Effect of Implementing Modified Valsalva Maneuver on Clinical Outcomes for Patients with Acute Supraventricular Tachycardia | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 32, Issue 1, February 2024, Page 260-279 PDF (865.06 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2024.349140 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Gehan A. Younis1; Mahmoud M. Mohammed2; Raghda G. El-Sheikh,3; Nagwa S. El Ashmawy.4 | ||||
| 1Prof of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University. | ||||
| 2Demonstrator of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University. | ||||
| 33Prof of cardiology, Faculty of Medicine, Tanta University. | ||||
| 44 lecture of critical care and emergency Nursing, Faculty of Nursing, Tanta University. | ||||
| Abstract | ||||
| Background: Supraventricular tachycardia (SVT) is a common cause of emergency room visits. Modified Valsalva maneuver (MVM) is proven to be safe to some extent, effective in terminating SVT episodes and can be easily performed by critical care nurses. Aim: -This study aimed to evaluate the effect of modified Valsalva maneuver on clinical outcomes for patients with acute supraventricular tachycardia. Design: Quasi-experimental research design. Setting: - This study was conducted in cardiac emergency unit at Tanta Main University Hospital. Subjects: - A purposive sample of 80 patients diagnosed with acute supraventricular tachycardia divided into two equal groups, control group received routine care for reversion of SVT by cardiac nursing staff and study group managed by modified Valsalva maneuver with routine hospital care that implemented by the researcher. Tools: Two tools were used in this study, tool I Supraventricular Tachycardia Patient’s Assessment Tool and tool II. Patient's clinical outcomes included hemodynamic parameters assessment, electrocardiography (ECG) rhythm monitoring, and numeric rating scale for measuring nausea and modified Borg dyspnea scale. Results: Study group showed significant difference regarding hemodynamic parameters, heart rhythm, and severity of nausea and dyspnea throughout the periods of intervention. In addition, there was significant difference between control and study groups in relation to hemodynamic parameters and ECG rhythm, but it was not significant in relation to the severity of nausea and dyspnea. Conclusions: The present study’s results suggest that modified VM therapy was more effective for terminating SVT. The modified VM therapy also indirectly reduced the need for anti-arrhythmic medication and decrease severity of nausea and dyspnea. Recommendations: - Modified Valsalva maneuver should carry out as first-line therapy for patients with stable SVT. | ||||
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