摘要
目的探讨6项临床行为对心脏术后患者血压的影响,以指导临床护理。方法应用飞利浦MP 60心电监护仪动态测量56例心脏术后患者在临床行为(疼痛、深呼吸、剧烈咳嗽或吸痰、排便、饱餐、寒冷)发生前后的血压值,并用医用秒表记录血压波动持续时间,应用SPSS 17.0统计软件对血压资料进行配对t检验。结果6项日常临床行为中,显著影响该组人群收缩压的因素有:疼痛、剧烈咳嗽或吸痰、用力排便、饱餐及寒冷;除深呼吸及饱餐外,其他4项临床行为与舒张压有关(P<0.05);且不同行为引起的血压波动持续时间各不相同。结论部分临床行为可显著影响心脏术后患者的血压值,护理时应尽力避免并应对这些行为改变所引起的血压波动。
Objective To study the influence of six daily clinical behavior on blood pressure for patients after cardiac surgery,and to guide clinical nursing practice. Method The blood pressure of 57 patients after heart surgery was tested with PHILIPS MP60 before and after six daily clinical behaviors（pain,deep breathing,coughing or suctioning,bowel movements,full meal and cold）.Blood pressure maximum and its duration was analyzed by medical chronograph.SPSS 17.0 was used to process this data. Result Among these six daily behaviors,factors has significant influence on systolic blood pressure including pain,cough or sputum suction,defecate difficulty,full meal and cold.The other four factors effected diastolic blood pressure obviously excepting full meal（P0.05）.The duration time of peak blood pressure caused by different behavior was not identical. Conclusion Some clinical behavior has remarkable influence on blood pressure for patients after cardiac surgery.Much more attention should be given to this fluctuation of blood pressure during nursing.
出处
《护士进修杂志》
2012年第10期869-871,共3页
Journal of Nurses Training
基金
江苏省苏州大学教改项目(编号:31315737)
关键词
临床行为
心脏术后
血压
护理
Clinical behavior After heart operation Blood pressure Nursing
