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[目的]对三级甲等医院血压测量不规范记录及尾数偏好的现状进行分析,规范护理人员准确测量和记录血压,为高血压诊断、治疗提供准确依据。[方法]选择入院诊断为高血压病占科室入院总人数≥20%的8个内科1 000例病人,应用水银血压计测量血压,采用自行设计的调查表进行调查。[结果]1 000例病人中血压测量不规范记录收缩压和舒张压各占11.5%;0尾数偏好的收缩压和舒张压分别占77.8%和76.7%;血压测量不规范记录和尾数偏好的主要影响因素包括病人年龄、护士职称和工龄。[结论]护理人员测量和记录血压存在不规范记录及尾数偏好,尤其是0尾数偏好;需提高护理人员对血压规范测量和记录的重视程度,尤其是年龄<50岁的病人;应加强对低年资护理人员的培训,尤其是工作年限<5年的护理人员的培训。
[Objective] To analyze the current situation of non-standard blood pressure measurement and mantissa preference in Class III Hospitals, regulate the nursing staff to accurately measure and record blood pressure, and provide an accurate basis for the diagnosis and treatment of hypertension. [Methods] A total of 1 000 patients admitted to 8 medical departments accounting for ≥ 20% of the hospital admission admitted to hospital for hypertension were enrolled. Blood pressure was measured by mercury sphygmomanometer and self - designed questionnaire was used for investigation. [Results] Systolic blood pressure and diastolic blood pressure were recorded as 11.5% in the irregular blood pressure measurement of 1 000 patients. Systolic blood pressure and diastolic blood pressure of 0 mantissa were 77.8% and 76.7% respectively, and those of non-standard blood pressure measurement and mantissa preference Influencing factors include patient age, nurse job title and length of service. [Conclusion] There are irregular records and mantissa preferences for nurses in measuring and recording blood pressure, especially the mantissa preference. Nurses should pay more attention to the measurement and recording of blood pressure standard, especially for patients <50 years of age; Nursing staff seniority training, especially nursing staff training <5 years working experience.