以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (14): 22-25.doi: 10.16460/j.issn1008-9969.2021.14.022

Previous Articles     Next Articles

Best Evidence Summary for Cuff Size Selection for Blood Pressure Measurement in Hospitalized Adult Patients

ZHANG Ying1, WANG Xiao-ling2, YANG Ting3, YIN Zhuan-ye4, HU Yan5   

  1. 1. School of Nursing, Dali University, Dali 671099, China;
    2. Dept. Burn and Plastic Surgery, the First Affiliated Hospital of Dali University, Dali 671000, China;
    3. Dept. of Neurology, People';s Hospital of Bai Autonomous Prefecture, Dali 671000, China;
    4. Dept. of Gynecology and Obstetrics, the First People';s Hospital Dali, Dali 671000, China;
    5. School of Nursing, Fudan University, Shanghai 200032, China
  • Received:2021-04-10 Online:2021-07-25 Published:2021-08-05

PDF (PC)

664

Like

Abstract: Objectives To summarize the best evidence regarding appropriate cuff size for blood pressure measurement based on upper arm circumference and provide reference for clinical practice. Methods With the method of evidence-based nursing, the problem was established. In accordance with the "6s" evidence model, we collected clinical decisions, guidelines, evidence summaries and expert consensus about the cuff size selection of blood pressure measurement. Four researchers who completed evidence-based nursing training independently evaluated and reviewed the included literature then performed evidence extraction. Results Seven articles were selected, including 4 clinical practice guidelines,2 expert consensus, and 1 systematic review. Finally, 3 pieces of best evidence were summarized. Conclusion The training of standard procedures of blood pressure measurement should be strengthened for medical staff, and a suitable size cuff should be selected for blood pressure measurement according to patient';s upper arm circumference, so as to reduce measurement errors caused by improper use of the cuff and eventually reduce misdiagnosis and missed diagnosis of hypertension.

Key words: hospitalized adult patient, blood pressure measurement, cuff size selection, best evidence, evidence-based nursing

CLC Number: 

