Health Economist, Baxter International, Batesville, Indiana, USA.
Director, Global Strategic Marketing, Baxter International, Batesville, Indiana, USA.
Br J Nurs. 2023 Jul 6;32(13):620-627. doi: 10.12968/bjon.2023.32.13.620.
Growing evidence points to respiratory rate (RR) being the most important vital sign for early detection of patient deterioration. However, RR is the vital sign most likely to be inaccurate or missed.
To measure prevalence of early detection of deterioration protocols, examine whether RR was perceived as the leading indicator of deterioration, and understand RR monitoring practices used by nurses around the world.
A double-blinded survey of nurses in Asia Pacific, Middle East, and Western Europe.
161 nurses responded. Most (80%) reported having an initiative for early detection of patient deterioration; 12% indicated RR was the most important indicator of deterioration, 27% captured RR for all medical/surgical patients, and 56% take 60 seconds or longer to measure RR.
Nurses across all regions generally underestimated the importance of capturing an accurate RR for all patients' multiple times per day. This study reinforces the need to enhance international nursing education regarding the importance of RR.
越来越多的证据表明，呼吸频率 (RR) 是早期发现患者病情恶化最重要的生命体征。然而，RR 也是最容易出现不准确或遗漏的生命体征。
测量早期发现恶化的协议的流行程度，检查 RR 是否被视为恶化的主要指标，并了解全球护士使用的 RR 监测方法。
对亚太、中东和西欧的护士进行了一项双盲调查。
161 名护士做出回应。大多数（80%）报告说有一项早期发现患者恶化的主动行动；12%表示 RR 是恶化的最重要指标，27%为所有医疗/外科患者记录 RR，56%需要 60 秒或更长时间来测量 RR。
所有地区的护士普遍低估了每天多次为所有患者准确记录 RR 的重要性。这项研究强调了需要加强国际护理教育，提高对 RR 的重视。
