Westley Emily, Renwick Catherine, Ellis Emily
cardio-respiratory and intensive care directorate, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, England.
cardio-respiratory and intensive care directorate, Evelina London Children's Hospital, London, England.
Nurs Child Young People. 2025 Jul 3;37(4):14-19. doi: 10.7748/ncyp.2024.e1527. Epub 2024 Oct 21.
This article provides an introduction to performing cardiac auscultation in infants and children aged 0-16 years, with the aim of improving children's nurses' knowledge and confidence in this procedure. Nurses wishing to develop competence in cardiac auscultation can use this article as a guide to complement supervised practical experience; however, it is not intended to determine an individual's competence. • Cardiac auscultation is a component of a structured cardiac assessment rather than a standalone tool. • It is important to auscultate all four main heart valve areas, listening for normal heart sounds and any additional sounds. • Several differences should be considered when auscultating heart sounds in infants and children compared with adults, including heart rate ranges and the potential need to use distraction techniques for those who are distressed. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How you think this article might help improve your practice when undertaking cardiac auscultation in infants and children. • How you could use this information to develop your own knowledge and skills before educating others on the appropriate technique and evidence base behind auscultating heart sounds in infants and children.
本文介绍了对0至16岁婴幼儿及儿童进行心脏听诊的方法，旨在提高儿童护士在该操作方面的知识水平和信心。希望提升心脏听诊能力的护士可将本文作为指南，以补充有监督的实践经验；然而，本文并非用于确定个人能力。•心脏听诊是结构化心脏评估的一部分，而非独立工具。•听诊所有四个主要心脏瓣膜区很重要，要听正常心音及任何额外声音。•与成人相比，在对婴幼儿及儿童听诊心音时应考虑几个差异，包括心率范围以及对烦躁不安者可能需要使用分散注意力的技巧。反思活动：“如何做”类文章有助于更新你的实践并确保其基于证据。将本文应用于你的实践。思考并简要描述：•你认为本文在对婴幼儿及儿童进行心脏听诊时如何有助于改进你的实践。•在向他人传授婴幼儿及儿童心脏听诊的适当技术和证据基础之前，你如何利用这些信息来提升自己的知识和技能。
