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

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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 Published:2021-08-05

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
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