Grim C M
Nurs Clin North Am. 1981;16(2):349-64.
Whether or not the nurse is responsible for the complete assessment of a patient with high blood pressure, he or she should be capable of completing the subjective data base according to the guidelines provided. The extent to which nurses participate in the collection of objective data will depend upon their level of comfort with the process, their prior training, and the setting. A knowledge base should be developed that is sufficient to collaborate with the health team (which includes the patient) in order to identify problems, formulate interventions, and evaluate outcomes. The problem-oriented approach is presented as a rational approach to the assessment process. The problem-oriented health record provides documentation of care and account-ability, both of which are important to nursing as a profession. The results of the total assessment provide the information necessary to begin the extended process of patient education and contracting that is necessary in the treatment of high blood pressure. Armed with knowledge, concern, enthusiasm, an inquiring mind, and a rational approach, the nurse can have a significant impact on the quality of care available to those at risk from hypertension.
无论护士是否负责对高血压患者进行全面评估，他或她都应能够根据提供的指南完成主观数据库。护士参与客观数据收集的程度将取决于他们对该过程的熟悉程度、先前的培训以及工作环境。应建立一个知识库，以便与健康团队（包括患者）协作，从而识别问题、制定干预措施并评估结果。以问题为导向的方法被视为评估过程的合理方法。以问题为导向的健康记录提供了护理记录和责任记录，这两者对护理专业都很重要。全面评估的结果为开展高血压治疗中必要的患者教育和签约这一扩展过程提供了所需信息。凭借知识、关心、热情、求知欲和合理的方法，护士可以对高血压高危人群可获得的护理质量产生重大影响。
