Wizner Barbara, Gryglewska Barbara, Kocemba Józef, Grodzicki Tomasz
Katedra Chorób Wewnetrznych i Gerontologii, Collegium Medicum, Uniwersytetu Jagiellońskiego, 31-501 Kraków, ul. Sniadeckich 10.
Przegl Lek. 2003;60(8):508-11.
The knowledge about hypertension--especially its diagnosis and therapy--among graduates of medical schools, is very important in view of hypertensive epidemics. The aim of this study was to assess the medical graduate's knowledge about recommended technique of blood pressure (BP) measurements, the factors affecting BP measurement value, the WHO/ISH--1999 hypertension diagnostic criteria, and its complications and basic therapy rules. The questionnaire investigating the respondent's knowledge was filled out by 132 medical students of the 6th year Medical College of the Jagiellonian University, in Cracow, from February till June 2000. Only 21.2% of students had good knowledge about BP measurement technique, 70% to 90% of subjects knew hypertension diagnostic criteria, about 30% gave the correct values defined as "high-normal". About 37.1% were aware of complications concerning heart, brain, kidney, eye and peripheral blood vessels. Only 11% knew all drugs recommended by WHO/ISH guidelines, as first-line medication; but 95% were only able to mention at least four of them (diuretics, beta-blockers, ACE-I, Ca-blockers). The students have unsatisfactory levels of knowledge about hypertension. This indicates poor preparation of future physicians in treatment of hypertensive problems.
鉴于高血压的流行情况，医学院毕业生对高血压的了解——尤其是其诊断和治疗——非常重要。本研究的目的是评估医学毕业生对推荐的血压测量技术、影响血压测量值的因素、世界卫生组织/国际高血压学会（WHO/ISH）1999年高血压诊断标准及其并发症和基本治疗规则的了解。2000年2月至6月，克拉科夫雅盖隆大学医学院六年级的132名医学生填写了调查受访者知识的问卷。只有21.2%的学生对血压测量技术有良好的了解，70%至90%的受试者知道高血压诊断标准，约30%的人给出了定义为“高正常”的正确数值。约37.1%的人知道与心脏、大脑、肾脏、眼睛和外周血管有关的并发症。只有11%的人知道WHO/ISH指南推荐的所有一线用药；但95%的人至少能说出其中四种（利尿剂、β受体阻滞剂、血管紧张素转换酶抑制剂、钙通道阻滞剂）。学生们对高血压的了解程度不尽人意。这表明未来医生在治疗高血压问题方面准备不足。
