Evidence-based practice of nursing intervention for patients with orthostatic hypotension
MENG Fan
LIU Jie
YANG Zhongxue
Abstract：Objective To develop an evidence-based nursing protocol for patients with orthostatic hypotension and apply it in clinical practice,with the aim of scientifically assessing its application effects.Methods Through a series of literature search and screening,comprehensive grading evaluations were conducted based on factors such as research methods,sample size,and result reliability,leading to the formation of best evidence entries.Based on the derived best evidence,and combined with clinical practice experience and patient needs,an evidence-based nursing protocol for patients with orthostatic hypotension was constructed by the evidence-based team.Patients with orthostatic hypotension treated between May 2022 and November 2022 were selected as the study subjects.Through simple random grouping within the ward,patients were divided into the experimental group and control group,receiving the evidence-based nursing protocol and routine nursing protocol,respectively.Comparisons were made regarding the changes in the incidence and severity of intolerance symptoms in patients with orthostatic hypotension before and after the application between groups.Results After the application of the evidence-based nursing,the incidence of intolerance symptoms in the experimental group significantly decreased,including the dizziness(90.79%vs 54.61%,χ2=50.134,P<0.001),blurred vision(40.79%vs 23.03%,χ2=11.037,P=0.001),instability on standing(25%vs 14.47%,χ2=5.316,P=0.021),palpitations(9.21%vs 1.97%,χ2=7.539,P=0.006),and nausea(5.26%vs 0.66%,χ2=4.122,P=0.042).The severity of intolerant symptoms also significantly decreased(Z=-10.084,P<0.001),showing a significant improvement in the experimental group than the control group(P<0.05).Conclusion Developing and applying an evidence-based nursing protocol for patients with orthostatic hypotension effectively reduce the incidence and severity of intolerant symptoms.
Keywords：orthostatic hypotensionbest evidenceevidence-based nursingevidence-based practice
Publication Date：2026-02-26
Online Publishing Date：2026-03-23(First online date of this platform, not the publication date of the document)
Pages：4( 349-352 )