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相关概念视频

Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment 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...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

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To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
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Assessment of blood pressure in brachial artery(one-step method)01:15

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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
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Equipments Used To Measure Blood Pressure01:30

Equipments Used To Measure Blood Pressure

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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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Dialysis01:27

Dialysis

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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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在透析过程中进行手持式动力测量测试:内和间可靠性研究

Eva Segura-Ortí1, Anna Junqué-Jiménez2, Valentin Dubuis1

  • 1Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
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概括

在血液透析患者下肢肌肉强度测试的手持动力测量是可靠的,特别是对于部肌肉. 规范化数据提高了这些力量评估的准确性.

关键词:
透析是通过透析进行的.动力计的动力表.肌肉的力量 肌肉的力量 肌肉的力量可复制性的可复制性这种类型的麻症是sarcopenia.

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科学领域:

  • 腎病學和康復醫學 腎病學和康復醫學
  • 肌肉骨生物力学 肌肉骨生物力学
  • 临床测量科学 临床测量科学

背景情况:

  • 血液透析患者经常经历肌肉衰弱,影响功能能力和生活质量.
  • 准确可靠的肌肉强度评估对于监测这种患者的疾病进展和治疗效果至关重要.
  • 手持式动力计为肌肉力量评估提供了一种便携且易于使用的方法.

研究的目的:

  • 为了确定手持式动力测量仪在接受血液透析的患者下肢肌肉力量评估的内部和内部可靠性.
  • 评估这些测量的绝对和相对可靠性.
  • 在透析期间探索这种评估方法的安全性和可行性.

主要方法:

  • 一项涉及56名参与者的横截面研究,他们接受了至少3个月的血液透析.
  • 两个独立的评分员四次通过手持式动力表测量部和脚肌肉力量.
  • 计算了类内相关系数 (ICC) 和最小可检测变化 (MDC) 来评估可靠性. 布兰德-阿尔特曼图片被用来分析协议.

主要成果:

  • 在下肢肌肉强度测量中观察到高至非常高的相对可靠性 (ICCs 0.75-0.98).
  • 对于部肌肉的绝对可靠性 (MDC) 很好,但对于脚肌肉来说不那么好.
  • 评分器间的可靠性显示了比内部的可靠性更广泛的值,在一个评分器的脚足部屈曲中发现了系统偏差.

结论:

  • 手持动力计是可靠且安全的工具,用于评估血液透析患者的部曲和绑架强度.
  • 与原始测量相比,规范化的强度数据显示出更好的可靠性.
  • 由于较广泛的interrater可变性,关节肌肉强度评估可能需要进一步细化.