{"created":"2023-05-15T15:14:23.743872+00:00","id":30,"links":{},"metadata":{"_buckets":{"deposit":"82748a67-4240-4666-8dab-abb382590794"},"_deposit":{"created_by":10,"id":"30","owners":[10],"pid":{"revision_id":0,"type":"depid","value":"30"},"status":"published"},"_oai":{"id":"oai:rchokkaido-cn.repo.nii.ac.jp:00000030","sets":["8:12"]},"author_link":["140","66"],"control_number":"30","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"16","bibliographicPageStart":"9","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"日本赤十字北海道看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Japanese Red Cross Hokkaido College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究の目的は、オシロメトリック式自動血圧計（以下自動血圧計）と水銀血圧計による拡張期血圧の較差が生じる原因を、自動血圧計の測定アルゴリズムから検討し、その特徴と発生のメカニズムを明らかにすることである。健康な若年被験者（n=50）の上腕にカフを巻き、このカフからのゴム管を分岐させて自動血圧計（HEM-747IC、オムロン社）と水銀血圧計に接続した。血圧測定は、自動血圧計による測定を行いつつ、熟練した2人の看護師による水銀血圧計を用いた同側同時測定を行った。また、コンピュータによるデータ収録・解析システムを用い、自動血圧計の測定項目である圧波形と振動波形(オシレーション)を同時に記録した。結果、二つの測定方法による拡張期血圧の較差は、平均4.5±5.2mmHgであったが、較差が±5mmHgを越える測定が約40％にみられた。較差の大きい測定のオシレーションを解析したところ、血圧判定の装置のアルゴリズムから、聴診法での第4点を拡張期血圧と判定し、これが較差の要因となる可能性が示唆された。したがって自動血圧計を用いた測定では、装置のアルゴリズムから拡張期血圧を高めに測定する場合があり、看護師の聴診法による再測定などの介入が必要である。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字北海道看護大学","subitem_publisher_language":"ja"}]},"item_10002_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"40017056758","subitem_relation_type_select":"NAID"}}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字北海道看護大学","subitem_rights_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11558248","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13461745","subitem_source_identifier_type":"PISSN"}]},"item_10002_textarea_1":{"attribute_name":"抄録（英）","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"This study was aimed to trace the cause of overestimation with special regard to the measurement algorithm of OS.  Fifty healthy young volunteers (22±2y) were subjected to this study.  They outfitted a cuff on the upper arm from which a tube is connected to MS, OS (HEM-747IC, Omron) and a pressure transducer for simultaneous ipsilateral measurement.  When measurement was performed, the cuff was inflated by a pump of OS while auscultatory measurement was performed by two skilled nurses during deflation.  The cuff pressure along with oscillation waveform was continuously measured with a pressure transducer and the data was collected via a date acquisition system (Powerlab, ADInstrument).  The average diastolic pressure difference between OS and MS was 4.5±5.2 mmHg.  A 40% of total measurements turned out to be overestimation more than ±5mmHg.  Examination of the oscillation waveforms revealed that an abrupt shrink of oscillation occurred mostly one beat before the Korotkoff fifth sound (i.e. the fourth Korotkoff sound), suggesting the greater diastolic pressure registered by OS originated at the point.  Probably, the detection of the fifth Korotkoff sound for OS is achieved by an internal algorithm.  Thus, it is likely that the algorithm may be influenced by various measurement conditions including stroke volume, total peripheral resistance.  These findings suggest that users of OS should be aware of the tendency for such devices to register greater diastolic pressures, and should have their blood pressures rechecked by skilled nurses when in doubt of the values measured."}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{}],"affiliationNames":[{}]}],"creatorNames":[{"creatorName":"山本, 美紀","creatorNameLang":"ja"},{"creatorName":"ヤマモト, ミキ","creatorNameLang":"ja-Kana"},{"creatorName":"Yamamoto, Miki","creatorNameLang":"en"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{}],"affiliationNames":[{}]}],"creatorNames":[{"creatorName":"Iwamoto, Jun","creatorNameLang":"en"},{"creatorName":"岩元, 純","creatorNameLang":"ja"},{"creatorName":"Iwamoato, Jun","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-09-06"}],"displaytype":"detail","filename":"009_P009.pdf","filesize":[{"value":"4.7 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"オシロメトリック式自動血圧計における拡張期血圧の検討","url":"https://rchokkaido-cn.repo.nii.ac.jp/record/30/files/009_P009.pdf"},"version_id":"2f7dc871-8f73-44c4-a827-ed0e643b5239"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"オシロメトリック式自動血圧計","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"拡張期血圧","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"家庭血圧","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"アルゴリズム","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"[原著]オシロメトリック式自動血圧計における拡張期血圧の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"[原著]オシロメトリック式自動血圧計における拡張期血圧の検討","subitem_title_language":"ja"},{"subitem_title":"[Original Articles]A Close Examination of the diastolic pressure measured by oscillometric sphygmomanometer","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"10","path":["12"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-09-06"},"publish_date":"2017-09-06","publish_status":"0","recid":"30","relation_version_is_last":true,"title":["[原著]オシロメトリック式自動血圧計における拡張期血圧の検討"],"weko_creator_id":"10","weko_shared_id":-1},"updated":"2023-07-14T01:00:14.107796+00:00"}