Dressing-induced hemodynamic instability in patients with heart failure: Implications for nursing care

11 Jun 20264 min read0 viewsJournal Feed

GIST (Key Takeaways)

by Tae Watanabe, Kimiko Tagawa, Yu Kimura, Toshiro Kitagawa, Kiyokazu Sekikawa, Yukiko Nakano, Sanae Oriyama Background Heart failure (HF) restricts activities of daily living, impacting prognosis and quality of life. Dressing requires sustained upper-limb movements, postural transitions, and fine-motor tasks that may impose cardiovascular and autonomic demands, potentially informing on physiological tolerance during daily activities.
Objective This observational study compared hemodynamic, autonomic, subjective, and upper-limb sensor count (ULSC) responses during dressing across HF clinical courses to characterize recovery dynamics during daily activities and identify nursing support requirements. Methods We compared healthy controls (HCs; n = 15), de novo HF (NO-HF; n = 12), and recurrent HF (R-HF; n = 12) groups.
Heart rate (HR), systolic blood pressure (SBP), peripheral oxygen saturation, HR variability, Borg scale score, ULSC, dressing duration, and HR recovery (HRR) were measured at rest, during dressing, and after 20 min of recovery. Linear mixed-effects models tested group, time, and interaction.
Pairwise comparisons were performed via Bonferroni adjustment. Results HR increased during and immediately post-dressing across groups, with NO-HF exhibiting higher HR than R-HF.