摘要
目的调查江西省不同层次医院和科室的血压不规范记录和尾数偏好的现状及其影响因素。方法 2011-12调查江西省21所医疗单位,其中5所三甲医院,9所二甲医院,7所社区卫生服务机构(社区站)。医院的血压数据来自当时运行病历的入院记录,社区站的血压记录为近2月的健康档案。共收集3560人的血压记录值,其中男性1793人,女性1767人。尾数记为奇数者定为不规范记录,并计算不规范记录在所有数据中的百分率;在以0和偶数尾数的数据中,计算0尾数的百分率。结果与三甲医院比较,社区站和二甲医院血压不规范记录百分率(收缩压:21.7%、16.4%比11.8%;舒张压:22.1%、14.8%比12.8%)、血压0尾数偏好的百分率(收缩压:82.2%、74.9%比71.8%;舒张压:80.5%、71.6%比72.5%)较高(均P<0.05)。不同科室比较,外科收缩压0尾数百分率高于内科(三甲医院:74.5%比70.2%;二甲医院:80.5%比70.7%;均P<0.05)。Logistic回归分析表明,受试者年龄增长、高血压以及医院等级低、外科是血压0尾数偏好的促发因素。结论在各级医疗服务结构中仍存在较高比例的血压不规范记录。同时血压0尾数偏好现象明显。
Objective To investigate the status of end-digit preference （EDP） in blood pressure （BP） recording in different hospitals and departments. Methods In December 2011, the BP recordings of 21 medical units, including five tertiary hospitals （TH）, nine county secondary hospitals （ CH） and seven primary community health centers （ HC）, were investigated. The BP data of hospitals were collected from the medical recording in ward, and those of the HC were the health records of the last two months. A total of 3560 BP records from 1793 males and 1767 fe- males were collected. The percentage of odd number end-digital （nonstandard recording）was calculated and the percentage of zero end-digital （0-EDP） was calculated when the records ended with even numbers or zero. Results Compared with that of TH, the percentages of nonstandard records [systolic blood pressure （SBP） ： 21.7%, 16.4% vs 11.8% ; diastolic blood pressure （DBP） ： 22.1%, 14.8% vs 12.8%, all P〈0.05] and 0-EDP （SBP： 82.2%, 74.9% vs71.8%; DBP： 80.5%, 71.6% vs 72.5%, allP〈0.05） ofCH and, HC were higher. In the comparison between different departments, the 0-EDP of SBP in general surgery department was higher than that in internal medicine department （TH： 74.5% vs 70.2% ; CH：80.5 % vs 70.7% ; all P〈0.05）. Logistic regression analysis showed that the increase of age, higher BP level, lower hospital grade and surgery department were the precipitating factors for 0-EDP. Conclusion There is high proportion of nonstandard BP recording in medical services of hospi- tals and primary community health centers, and the zero end-digit preference is very common.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2012年第12期1140-1143,共4页
Chinese Journal of Hypertension
基金
国家863计划(2012AA02A516)
关键词
血压
规范记录
尾数偏好
影响因素
Blood pressure
Standard medical recording
End-digit preference
Influencing factors
