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急诊科的血压记录

Blood pressure documentation in the emergency department.

作者信息

Daniel Ana Carolina Queiroz Godoy, Machado Juliana Pereira, Veiga Eugenia Velludo

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Centro Universitário Barão de Mauá, Ribeirão Preto, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2017;15(1):29-33. doi: 10.1590/S1679-45082017AO3737.

DOI:10.1590/S1679-45082017AO3737
PMID:28444085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5433303/
Abstract

OBJECTIVE

To analyze the frequency of blood pressure documentation performed by nursing professionals in an emergency department.

METHODS

This is a cross-sectional, observational, descriptive, and analytical study, which included medical records of adult patients admitted to the observation ward of an emergency department, between March and May 2014. Data were obtained through a collection instrument divided into three parts: patient identification, triage data, and blood pressure documentation. For statistical analysis, Pearson's correlation coefficient was used, with a significance level of α<0.05.

RESULTS

One hundred fifty-seven records and 430 blood pressure measurements were analyzed with an average of three measurements per patient. Of these measures, 46.5% were abnormal. The mean time from admission to documentation of the first blood pressure measurement was 2.5 minutes, with 42 minutes between subsequent measures. There is no correlation between the systolic blood pressure values and the mean time interval between blood pressure documentations: 0.173 (p=0.031).

CONCLUSION

The present study found no correlation between frequency of blood pressure documentation and blood pressure values. The frequency of blood pressure documentation increased according to the severity of the patient and decreased during the length of stay in the emergency department.

摘要

目的

分析急诊科护理人员记录血压的频率。

方法

这是一项横断面、观察性、描述性和分析性研究,纳入了2014年3月至5月期间入住某急诊科观察病房的成年患者的病历。数据通过一份分为三个部分的收集工具获得:患者识别、分诊数据和血压记录。统计分析采用Pearson相关系数,显著性水平为α<0.05。

结果

分析了157份病历和430次血压测量值,平均每位患者测量三次。在这些测量值中,46.5%为异常。从入院到首次记录血压测量值的平均时间为2.5分钟,后续测量之间的间隔为42分钟。收缩压值与血压记录之间的平均时间间隔无相关性:0.173(p=0.031)。

结论

本研究发现血压记录频率与血压值之间无相关性。血压记录频率根据患者病情严重程度增加,在急诊科住院期间减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f63/5433303/84a3df62d8fb/1679-4508-eins-15-01-0029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f63/5433303/84a3df62d8fb/1679-4508-eins-15-01-0029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f63/5433303/84a3df62d8fb/1679-4508-eins-15-01-0029-gf01.jpg

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