Ölçüm Öncesi Dinlenme Süresinin ve Dinlenme Esnasında Konuşmanın İndirekt Kan Basıncı Ölçüm Değeri Üzerine Etkisi
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Abstract
Başlık:Ölçüm Öncesi Dinlenme Süresinin ve DinlenmeEsnasında Konuşmanın İndirekt Kan Basıncı Ölçüm Değeri Üzerine EtkisiTitle:Özet: Amaç: Buaraştırma, indirekt arteriyel kan basıncı ölçerken bireyin dinlenme süresininve dinlenme esnasında konuşmanın ölçüm değeri üzerine etkisini incelemekamacıyla yapılmıştır.Gereç-Yöntem:Örneklemini, bir üniversite hastanesinin İç Hastalıkları Polikliniği’nebaşvuran 18 yaşın üzerinde olan, 60 normotansif ve 60 hipertansif bireyleroluşturmuştur. Veriler 31 Ekim 2012 – 27 Aralık 2012 tarihleri arasındatoplanmıştır. Katılımcılar, yaş grubu ve cinsiyete göre randomize edilerekçalışma kapsamına alınmıştır. Uygulama grubundaki hastalara hastaneye başvurunedeni olan yakınmalarını ve hastalık öyküsünü anlatması istenmiştir. Kontrolgrubundaki hastalar ise 0, 10, 20 ve 30 dk süre ile dinlendirilerek ve bu süreboyunca konuşmamaları istenmiştir. Hastaların kan basıncı 10 dakikada bir 30 dksüreyle sağ koldan ölçülmüştür. Verilerin analizinde t testi ve paired samplest testi kullanılmıştır.Bulgular: Normotansifhastalarda dinlenirken konuşmanın sistolik ve diastolik kan basıncı değerinietkilemediği bulunmuştur. Hipertansif hastalarda kan basıncı ölçmeden öncekidinlenme süresince sessizce beklemenin, yani konuşmamanın sistolik ve diastolikkan basıncı ölçüm değerinin düşük çıkmasına, oysa ki hipertansif hastalarda kanbasıncı ölçmeden önceki dinlenirken konuşmanın kan basıncı ölçüm değerininyüksek çıkmasına yol açtığı söylenebilir. Normotansif hastalarda kan basıncı ölçümünden önce 10-20 dakikadinlenmek yeterlidir. Hipertansif hastalarda kan basıncı ölçümünden önce 20-30dakika dinlenmek yeterlidir.Sonuç:Normotansif hastaların kan basıncını ölçerken bireyler 10-20 dk, hipertansifhastalar ise 20 dk dinlendirilmelidir. Hipertansif hastalarda kan basıncıölçerken, bireyler dinlenme süresince konuşturulmamalıdır.Abstract:Objective: This research was made to examine the effect ofresting period and talking during resting on indirect arterial blood pressure. Methods: Thesample was consists of 60 normotansive and 60 hypertansive patients orpatients’ relatives, above 18 years old, who attended to Outpatient of InternalMedicine of an university hospital. Data were collected between the date 31October 2012 and 27 December 2012. Subjects were randomized according to agegroup and gender. Subjects in the experimental group were asked to speakingabout symptoms of disease or the causes of hospital admission of themselves orpatients. Subjects in the control group was asked to rest during 0, 10, 20 ve30 minute and not speaking during resting period. Patients’blood pressure was measured from the right arm inevery 10 minute during 30 minute. In analysis of the data t test and pairedsamples t test wasused.Results: It wasfound that talking while resting does not changed the systolic and diastolicblood pressure values in normotensive patients. It could be said that restingwithout talking before measure blood pressure leads to reducing the bloodpressure value, in the hypertensivepatients, however when the blood pressure is measured resting with talkingbefore measure blood pressure leads to inducing the blood pressure value. Resting 10-20 minute beforemeasure blood pressure isadequate period in normotansive patients. Resting about 20-30 minute before measure blood pressure is adequate period in hipertansive patients. Conclusion: Hypertansive patients should not talking while resting before measuringblood pressure. Normotansivepatients should rest about 10-20 minutes, hipertansive patients should restabout 20 minutes. Anahtar kelimeler: kan basıncı, sfigmomanometre, konuşma, dinlenmeKeywords: blood pressure, sphygmomanometer, speech, restingDestekleyen kurumlar:-Kaynakça:1)AlbertsonB. Hemşirelik Esasları İnsan Sağlığı ve Fonksiyonları.