasmapheresis. Control group: The patient does not receive any intervention and only the routine care for patients during plasmapheresis will be implemented and the patient's blood pressure and pulse are recorded during the session Blood Pressure. Timepoint: Before starting the process and then at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4 hours and finally half an hour after the end. Method of measurement: Portable Blood Pressure Monitor. Pulse Rate. Timepoint: Before starting the process and then at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4 hours and finally half an hour after the end. Method of measurement: Pulse Oximeter Device. Hamedan University of Medical Sciences Approved 2019-10-28 Ethics Committee of Hamedan University of Medical Sciences Fahmide Street, Hamedan University of Medical Sciences Hamedan Hamadan Iran (Islamic Republic of)