儿科护士血压测量操作的现状调查  

Investigation on current situation of blood pressure measurement in pediatric nurses

作　　者：李羽娟 马彩霞[2] 李倩[1] 石晓霞 苑航 王莹[4] 常可可 Li Yujuan;Ma Caixia;Li Qian;Shi Xiaoxia;Yuan Hang;Wang Ying;Chang Keke(Department of Pediatric Respiratory Diseases,Henan Provincial People′s Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院,河南省护理医学重点实验室儿科呼吸科,河南郑州450003 [2]河南省人民医院,河南省护理医学重点实验室儿童重症监护病房,河南郑州450003 [3]河南省人民医院,河南省护理医学重点实验室新生儿重症监护病房,河南郑州450003 [4]河南省人民医院,河南省护理医学重点实验室小儿外科,河南郑州450003

出　　处：《护理学杂志》2024年第12期59-63,共5页Journal of Nursing Science

摘　　要：目的了解儿科护士血压测量操作现状,为规范儿童血压测量提供依据。方法采用便利抽样法抽取全国18个省、2个自治区、3个直辖市共230所医院的2817名儿科护士,使用自行编制的儿童血压测量操作现状问卷进行调查。结果有效调查2674名;788名(29.47%)护士选择的血压测量设备在儿童中经过验证;2037名(76.18%)护士根据儿童上臂围选择袖带型号,但1669名(62.42%)护士测量上臂围方法错误;护士血压测量次数及数值报告方法各异,甚至有17.31%的护士仅测量1次血压就取读数。结论儿童血压测量操作临床实践差异较大,需制定儿童血压测量规范化操作流程及标准,加强儿童血压测量技术的培训及推广,以提高儿科护士进行血压测量操作的规范性。Objective To understand the current situation of blood pressure measurement in pediatric nurses in China,and to provide scientific basis for standardizing blood pressure measurement in children.Methods By convenient sampling method,2817 pediatric nurses from 230 hospitals in 18 provinces,2 autonomous regions and 3 municipalities were surveyed,using a self-prepared"Questionnaire on Current Situation of Children′s Blood Pressure Measurement".Results A valid sample of 2674 nurses was obtained.Among them,only 788(29.47%)nurses selected blood pressure measurement equipment that has been validated in children;2037(76.18%)nurses selected the cuff model based on children′s upper arm circumference,but 1669(62.42%)nurses measured the upper arm circumference incorrectly;nurses varied in the frequency and method of reporting blood pressure measurements,with as many as 17.31%of nurses measuring blood pressure only once before they took the reading.Conclusion There are great differences in the clinical practice of blood pressure measurement in children.It is necessary to develop standardized operation procedures and standards for blood pressure measurement in children,strengthen the training and promotion of blood pressure measurement technique in children,and improve the standardization and scientific operation of blood pressure measurement by pediatric nurses.

关 键 词：儿童 血压 测量 护士 袖带 血压计 培训 规范化操作 

分 类 号：R473.72[医药卫生—护理学]