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对护理人员对评估心血管系统的信心进行了定量研究
Samantha Sweet1, Phil Withers2
1University of Hertfordshire.
British paramedic journal
|September 7, 2023
概括
护理人员报告对心血管评估有很高的信心,但对于触摸高潮和刺激的信心却不那么高. 自信与评估频率相关,这表明需要有针对性的培训.
科学领域:
- 紧急医疗 紧急医疗
- 护理人员的实践实践
- 评估心血管系统的情况.
背景情况:
- 心血管疾病在紧急医疗服务中很常见.
- 描述了基于系统的心血管评估方法,但在辅助医疗实践中研究不足.
- 这项研究量化了护理人员对检查心血管疾病患者的信心.
研究的目的:
- 评估医护人员在进行心血管检查时的信心水平.
- 确定心血管评估的特定领域,其中的信心可能较低.
- 探索信心与评估频率之间的关系.
主要方法:
- 进行了一项在线横截面调查.
- 来自英国救护车信任的护理人员是通过有目的的抽样招募的.
- 量化了各种心血管评估组件的信心水平.
主要成果:
- 在331名受访者中,90.3%的人表示对一般心血管评估有很高的信心.
- 超过50%的人对大多数评估要素感到有信心.
- 对于评估高潮 (56.2%) 和刺激 (55.1%) 的信心较低.
- 在信心和评估频率之间发现了强烈的相关性.
结论:
- 护理人员通常对心血管检查有很高的信心.
- 触摸高潮和刺激是报告信心较低的领域.
- 自信与评估频率有关,这表明了进一步培训和研究的潜力.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
366
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
366
01:27Assessment of the Cardiovascular System III: Palpation
376
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
376
01:29Assessment of the Cardiovascular System II: Inspection
287
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
287
01:25Assessment of the Cardiovascular System IV: Auscultation
388
Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
388
01:28Special considerations while measuring blood pressure
753
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
753
01:23Assessment of blood pressure in brachial artery(two-step method)
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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
753