第五章 討論
第三節 護理應用之建議
一、 臨床實務上:建議急診的血壓偏高病患於臥床至少30 分鐘後再次 測量血壓,在此同時,評估並處理焦慮程度對血壓的影響,以降低 因焦慮狀態對於臥床期間的血壓影響。
二、 護理教育上:本研究證實對於急診血壓偏高的病患,休息5 分鐘不 足以使血壓降低,研究中呈現再次測量血壓的建議,期望在未來能 將血壓偏高病患再次測量血壓標準納入護理課程內。
三、 未來護理研究上:目前對於急診護理相關研究文獻相當有限,而急 診室中的血壓議題也缺乏討論,以重複測量檢測急診血壓偏高病患 臥床後之血壓變化及相關因素探討,本研究尚屬前趨研究,其結果 尚待未來研究加以證實。
80 參考資料
中文部分
王桂芸、馮容芬、歐嘉美、馮琪瑩、湯玉英、卓妙如(2005)‧身體評估 與檢查‧台北:華杏。
行政院衛生署(n.d.)‧死因統計結果摘要:89~94年死因統計‧取自7 月30 日,2007,http://www.doh.gov.tw/statistic/index.htm
鄒利群、留敏、葉磊(2005)‧急診觀察病人焦慮相關因素調查與分析‧
華西醫學,20(3),543-544。
盧成皆、林京芬(1998)‧關於 Cronbach's Alpha 的使用與闡釋‧護理研 究,6(1),82-89。
鍾思嘉、龍長風(1984)‧修訂情境與特質焦慮量表之研究‧中華測驗年 刊,31,27-36。
81 英文部分
Arciero, P. J., Gardner, A. W., Benowitz, N. L., & Poehlman, E. T. (1998).
Relationship of blood pressure, heart rate and behavioral mood state to norepinephrine kinetics in younger and older men following caffeine ingestion. European Journal of Clinical Nutrition, 52(11), 805-812.
Beevers, G., Lip, G. Y., & O'Brien, E. (2001). ABC of hypertension: The pathophysiology of hypertension. British Medical Journal, 322(7291), 912-916.
Berthier, F., Potel, G., Leconte, P., Touze, M. D., & Baron, D. (1998).
Comparative study of methods of measuring acute pain intensity in an ED. The American Journal of Emergency Medicine, 16(2), 132-136.
Bolinder, G., & de Faire, U. (1998). Ambulatory 24-h blood pressure
monitoring in healthy, middle-aged smokeless tobacco users, smokers, and nontobacco users. American Journal of Hypertension, 11(10), 1153-1163.
Braam, R. L., de Maat, C., & Thien, T. (2002). Accuracy of the Welch Allyn Vital Signs Monitor 52000 automatic blood pressure measuring device according to a modified British Hypertension Society protocol. Blood Pressure Monitoring, 7(3), 185-189.
Byrne, G., & Heyman, R. (1997). Patient anxiety in the accident and emergency department. Journal of Clinical Nursing, 6(4), 289-295.
82
Chaves, E. C., & Cade, N. V. (2004). Anxiety effects on blood pressure of women with hypertension. Revista Latino-Americana de Enfermagem, 12(2), 162-167.
Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., et al. (2003). The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 report. The journal of the American Medical Association, 289(19), 2560-2572.
De Jong, M. J., Moser, D. K., An, K., & Chung, M. L. (2004). Anxiety is not manifested by elevated heart rate and blood pressure in acutely ill cardiac patients. European Journal of Cardiovascular Nursing, 3(3), 247-253.
Depaulis, A., Pechnick, R. N., & Liebeskind, J. C. (1988). Relationship between analgesia and cardiovascular changes induced by electrical stimulation of the mesencephalic periaqueductal gray matter in the rat.
Brain Research, 451(1-2), 326-332.
Di Carlo, A., & Ippolito, F. (2003). Early effects of cigarette smoking in hypertensive and normotensive subjects: An ambulatory blood pressure and thermographic study. Minerva Cardioangiologica, 51(4), 387-393.
Dieterle, T., Schuurmans, M. M., Strobel, W., Battegay, E. J., & Martina, B.
(2005). Moderate-to-severe blood pressure elevation at ED entry:
83
Hypertension or normotension? The American Journal of Emergency Medicine, 23(4), 474-479.
European Society of Hypertension-European Society of Cardiology (2003).