Çevirenler: Gürol Arslan G. Ankara: Palme Yayıncılık; 2015.2)ArmstrongRS. Nurses’ Knowledge of Error in Blood Pressure Measurement Technique.International Journal of Nursing Practice 2002; 8: 118-126.3)Berman A, Snyder S,Kozier B. Fundamentals of Nursing. Concepts, Process and Practice. 8thed. St. Louis; 2008. 551-558.4)Bilo G,Sala O, Perego C & et. al. Impact of Cuff Positioning on Blood PressureMeasurement Accuracy: May a Specially Designed Cuff Make a Difference?Hypertension Research 2017; 1-8.5)Bryan S, Saint-Pierre Larose M, Campbell N & et.al. Resting Blood Pressure and Heart Rate Measurement in The Canadian HealthMeasures Survey, Cycle 1. Statistics Canada. Health Reports 2010; 21(1): 71-78.6)ChoudharyB, Rao V, Suneetha S. Cardiovascular Reactivity During Teaching: An EmergingOccupational Stress in School Teachers. Indian Journal of Occupational andEnvironmental Medicine 2004; 8(1): 22-24.7)DenizliN, Yılmaz B, Gücün M ve ark. Hemodiyaliz Hastalarında Hipertansiyon. Yeni Tıp Dergisi 2011; 28(3): 169-172.8)Dickson BK, Hajjar I. Blood PressureMeasurement Education and Evaluation Program İmproves Measurement Accuracy inCommunity-Based Nurses: A Pilot Study. Journal of The American Academy of NursePractitioners 2007; 19(2): 93-102.9)Dieterle T. Blood PressureMeasurement-An Overview. Swiss Medical Weekly2012; 142: 1-9. 10)Di Marco LY, Zheng D, Murray A. Effects ofDeep Breathing on Blood Pressure Measurement in Healthy Subjects. Computing inCardiology 2012; 39: 745-748.11)Eşerİ, Khorshid L, Güneş Yapucu Ü & et. al. The Effect of Different BodyPositions on Blood Pressure. Journal of Clinical Nursing 2007; 16: 137-140.12)Friedmann E, Thomas SA, Kulick Ciuffo D &et. al. 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Bir Tıp Fakültesi Hastanesinde Görevli Hemşirelerin KanBasıncı Ölçüm Bilgilerinin Değerlendirilmesi. TSK Koruyucu Hekimlik Bülteni2006; 5(1): 8-18.33)WilliamsJS, Brown SM, Conlin PR. Blood-PressureMeasurement. The New EnglandJournal of Medicine 2009;360(5): e6.34)Zaybak A, Güneş Ü. Hemşirelerin İndirektArterial Kan Basıncını Ölçme Yöntemleri ile ilgili Gözlemsel Bir Çalışma. C.Ü.Hemşirelik Yüksekokulu Dergisi 2007; 11(3): 23-28.35)Zheng D, Giovannini R,Murray A. Effect of Talking on Mean Arterial Blood Pressure: Agreement BetweenManual Auscultatory and Automatic Oscillometric Techniques. Computing inCardiology 2011; 38: 841-844.36)Zheng D,Giovannini R, Murray A. Effect of Respiration, Talking and Small Body Movementson Blood Pressure Measurement. Journal of Human Hypertension 2012; 26: 458-462.37)Zheng D, Pan F, Murray A. Effect ofPre-Measurement Relaxation Time on Manual Blood Pressure Measurement. Computingin Cardiology 2013; 40: 883-886.38)Zheng D, Liu C, Amoore J & et. al. 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Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.010 | 0.003 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.003 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it