Senior Lecturer, Monash Nursing and Midwifery, Monash University, Melbourne, Australia.
Br J Nurs. 2021 Sep 9;30(16):956-962. doi: 10.12968/bjon.2021.30.16.956.
The assessment of vital signs is critical for safe, high-quality care. Vital signs' data provide valuable insight into the patient's condition, including how they are responding to medical treatment and, importantly, whether the patient is deteriorating. Although abnormal vital signs have been associated with poor clinical outcomes, research has consistently found that vital signs' assessment is often neglected in clinical practice. Factors contributing to this include nurses' knowledge, clinical judgement, culture, tradition and workloads. To emphasise the importance of vital signs' assessment, global elements of vital signs' assessment are proposed. The elements reflect key principles underpinning vital signs' assessment and are informed by evidence-based literature.
生命体征评估对于安全、高质量的护理至关重要。生命体征数据为患者的病情提供了有价值的见解，包括他们对医疗的反应，以及重要的是，患者是否在恶化。尽管异常的生命体征与不良的临床结果有关，但研究一直发现，生命体征的评估在临床实践中经常被忽视。造成这种情况的因素包括护士的知识、临床判断、文化、传统和工作量。为了强调生命体征评估的重要性，提出了生命体征评估的全球要素。这些要素反映了生命体征评估的基本原则，并以循证文献为依据。