Guidelines for the management of arterial hypertension. Journal of Hypertension, 21(6), 1011-1053.
Ferraz, M. B., Quaresma, M. R., Aquino, L. R., Atra, E., Tugwell, P., &
Goldsmith, C. H. (1990). Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. The Journal of Rheumatology, 17(8), 1022-1024.
Fleming, J., Meredith, C., & Henry, J. (2005). Detection of hypertension in the emergency department. Emergency Medicine Journal 22(9), 636-640.
Fogari, R., Zoppi, A., Lusardi, P., Marasi, G., Villa, G., & Vanasia, A. (1996).
Cigarette smoking and blood pressure in a worker population: A cross-sectional study. Journal of Cardiovascular Risk, 3(1), 55-59.
Freestone, S., Yeo, W. W., & Ramsay, L. E. (1995). Effect of coffee and cigarette smoking on the blood pressure of patients with accelerated (malignant) hypertension. Journal of Human Hypertension, 9(2), 89-91.
Ganong, W. F. (2005). Review of Medical Physiology (22th ed.). New York:
McGraw Hill.
Gillman, M. W., Cook, N. R., Evans, D. A., Rosner, B., & Hennekens, C. H.
84
(1995). Relationship of alcohol intake with blood pressure in young adults. Hypertension, 25(5), 1106-1110.
Green, A. L., Wang, S., Owen, S. L., Xie, K., Bittar, R. G., Stein, J. F., et al.
(2006). Stimulating the human midbrain to reveal the link between pain and blood pressure. Pain, 124(3), 349-359.
Hartley, T. R., Lovallo, W. R., & Whitsett, T. L. (2004). Cardiovascular effects of caffeine in men and women. The American Journal of Cardiology, 93(8), 1022-1026.
International Association for the Study Pain. (1986). Pain terms a current list with definitions and notes on usage. Pain, 24(Suppl. 1), 215-221.
Ingemansson, M. P., Holm, M., & Olsson, S. B. (1998). Autonomic modulation of the atrial cycle length by the head up tilt test:
Non-invasive evaluation in patients with chronic atrial fibrillation.
Heart, 80(1), 71-76.
Izdebska, E., Cybulska, I., Sawicki, M., Izdebski, J., & Trzebski, A. (1998).
Postexercise decrease in arterial blood pressure, total peripheral resistance and in circulatory responses to brief hyperoxia in subjects with mild essential hypertension. Journal of Human Hypertension, 12(12), 855-860.
Jhalani, J., Goyal, T., Clemow, L., Schwartz, J. E., Pickering, T. G., & Gerin, W. (2005). Anxiety and outcome expectations predict the white-coat
85
effect. Blood Pressure Monitoring, 10(6), 317-319.
Jones, & Dean, E. (2004). Body position change and its effect on
hemodynamic and metabolic status. Heart Lung, 33(5), 281-290.
Jones, C. R., Taylor, K., Poston, L., & Shennan, A. H. (2001). Validation of the Welch Allyn 'Vital Signs' oscillometric blood pressure monitor.
Journal of Human Hypertension, 15(3), 191-195.
Kawaguchi, R., Nomura, M., Miyajima, H., Nakaya, Y., Mouri, S., & Ito, S.
(2002). Postprandial hypotension in elderly subjects: Spectral analysis of heart rate variability and electrogastrograms. Journal of
Gastroenterology, 37(2), 87-93.
Kohara, K., Uemura, K., Takata, Y., Okura, T., Kitami, Y., & Hiwada, K.
(1998). Postprandial hypotension: Evaluation by ambulatory blood pressure monitoring. American Journal of Hypertension, 11(11 Pt 1), 1358-1363.
Kojima, S., Kawano, Y., Abe, H., Sanai, T., Yoshida, K., Imanishi, M., et al.
(1993). Acute effects of alcohol ingestion on blood pressure and erythrocyte sodium concentration. Journal of Hypertension, 11(2), 185-190.
Kotsis, V., Stabouli, S., Pitiriga, V., Toumanidis, S., Papamichael, C., &
Zakopoulos, N. (2006). Ambulatory blood pressure monitoring and target organ damage: Effects of age and sex. Blood Pressure
86 Monitoring, 11(1), 9-15.
Lawler, K. A., Wilcox, Z. C., & Anderson, S. F. (1995). Gender differences in patterns of dynamic cardiovascular regulation. Psychosomatic Medicine, 57(4), 357-365.
