Yj. Hwu et al., A study of the effectiveness of different measuring times and counting methods of human radial pulse rates, J CLIN NURS, 9(1), 2000, pp. 146-152
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: 1
5, 30 and 60 s; and two counting methods: one beginning with zero (0) and t
he 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 th
e heart rates recorded by simultaneous electrocardiographic (ECG) recording
s. 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 g
reater mean difference than the counting from one method. For all measuring
times, the mean difference between radial pulse rates and rates shown by t
he 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 comm
only used aspect of patient care.