ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00886.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00887.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In recent years research has shown that subsets of patients with mitral valve prolapse also have associated autonomic or neuroendocrine dysfunction that can result in a number of related symptoms, including fatigue, palpitations, chest pain, exercise intolerance, dyspnea, dizziness, headache, sleep disorders, gastrointestinal disturbances, cold extremities, and panic attacks. These patients have been classified as having mitral valve prolapse syndrome. This article discusses the pathogenesis and management of mitral valve prolapse syndrome and serves to make clinicians aware of newer developments in the study of autonomic function and dysfunction.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00888.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This study was undertaken as an interdisciplinary effort in response to a frequently frustrating clinical problem of interpreting variable blood pressure measurements under uncertain conditions of quality control. The method is an application of the Shewhart Control Chart analysis to blood pressure measurement in adults in an academic nursing center. The natural variability found in a series of blood pressure readings is measured and described after a pilot study to eliminate examiner, equipment, and time interval variability. Results revealed that there was a significant drop from the first systolic reading to subsequent readings. A three standard deviation limit will be met if the range between the second and third systolic reading does not exceed 13 and the range between the second and third diastolic readings does not exceed 11. Thus for recognition and management of measurement variability, three blood pressure measurements 1 minute apart should be taken as a routine, and the average of the second and third reading recorded. The positive impact on clients, providers, and interdisciplinary research colleagues in changing measurement technique to achieve greater quality in clinical practice is discussed. Limitations and recommendations are presented.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00889.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The central purpose of Healthy People 2000 is to increase the proportion of Americans who live long and healthy lives. The best health promotion strategies are those related to individual lifestyle, and include personal choices made in a social context that have a significant influence over one's health. The primary lifestyle activities include: physical activity; nutrition; alcohol, tobacco, and other drug use; family planning; and violent and abusive behavior. Nurse practitioners play a significant role in promoting healthy lifestyle behaviors in their patients. This article presents an innovative teaching strategy used to teach health promotion concepts and intervention strategies to nurse practitioner students. The course design follows a clinical protocol format, which facilitates translation to clinical practice.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00890.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00891.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00892.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1994.tb00893.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY