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医学生们,你们知道如何正确测量血压吗?

Medical students, do you know how to measure blood pressure correctly?

作者信息

Gazibara Tatjana, Rancic Biljana, Maric Gorica, Radovanovic Sanja, Kisic-Tepavcevic Darija, Pekmezovic Tatjana

机构信息

Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Blood Press Monit. 2015 Feb;20(1):27-31. doi: 10.1097/MBP.0000000000000085.

DOI:10.1097/MBP.0000000000000085
PMID:25243713
Abstract

OBJECTIVE

The aim of this study was to estimate the level of knowledge of the blood pressure (BP) measurement technique among medical students.

MATERIALS AND METHODS

A total of 791 students in the fourth and the final, sixth year were recruited at the Faculty of Medicine, University of Belgrade, before the start of compulsory practical sessions in the classrooms, during the period 2-9 December 2013. Data were collected using questionnaires on the technique of BP measurement according to the existing guidelines.

RESULTS

The least correct answers among students of both years were related to the fact that the stethoscope membrane should not be placed under the cuff (13.5% fourth year and 19.4% sixth year students). The highest proportion of correct answers (97.5%) in the fourth year was related to the fact that BP should be measured twice during patient examination. By the sixth year, however, most students (96.6%) knew that previous physical activity may cause an increase in the values of BP. With respect to whether or not the students were shown how to measure the BP properly in classes, 54.9% of fourth-year and 52.5% sixth-year students agreed or strongly agreed with this statement (χ=0.461, P=0.497). No correlation was established between the knowledge score and self-perceived confidence in measuring BP (ρ=0.062, P=0.211).

CONCLUSION

The theoretical background of the BP measurement technique varies among students in both years. The correct means of BP measurement should be elaborated thoroughly, with the aim of preventing misconceptions and misdiagnosis of hypertension.

摘要

目的

本研究旨在评估医学生对血压测量技术的知识水平。

材料与方法

2013年12月2日至9日期间,在贝尔格莱德大学医学院,于教室开始强制性实践课程之前,招募了总共791名四年级和六年级的学生。根据现有指南,使用关于血压测量技术的问卷收集数据。

结果

两个年级的学生中,最少正确回答的问题是听诊器膜不应放在袖带下方(四年级学生为13.5%,六年级学生为19.4%)。四年级学生中最高比例的正确回答(97.5%)是关于在患者检查期间应测量两次血压这一事实。然而,到六年级时,大多数学生(96.6%)知道先前的体育活动可能导致血压值升高。关于学生在课堂上是否被展示如何正确测量血压,54.9%的四年级学生和52.5%的六年级学生同意或强烈同意这一说法(χ=0.461,P=0.497)。知识得分与自我感知的血压测量信心之间未建立相关性(ρ=0.062,P=0.211)。

结论

两个年级的学生对血压测量技术的理论背景认识各不相同。应彻底阐述正确的血压测量方法,以防止对高血压的误解和误诊。

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