Fagan M J
Yale-New Haven Hospital, Conn.
Heart Lung. 1988 Mar;17(2):157-65.
This descriptive study reports on 17 children who had undergone open-heart surgery. The children were assessed for 6 hours after surgery and once at 18 hours after operation to determine relationship between two scales assessing peripheral perfusion and the temperature of the great toe. There were 119 individual assessments. The scales used to assess the quality of peripheral pulses, extremity warmth, and capillary refill were (1) those representative of assessment scales used in common nursing practice and (2) more specific scales that attempt to "quantify" the qualitative assessment of peripheral perfusion. The more specific set of scales was used by "trained observers," with the bedside nurse using the nurses' scales. Results demonstrated that both sets of scales and observers were accurate in assessing peripheral perfusion as measured by the actual toe temperature. Analyses revealed which scales were better than others, and a method of assessing peripheral perfusion that includes the best components of all scales is suggested.
这项描述性研究报告了17名接受心脏直视手术的儿童情况。术后对这些儿童进行了6小时的评估，并在术后18小时进行了一次评估，以确定评估外周灌注的两种量表与大脚趾温度之间的关系。共有119次个体评估。用于评估外周脉搏质量、肢体温暖度和毛细血管再充盈的量表有：（1）普通护理实践中使用的评估量表的代表；（2）试图对外周灌注的定性评估进行“量化”的更具体量表。更具体的量表由“经过培训的观察者”使用，床边护士使用护士量表。结果表明，两组量表和观察者在通过实际脚趾温度测量评估外周灌注方面都是准确的。分析揭示了哪些量表比其他量表更好，并提出了一种包含所有量表最佳组成部分的外周灌注评估方法。
