Turkiye Klinikleri Journal of Nursing Sciences

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The Effect of Different Masks Used by Pregnant Women on Vital Signs and Non-Stress Test During the COVID-19: Randomized Clinical Study
COVID-19 Sürecinde Gebelerin Kullandığı Farklı Maskelerin Yaşam Bulguları ve Nonstres Test Üzerine Etkisi: Randomize Klinik Çalışma
Yeter ŞENERa , Rukiye HÖBEK AKARSUb , Hüseyin AKSOYa , Demet AYDOGAN KIRMIZIa
aDepartment of Midwifery, Yozgat Bozok University Faculty of Health Sciences, Yozgat, Türkiye
bDepartment of Nursing, Yozgat Bozok University Faculty of Health Sciences, Yozgat, Türkiye
cClinic of Obstetrics and Gynecology, Kayseri City Hospital, Kayseri, Türkiye
dDepartment of Obstetrics and Gynecology, Yozgat Bozok University Faculty of Medicine, Yozgat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):357-65
doi: 10.5336/nurses.2022-94669
Article Language: EN
Full Text
ABSTRACT
 Amaç: Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] sürecinde, yüz maskelerinin ve çeşitlerinin kullanımındaki benzeri görülmemiş artış, güvenlikleri ve fizyoloji üzerindeki etkileri ile ilgili insan sağlığına ilişkin çeşitli endişelerin ortaya çıkmasıyla ilişkilendirilmiştir. Bu araştırma, COVID-19 sürecinde gebelerin kullandığı farklı maskelerin yaşam bulguları ve nonstres test (NST) üzerine etkisinin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma tek cerrahi maske grubu (n=30), çift cerrahi maske grubu (n=30), N95 maske grubundan (n=31) oluşmuştur. NST yapılmadan 30 dk önce istirahat hâlindeki gebelere maskeler verilerek takılması sağlanmıştır. Maske takılmasından 30 dk sonra NST yapılmadan hemen önce ve sonra gebelerin yaşam bulguları ölçülmüş ve NST traselerinin görüntüsü çekilmiştir. Bulgular: NST sonrası çift cerrahi maske grubunun sistolik kan basıncı diğer gruplardan daha düşüktür. NST öncesi ve sonrası diastolik kan basıncı çift cerrahi maske grubunda N95 maske grubuna göre düşüktür. Solunum sayısı N95 maske grubunda anlamlı olarak azalma göstermiştir (p0,05). Sonuç: Yaşam bulguları ile elde edilen istatistiksel olarak anlamlı sonuçların klinik açıdan önemli olduğunu söylemek zordur. Farklı maske kullanımının NST parametreleri üzerinde herhangi bir etkisi olmamıştır.

Keywords: COVID-19; gebe kadın; fetüs; maskeler; hemşirelik
ÖZET
 Objective: In the during coronavirus disease-2019 (COVID-19), the unprecedented increase in the use of face masks and their variants has been associated with the emergence of several concerns on human health regarding their safety and impact on physiology. This study was conducted to examine the effects of different masks used by pregnant women on vital signs and non-stress test (NST) during the COVID-19. Material and Methods: The study consisted of a single surgical mask group (n=30), double surgical mask group (n=30), and N95 mask group (n=31). Masks were given to the resting pregnant women 30 minutes (min) before the NST, and they were provided to wear masks. Vital signs of the pregnant women were measured 30 min after wearing the mask, just before and after the NST, and the images of the NST traces were taken. Results: After NST, the systolic blood pressure of the double surgical mask group was lower than the other groups. Diastolic blood pressure before and after NST was lower in the double surgical mask group than in the N95 mask group. The respiratory rate decreased significantly in the N95 mask group (p0.05). Conclusion: It is difficult to say that statistically significant results obtained with vital signs were clinically significant. Besides, the use of different masks had no effect on the NST parameters.

Anahtar Kelimeler: COVID-19; pregnant women; fetus; masks; nursing
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