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January 1, 2000Journal of Clinical Nursing144 citations

A study of the effectiveness of different measuring times and counting methods of human radial pulse rates

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YHYueh‐Juen HwuVCVivien E. CoatesFLFeng‐Yu Lin

Key Result

Counting radial pulse rates starting from one for 15 or 30 seconds yielded non-significant mean differences compared to ECG, accurately predicting one-minute resting pulse rates.

Structured PICO

Does counting radial pulse starting from one for 15 or 30 seconds accurately predict one-minute resting pulse rates compared to ECG in students?

P
Population
206 students
I
Intervention
Manual radial pulse rate measurement using three measuring times (15, 30, and 60 seconds) and two counting methods (beginning with 0 vs 1)
C
Comparator
Simultaneous electrocardiographic (ECG) recordings
O
Outcome
Mean difference between radial pulse rates and heart rates recorded by simultaneous ECGsurrogate

Counting radial pulse starting from one for 15 or 30 seconds accurately predicts one-minute resting heart rate compared to ECG.

Abstract

The purpose of this study was to determine the reliability and validity of measuring resting radial pulse rates by the use of three measuring times: 15, 30 and 60 s; and two counting methods: one beginning with zero (0) and the other with one (1). A two-factor within-subjects experimental design was used to determine the mean difference between pulse rates obtained from the radial artery, and the heart rates recorded by simultaneous electrocardiographic (ECG) recordings. The sample comprised 206 students. Mean difference was used to calculate the extent of any differences between radial pulse rates and the rate shown by the ECG. The interaction between measuring time and counting methods was confirmed using a two-factor within-subjects analysis of variance. For all types of measuring time, the counting from zero method produced a greater mean difference than the counting from one method. For all measuring times, the mean difference between radial pulse rates and rates shown by the ECG were non-significant in the counting from one method. In other words, when the pulse rate is counted from one, the rates obtained at 15 or 30 s could be used to predict the one-minute resting pulse rates. The results of this study can contribute to the evidence base for this commonly used aspect of patient care.

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Cite This Study

Hwu et al. (2000) studied Resting radial pulse rates (n=206). Counting methods (starting from 0 vs 1) and measuring times (15, 30, 60 s) vs. Simultaneous electrocardiographic (ECG) recordings was evaluated on Mean difference between radial pulse rates and heart rates recorded by simultaneous ECG. Counting radial pulse rates starting from one for 15 or 30 seconds yielded non-significant mean differences compared to ECG, accurately predicting one-minute resting pulse rates.

synapsesocial.com/papers/6a155097a4734e8e604e35ebhttps://doi.org/10.1046/j.1365-2702.2000.00350.x
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