تغییرات فشار داخل جمجمه ناشی از برخی فعالیت‌های بهداشتی – مراقبتی

  Changes of Intracranial Pressure Due to Some Curative and Hygienic Activities   A. Mahmoodi Rad MSc1, M. Foroozi MSc2*, S. Mohamad alizaheh MSc3   1- Academic Member, School of Nursing, Lar, Iran   2- Academic Member, School of Nursing and Midwifery, Kerman, Iran   3- Academic Member, School of Nursing and Midwifery, Kerman, Iran     Background: Evaluation the patients for determining the sings of increasing intracranial pressure (ICP) is one of the most important nursing activities. One of the problems in caring the patients with neurological disorders is finding the intracranial pressure and prevention of its secondary complications.   The aim of this descriptive comparative survey was to evaluate the alterations of intracranial pressure due to some curative and health activities in patients admmitted to intensive care unit of Shiraz Namazee hospital.   Materials and Methods: In this study the effects of 18 health care activities with 1620 repeats were evaluate in 6 patients with increased ICP due to head injuries .   A researcher- made check list was used for data collection after determining proper reliability and validity. Central and descriptive tendency, Spearman coefficient and Wilcoxon tests were used for data analysis.   Results: The results of this survey showed that from 18 activities that showed significant difference in ICP, dressing change of catheter site. had highest pressure differential mean (9.62) and activity of pupil reaction of left eye to light had lowest pressure differential mean (1.40) respectively. The results also showed that among 1620 repeated activities only three were associated with decreased ICP.   The result showed that, dressing change of catheter insertion site and inserting angiochat had lowest and highest correlation coefficients 0.17 and 0.8 respectively.   Conclusion: Although arising ICP has seen after implementation of 18 health care activities but the raise was transient and reconvert in less than one minute.     Key words: Intracranial pressure, Curative and hygienic activities     * Corresponding author:Tel: (0341)3220796 , Fax:(0341)3220765, E-mail: [email protected]   Journal of Rafsanjan University of Medical Sciences and Health Services, 2005, 4(2): 111-121