Çobanoğlu Asuman
Giresun University Faculty of Health Sciences, Department of Fundamental Nursing, Giresun, Türkiye.
Curr Health Sci J. 2024 Jul-Sep;50(3):353-359. doi: 10.12865/CHSJ.50.03.02. Epub 2024 Sep 30.
This study was conducted to determine the clinical concordance of non-invasive blood pressure (NIBP) measurements from the upper arm and ankle and to determine whether there is a difference between them.
A prospective and cross-sectional research design was used in this study. The study population included 106 patients hospitalized in the surgical clinics of a training and research hospital. Non-invasive blood pressure measurements were performed from both upper arms and ankles in the supine position. In the data analysis, ANOVA and the Bland-Altman plot were employed.
Based on the results of NIBP measurements from the arm and ankle, the differences between diastolic blood pressure (DBP) and mean blood pressure (MBP) were acceptable and within the limits of concordance. The difference between the mean systolic blood pressure (SBP) was found to be significantly different and outside the limits of concordance. The difference between the mean SBP measured from the ankle and the upper arm was determined to be 18 mmHg.
It was determined that the results of SBP measured from the ankle were significantly higher and outside the limits of concordance compared to the upper arm, while the results of DBP and MBP measurements were within acceptable limits.
本研究旨在确定上臂和脚踝无创血压（NIBP）测量的临床一致性，并确定两者之间是否存在差异。
本研究采用前瞻性横断面研究设计。研究人群包括在一家培训和研究医院外科诊所住院的106名患者。在仰卧位时，对上臂和脚踝进行无创血压测量。在数据分析中，采用了方差分析和布兰德-奥特曼图。
根据上臂和脚踝NIBP测量结果，舒张压（DBP）和平均血压（MBP）之间的差异是可接受的，且在一致性范围内。发现平均收缩压（SBP）之间的差异显著，超出了一致性范围。从脚踝和上臂测量的平均SBP之间的差异确定为18 mmHg。
确定与上臂相比，从脚踝测量的SBP结果显著更高，超出了一致性范围，而DBP和MBP测量结果在可接受范围内。
