Nursing Faculty, Department Of Fundamentals Of Nursing, Aydın Adnan Menderes University, Kepez mevkii, Efeler, Aydın, Turkey.
Health Science Faculty, Aydın Adnan Menderes University, Aydın, Turkey.
Int J Nurs Stud. 2020 May;105:103506. doi: 10.1016/j.ijnurstu.2019.103506. Epub 2019 Dec 23.
Although there are standards for measuring blood pressure and pulse, nurses and other health professionals implement different practices. It has been observed that these measurements are sometimes taken over sleeves or with rolled-up sleeves due to various cultural factors or as a matter of convenience. There is a need to investigate whether measurements taken in this form can be counted on to be reliable.
This study aimed to compare blood pressure and pulse readings measured on a bare arm, a clothed arm and on an arm with a rolled-up sleeve.
This study, of analytical design, was conducted with 200 individuals at the Adnan Menderes University Research and Practice Hospital in January and December 2017. A questionnaire and a measurement recording form were used in collecting the data. The participants' blood pressure and pulse readings were taken and the circumference of the clothed and bare arm and arm skinfold thickness was measured. The data were analyzed using descriptive statistics, the independent samples t-test, and Pearson's correlation test.
The mean age of the individuals participating in the study was 33.38 ± 9.14 (range: 19-51). It was observed that in the measurements taken over a bare and clothed arm, mean systolic (114.48 ± 13.18 and 114.72 ± 12.21, respectively) and diastolic (70.42 ± 8.72 and 70.24 ± 8.63, respectively) blood pressure readings were statistically similar (t = -0.41, p = 0.682; t = 0.45, p = 0.653, respectively). On the other hand, in the measurements taken over an arm with a rolled-up, constricting sleeve, it was observed that mean systolic (116.76 ± 13.00) and diastolic (71.99 ± 9.15) blood pressure readings were statistically higher than measurements taken over a bare arm (t = -3.88, p = 0.000; t = -3.75, p = 0.000, respectively) and a clothed arm (t = -3.43, p = 0.001; t = -4.31, p = 0.000, respectively). Similarly, pulse readings taken from an arm with a rolled-up, constricting sleeve (82.40 ± 12.15) were found to be statistically higher than pulse readings taken from a bare arm (79.68 ± 12.30) and a clothed arm (80.44 ± 11.10) (t = -6.78, p = 0.000; t = -5.50, p = 0.000, respectively). The analysis indicated blood pressure and pulse readings were positively correlated with arm thickness but not correlated with the arm skinfold thickness or the thickness of the clothing.
The study revealed that constricting rolled-up sleeves and the thickness of the circumference of the arm were factors that produced higher systolic and diastolic blood pressure and pulse readings.
尽管有测量血压和脉搏的标准，但护士和其他健康专业人员的实施方式却各不相同。人们观察到，由于各种文化因素或方便起见，这些测量有时会在袖子上或卷起的袖子上进行。有必要调查以这种形式进行的测量是否可靠。
本研究旨在比较裸臂、穿衣服臂和卷袖臂上的血压和脉搏读数。
这是一项在 2017 年 1 月和 12 月在阿德南·曼德列斯大学研究与实践医院进行的分析性设计研究。使用问卷和测量记录表收集数据。测量参与者的血压和脉搏读数，并测量穿衣臂和裸臂的周长以及手臂皮肤褶皱厚度。使用描述性统计、独立样本 t 检验和 Pearson 相关检验分析数据。
参与研究的个体的平均年龄为 33.38±9.14（范围：19-51）。观察到，在裸臂和穿衣臂上进行的测量中，收缩压（分别为 114.48±13.18 和 114.72±12.21）和舒张压（分别为 70.42±8.72 和 70.24±8.63）的血压读数差异无统计学意义（t=-0.41，p=0.682；t=0.45，p=0.653）。另一方面，在卷袖的、紧绷的袖子上进行的测量中，收缩压（116.76±13.00）和舒张压（71.99±9.15）的血压读数明显高于裸臂（t=-3.88，p=0.000；t=-3.75，p=0.000）和穿衣臂（t=-3.43，p=0.001；t=-4.31，p=0.000）。同样，在卷袖的、紧绷的袖子上测量的脉搏读数（82.40±12.15）明显高于裸臂（79.68±12.30）和穿衣臂（80.44±11.10）的脉搏读数（t=-6.78，p=0.000；t=-5.50，p=0.000）。分析表明，血压和脉搏读数与手臂厚度呈正相关，但与手臂皮肤褶皱厚度或衣物厚度无关。
该研究表明，紧绷的卷起的袖子和手臂周长的厚度是导致收缩压和舒张压以及脉搏升高的因素。
