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医院工作人员对高血压检测与管理的不同看法。

Divergent views of hospital staff on detecting and managing hypertension.

作者信息

Taylor L, Foster M C, Beevers D G

出版信息

Br Med J. 1979 Mar 17;1(6165):715-6. doi: 10.1136/bmj.1.6165.715.

Abstract

A questionnaire about detecting and managing hypertension was answered by 76 out of 110 (69%) doctors and 116 out of 195 (63%) qualified nurses in a large hospital. There was no general agreement on the method of taking diastolic blood pressures or on the level of hypertension requiring treatment. Most of the clinicians treated mild hypertension, although no proof exists that such treatment is beneficial. Almost everyone questioned agreed that measuring blood pressure in all patients attending hospital is important. Agreement should be reached, however, on which phase of diastolic blood pressure should be used.

摘要

一家大型医院的110名医生中有76名(69%)、195名注册护士中有116名(63%)回答了一份关于高血压检测与管理的问卷。对于舒张压的测量方法或需要治疗的高血压水平,没有达成普遍共识。大多数临床医生治疗轻度高血压,尽管尚无证据表明这种治疗有益。几乎所有接受询问的人都认为,对所有住院患者测量血压很重要。然而,对于应该采用舒张压的哪个阶段,应该达成共识。

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本文引用的文献

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Hypertension: deficient care of the medically served.
Ann Intern Med. 1973 Jan;78(1):19-23. doi: 10.7326/0003-4819-78-1-19.
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Blood pressure in a Scottish town.苏格兰某城镇的血压情况。
Br Med J. 1974 Sep 7;3(5931):600-3. doi: 10.1136/bmj.3.5931.600.
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The diastolic dilemma.舒张期难题
Br Med J. 1976 Sep 18;2(6037):685-6. doi: 10.1136/bmj.2.6037.685.
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Current management of hypertension in hospital.医院中高血压的当前管理
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