听诊器胸件塞人袖带测量血压原因研究

目的探讨目前部分医护人员将听诊器胸件塞进袖带测量血压现状的形成原因。方法采用整群抽样的方法，对徐州医学院附属医院及徐州市中心医院各临床科室的213位医护人员进行问卷调查。结果213位医护人员中，有22人（10．3％）回忆老师教学时要求把听诊器胸件塞进袖带里（x2=91．204，P〈0．01）；有18人（8．5％）回忆医院考核标准为听诊器胸件应塞在袖带里（x2=74．525，P〈0．01）；有85A．（39．9％）认为听诊器胸件塞进袖带测量血压对血压测量值影响不大，有84人（39．4％）认为会导致测量值偏高，有44人（20．7％）认为会导致测量值偏低（x2=18．944，P〈0．01）；有4人（1．9％）对此现象持“随大流”态度（x2=9．797，P〈0．01）；有27人（12．7％）持“方便易操作”态度（x2=16．701，P〈0．01）；有159人（74．6％）持“否定”态度的（x2=34．162，P〈0．01）；有171人（80．3％）认为此现状应该改变，有8人（3.8％）认为不需要改变，有34人（16．0％）认为改变与否无所谓（x2=32．364，P〈0．01）。结论此现状的改变需要从规范老师教学和医院考核标准，以及提高医护人员个人素质3方面进行。血压测量不准确，直接影响到疾病的诊断和治疗方案的选择，必须引起重视。

Research on reasons why some medics insert chest part of stethoscope in the cuff when measuring blood pressure

Objective To probe into the reasons why some medics insert the chest part of stethoscope in.the cuff when measuring blood pressure. Methods A total of 213 medics were selected by the cluster sampling method and investigated with questionnaires in the clinical departments of the Affiliated Hospital of Xuzhou Medical College and Xuzhou Center Hospital. Results Among the 213 medics, 22 （ 10.3 % ） recalled that they were asked to insert the stethoscope in the cuff when being taught （X2 = 91. 204, P 〈 0.01 ） ; 18（8.5 % ） recalled that the exam criterion of the hospital included with the stethoscope in the cuff （X2 = 74. 525, P〈 0.01 ）; 85 （39.9 % ） thought that it had little effect on the measurement value of blood pressure to insert the stethoscope in the cuff; 84（39.4% ） hold the thought that it might cause higher measurement value while 44 （20.7%） thought lower （X2 = 18. 944, P 〈 0.01 ） ; 4 （ 1.9% ） were following the most （X2 = 9. 797, P 〈 0.01 ） ; 27 had the attitude of easy-to-operate （ 12.7%, X2 = 16. 701, P 〈 0.01 ） while 159 had the negative attitude （74.6 %, x2 = 34. 162, P 〈 0.01） ; 171 （80.3 % ） advised this phenomenon should be changed while 8 （3.8%） thought it did no need to change; 34 thought it did not matter whether it was changed or not （16.0% ,X2 = 32. 364, P〈0. 01） . Conclusions To make it change, we should do something in the three ways below： firstly, teachers＇ teaching; secondly, the exam criterion of hospital; thirdly, medics＇ personal quality. The wrong measurement value of blood pressure will affect the diagnosis directly. It should deserve more care.