Logan, H. L., Sheffield, D., Lutgendorf, S., & Lang, E. (2002). Predictors of pain during invasive medical procedures. The Journal of Pain : Official Journal of the American Pain Society, 3(3), 211-217.
Luukinen, H., Koski, K., Laippala, P., & Kivela, S. L. (1999). Prognosis of diastolic and systolic orthostatic hypotension in older persons. Archives of Internal Medicine, 159(3), 273-280.
Maheswaran, R., Gill, J. S., Davies, P., & Beevers, D. G. (1991). High blood pressure due to alcohol. A rapidly reversible effect. Hypertension, 17(6 Pt 1), 787-792.
Marco, C. A., Plewa, M. C., Buderer, N., Hymel, G., & Cooper, J. (2006).
Self-reported pain scores in the emergency department: Lack of association with vital signs. Academic Emergency Medicine, 13(9), 974-979.
Martins, D., Nelson, K., Pan, D., Tareen, N., & Norris, K. (2001). The effect of gender on age-related blood pressure changes and the prevalence of isolated systolic hypertension among older adults: Data from NHANES III. The Journal of Gender-Specific Medicine, 4(3), 10-13, 20.
87
Modesti, P. A., Costoli, A., Cecioni, I. I., Toccafondi, S., Carnemolla, A., &
Serneri, G. G. (1996). Clinical evaluation of the QuietTrak blood
pressure recorder according to the protocol of the British Hypertension Society. Blood Pressure Monitoring, 1(1), 63-68.
Okubo, Y., Miyamoto, T., Suwazono, Y., Kobayashi, E., & Nogawa, K. (2001).
Alcohol consumption and blood pressure in Japanese men. Alcohol, 23(3), 149-156.
Olsson, M., & Hansagi, H. (2001). Repeated use of the emergency department:
Qualitative study of the patient's perspective. Emergency Medicine Journal 18(6), 430-434.
Oparil, S., Zaman, M. A., & Calhoun, D. A. (2003). Pathogenesis of hypertension. Annals of Internal Medicine, 139(9), 761-776.
Pearson, J. D., Morrell, C. H., Brant, L. J., Landis, P. K., & Fleg, J. L. (1997).
Age-associated changes in blood pressure in a longitudinal study of healthy men and women. The Journals of Gerontology, 52(3), M177-183.
Pescatello, L. S., & Kulikowich, J. M. (2001). The aftereffects of dynamic exercise on ambulatory blood pressure. Medicine and Science in Sports and Exercise, 33(11), 1855-1861.
Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., et al. (2005a). Recommendations for blood pressure measurement in
88
humans and experimental animals: Part 1: Blood pressure measurement in humans: A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension, 45(1), 142-161.
Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J. W., Hill, M.
N., et al. (2005b). Recommendations for blood pressure measurement in humans: An AHA scientific statement from the Council on High Blood Pressure Research Professional and Public Education
Subcommittee. Journal of Clinical Hypertension, 7(2), 102-109.
Pincomb, G. A., Lovallo, W. R., Passey, R. B., & Wilson, M. F. (1988). Effect of behavior state on caffeine's ability to alter blood pressure. The
American Journal of Cardiology, 61(10), 798-802.
Pincomb, G. A., Wilson, M. F., Sung, B. H., Passey, R. B., & Lovallo, W. R.
(1991). Effects of caffeine on pressor regulation during rest and exercise in men at risk for hypertension. American Heart Journal, 122(4 Pt 1), 1107-1115.
Puisieux, F., Bulckaen, H., Fauchais, A. L., Drumez, S., Salomez-Granier, F.,
& Dewailly, P. (2000). Ambulatory blood pressure monitoring and postprandial hypotension in elderly persons with falls or syncopes. The Journals of Gerontology. Series A, Biological Sciences and Medical
89 Sciences, 55(9), M535-540.
Puvi-Rajasingham, S., & Mathias, C. J. (1996). Effect of meal size on post-prandial blood pressure and on postural hypotension in primary autonomic failure. Clinical Autonomic Research, 6(2), 111-114.
Ryan, J., Butler, P., & Howes, L. G. (2001). Relationship between alcohol consumption, ambulatory blood pressure recordings and left ventricular mass. Blood Pressure, 10(1), 22-26.
