Key result
Early mobilization improves systolic blood pressure by ~15 mmHg vs standard care in heart failure.
Why the study?
The effectiveness of early mobilization on blood pressure, pulse rate, and oxygen saturation in CHF patients was analyzed due to limited evidence.
Does early mobilization improve blood pressure, pulse rate, and oxygen saturation in patients with Congestive Heart Failure?
Does early mobilization improve blood pressure, pulse rate, and oxygen saturation in patients with Congestive Heart Failure?
Effect estimate: t-value 6.49
Absolute Event Rate: 118% vs 103%
p-value: p=0.000
Early mobilization (levels I and II) significantly improves systolic blood pressure and oxygen saturation in CHF patients compared to standard care.
May support early mobilization in stable CHF; hypothesis-generating and requires randomized confirmation before practice change.
The study aims to analyze the effectiveness of early mobilization on blood pressure, pulse rate, and oxygen saturation of CHF patients. The research method uses a quasi-experiment, pretest-posttest with a control group design. The results of the paired t-test before and after early mobilization in the intervention group showed an increase in systolic blood pressure (t = 13.2 mmHg, p-value = 0.000), diastolic blood pressure (t = 12.6 mmHg, p-value = 0.000), pulse rate (t = 16.1 times/minute, p-value = 0.000), and oxygen saturation (t = 11.8%, p-value = 0.000), while in the control group there was an increase in systolic blood pressure (t = 5.75 mmHg, p-value = 0.000), diastolic blood pressure (t = 5.99 mmHg, p-value = 0.000), pulse rate (t = 5.51 times/minute, p-value = 0.000), and oxygen saturation (t = 5.59%, p-value = 0.000), The results of the Independent t-test after early mobilization showed an increase in systolic blood pressure (t = 6.49, p-value = 0.000), and oxygen saturation (t = 4.90, p-value = 0.000) in the intervention group compared to the control group, however, there was no significant difference between the two groups in diastolic blood pressure (t = 1.17, p-value = 0.24), and pulse rate (t = 0.24, p-value = 0.80), Conclusion, early mobilization in CHF patients is more effective in increasing systolic blood pressure and oxygen saturation compared to standard care, although it has no significant effect on diastolic blood pressure and pulse rate.
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Nurfitriawaty et al. (2024) studied Congestive Heart Failure (n=46). Early mobilization vs. Standard care was evaluated on Systolic blood pressure (t-value 6.49, p=0.000). Early mobilization in patients with congestive heart failure significantly increased systolic blood pressure and oxygen saturation compared to standard care.
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