  • R473.54
[1] 王文,张维忠,孙宁玲,等.中国血压测量指南[J].中华高血压杂志,2011,19(12):1101-1115.DOI:10.16439/j.cnki.1673-7245.2011.12.004.
[2] 王继光. 从脑卒中角度解读 2017美国高血压指南[J].中国医学前沿杂志(电子版),2018,10(10):12-19.DOI:10.12037/YXQY.2018.10-04.
[3] Wang Z, Chen Z, Zhang L, et al.Status of Hypertension in China: Results from the China Hypertension Survey,2012-2015[J].Circulation,2018,137(22):2344-2356. DOI:10.1161/CIRCULATIONAHA.117.032380.
[4] 苏海. 重视血压测量的规范操作[J].高血压杂志,2005,13(10):597-599.DOI:10.16439/j.cnki.1673-7245.2005.10.001.
[5] 谢东阳,刘征辉,蔡九妹,等.袖带宽度与臂围的关系对血压测量值影响的研究[J].赣南医学院学报,2013,33(4):545-549.
[6] 王光富,龚艺,苏海,等.2041例成人臂围调查及袖带臂围匹配与否对血压测值的影响[J].中华高血压杂志, 2007,15(6):460-464.
[7] 陈继升,吴延庆,陈晓曙,等.臂围与血压计袖带匹配对血压准确测量的重要性[J].中华高血压杂志,2009,17(9):806-810.DOI:10.16439/j.cnki.1673-7245.2009.09.011.
[8] Pickering TG, Hall JE, Appel LJ. et a1. Recommendations for Blood Pressure Measurement in Humans and Experimental Animals. Part 1: Blood Pressure Measurement in Humans[J]. Hypertension, 2005, 45(1):142-161.DOI:10.1161/01.HYP.0000150859.47929.8e.
[9] Whelton PK,Carey RM,Aronow WS, et al.2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention Detection,Evaluation,and Management of High Blood Pressure in Adults:A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J]. J Am Coll Cardiol,2017,71:e127-e248.DOI:10.1016/j.jacc.2017.11.006.
[10] Muntner P, Shimbo D, Carey, RM, et al.Measurement of Blood Pressure in Humans: A Scientific Statement from the American Heart Association[J]. Hypertension,2019,73(5):e35-e66. DOI:10.1161/HYP.0000000000000087.
[11] 刘力松,华琦,庞蓓蕾.臂围调查与血压计袖带大小的合理选择[J].中华高血压杂志, 2007, 15(2):107-109.DOI:10.16439/j.cnki.1673-7245.2007.02.007.
[12] Aromataris E. Fernandez R,Godfrey CM, et al.Summarizing Systematic Reviews: Methodological Development, Conduct and Reporting of an Umbrella Review Approach[J]. Int J Evid Based Healthe,2015, 13(3):132-140.DOI:10.1097/XEB.0000000000000055.
[13] Dicenso A, Bayley L, Haynes RB.Accessing Pre-appraised Evidence: Fine-turning the 5S Model into a 6S Model[J]. Evid Based Nurs, 2009, 12(4):99-101.
[14] Shea BJ. Grimshaw JM, Well GA.et al. Development of AMSTAR:A Measurement Tool to Assess Systematic Reviews[J]. BMC Medical Research Methodology, 2007,7(10):1-10. e7-8.
[15] 中国高血压联盟《家庭血压监测指南》委员会.2019中国家庭血压监测指南[J].中国医学前沿杂志(电子版), 2019,11(5):21-25.DOI:10.12037/XYQY.2019.05-05.
[16] Williams B, Mancia G, Spiering W, et al.2018 ESC/ESH Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Cardiology and the European Society of Hypertension[J]. EHJ, 2018:1-98. DOI:10.1039/eurheartj/ehy339.
[17] 中国医师协会高血压专业委员会.家庭血压监测中国专家共识[J].中国临床医生,2012,40(9):69-72.DOI:10.3969/j.issn.1008-1089.2012.09.025.
[18] Irving G, Holden J, Stevens R, et al.Which Cuff Should I Use? Indirect Blood Pressure Measurement for the Diagnosis of Hypertension in Patients with Obesity: A Diagnostic Accuracy Review[J].BMJ Open,2016,6(11):e012429. DOI: 10.1136/bmjopen-2016-012429.
[19] 韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREEⅡ)工具实例解读[J].中国循证儿科杂志, 2013, 8(4):316-319.DOI:10.3969/j.issn.1673-5501.2013.04.07.
[20] 程文立. 《2018欧洲高血压管理指南解读》[J].中国全科医学,2019,22(7):2519-2523.DOI:10.12114/j.issn.1007-9572.2019.00.224.
[21] Zdojewski T. Kozicka-Kakol K, Chwojnicki K, et al.Arm Circumference in Adults in Poland As an Important Factor Influencing the Accuracy of Blood Pressure Readings[J]. Blood Press Monit,2005, 10(2):73-77.DOI:10.1097/00126097-200504000-00004.
[1] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[2] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[3] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[4] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[5] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[6] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[7] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[8] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[9] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[10] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[11] YANG Li-na, HUANG Rong, YAO Mei-qi, WANG Zhu-qing, XU Yi-Ting, XIE Pei-min. Risk prediction models for postpartum breastfeeding behavior interruption: a systematic review [J]. Journal of Nursing, 2024, 31(23): 59-65.
[12] ZHANG Zhuo-ya, GAO Wen-yuan, LI jing, GUAN Chun-yan, WANG Miao, MI Yuan-yuan, HUANG Hai-yan. Development of review indicators for perioperative voice rehabilitation in patients with organic vocal fold dysphonia and its obstacle factors [J]. Journal of Nursing, 2024, 31(22): 35-40.
[13] LI Jia-qi, YE Xiang-hong, ZUO Jun-tao, XU Yao, YAO Hong-lin. Qualitative research on nutritional support decision-making process for patients with end-stage disease: a Meta-synthesis [J]. Journal of Nursing, 2024, 31(2): 53-58.
[14] CAO Chun-ju, WANG Wen, HUANG Mei-ying, HAN Bing, ZENG Mei, LUO Wen-jie, ZHANG Xiao-qin, HUANG Wei-ling, LI Wen-ying, SU Yun-tao, TANG Su-juan. Best evidence summary for management of pruritus in patients with cholestasis [J]. Journal of Nursing, 2024, 31(18): 39-44.
[15] ZHANG Yu-jie, Li Xiaojin, Wu Jinyan, DENG Shi-si, GUO Zi-han, Wu Yanni. Evidence summary development process in Joanna Briggs Institute evidence-based healthcare centre: elaboration and explanation [J]. Journal of Nursing, 2024, 31(16): 39-43.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!