Sala, C., Santin, E., Rescaldani, M., & Magrini, F. (2006). How long shall the patient rest before clinic blood pressure measurement? American
Journal of Hypertension, 19(7), 713-717.
Shinn, E. H., Poston, W. S., Kimball, K. T., St Jeor, S. T., & Foreyt, J. P.
(2001). Blood pressure and symptoms of depression and anxiety: A prospective study. American Journal of Hypertension, 14(7 Pt 1), 660-664.
Society of Critical Care Medicine(2000)‧基礎重症醫學(中華民國重症 醫學會譯)‧台北:藝軒。(原著出版年:1994 年)
Spielberger, C., Gorshuch, R., Lushene, R., Vagg, P., & Jacobs, G. (Eds.).
(1983). Manual for the State Trait Anxiety Inventory. NY: Erlbaum.
Stewart, J. M. (2002). Transient orthostatic hypotension is common in adolescents. Jornal de Pediatria, 140(4), 418-424.
Sung, B. H., Lovallo, W. R., Pincomb, G. A., & Wilson, M. F. (1990). Effects
90
of caffeine on blood pressure response during exercise in normotensive healthy young men. The American Journal of Cardiology, 65(13), 909-913.
Takenaka, K., Suzuki, Y., Kawakubo, K., Haruna, Y., Yanagibori, R.,
Kashihara, H., et al. (1994). Cardiovascular effects of 20 days bed rest in healthy young subjects. Acta Physiologica Scandinavica.
Supplementum, 616, 59-63.
Trofimiuk, M., Huszno, B., Golkowski, F., & Szybinski, Z. (2003a).
Postprandial hypotension and autonomic neuropathy in diabetic patients. Folia Medica Cracoviensia, 44(1-2), 117-128.
Trofimiuk, M., Huszno, B., Golkowski, F., & Szybinski, Z. (2003b).
Postprandial hypotension and gastric emptying in longstanding diabetes mellitus. Przegla̧d Lekarski, 60(2), 107-110.
Wakabayashi, I. (2005). Sensitivity of circulatory response to alcohol influences the relationship between alcohol consumption and blood pressure in Orientals. Blood Pressure, 14(4), 238-244.
Wallace, J. P., Bogle, P. G., King, B. A., Krasnoff, J. B., & Jastremski, C. A.
(1999). The magnitude and duration of ambulatory blood pressure reduction following acute exercise. Journal of Human Hypertension, 13(6), 361-366.
Ware, L. J., Epps, C. D., Herr, K., & Packard, A. (2006). Evaluation of the
91
Revised Faces Pain Scale, Verbal Descriptor Scale, Numeric Rating Scale, and Iowa Pain Thermometer in older minority adults. Pain Management Nursing 7(3), 117-125.
Watkins, L. L., Blumenthal, J. A., & Carney, R. M. (2002). Association of anxiety with reduced baroreflex cardiac control in patients after acute myocardial infarction. American Heart Journal, 143(3), 460-466.
Watson, R. D., Stallard, T. J., Flinn, R. M., & Littler, W. A. (1980). Factors determining direct arterial pressure and its variability in hypertensive man. Hypertension, 2(3), 333-341.
Watson, R. D., Stallard, T. J., & Littler, W. A. (1979). Factors determining the variability of arterial pressure in hypertension. Clinical Science, 57 (Suppl. 5), 283s-285s.
Weinberger, M. H., Fineberg, N. S., & Fineberg, S. E. (2002). Effects of age, race, gender, blood pressure, and estrogen on arterial compliance.
American Journal of Hypertension, 15(4 Pt 1), 358-363.
Whitworth, J. A. (2003). 2003 World Health Organization
(WHO)/International Society of Hypertension (ISH) statement on management of hypertension. Journal of Hypertension, 21(11), 1983-1992.
Whitworth, J. A., & Chalmers, J. (2004). World health
organisation-international society of hypertension (WHO/ISH)
92
hypertension guidelines. Clinical and Experimental Hypertension, 26(7-8), 747-752.
Zanchetti, A., Facchetti, R., Cesana, G. C., Modena, M. G., Pirrelli, A., & Sega, R. (2005). Menopause-related blood pressure increase and its
relationship to age and body mass index: The SIMONA
epidemiological study. Journal of Hypertension, 23(12), 2269-2276.
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