The quality of patients’ self-blood pressure measurements: a cross-sectional study

BMC Cardiovascular Disorders

Michał B. Nessler¹  Anna Krztoń-Królewiecka²  Katarzyna Nessler²  Adam Windak²  Mitchell R. Mann³  Anna Suska³ 

[1] Burns and Plastic Surgery Centre of Malopolska, Burns and Plastic Surgery Centre of Malopolska, Rydygier Memorial Hospital, Rydygier Memorial Hospital, Os. Zlotej Jesieni 1, 31-826, Kraków, Poland;Department of Family Medicine, Jagiellonian University Medical College, Bocheńska 4, 31-061, Kraków, Poland;Department of Family Medicine, Students’ Family Medicine Interest Group, Jagiellonian University Medical College, Kraków, Poland;

关键词: Home blood pressure monitoring;    HBPM;    Hypertension management;   

DOI  :  10.1186/s12872-021-02351-5

来源: Springer

【 摘 要 】

BackgroundThe accurate and independent measurement of blood pressure (BP) by patients is essential for home BP monitoring (HBPM) and determining the quality of hypertension (HTN) control.This study aimed to evaluate the BP self-measurement techniques of hypertensive patients and their accuracy in accordance with established guidelines. We sought to identify the common errors that patients make and suggest improvements that can be implemented in the primary healthcare setting to increase the reliability of HBPM conducted by hypertensive patients.MethodsOne hundred patients diagnosed with HTN completed a questionnaire inquiring about their health and demographic data and BP monitoring practices. Patients were then observed and filmed while measuring their BP on their own devices in five primary healthcare centres in Kraków, Poland.The correctness of their techniques was assessed in accordance with the European Society of Hypertension guidelines on HBPM.ResultsOnly 3% of patients measured their BP without error; 60% made three or more errors. The most frequent error, made by 76% of subjects, was incorrect sphygmomanometer cuff placement (above or below heart level, or/and the indicator mark was not aligned with the brachial artery). Regarding patients’ previous instruction for the correct use of their devices, 36% of patients referred to their monitor’s user manual, 22% did not receive any prior assistance, and only 29% were adequately counselled by physicians on how to measure their BP correctly.ConclusionsOur findings suggest that primary healthcare physicians and their personnel often do not adequately instruct patients on how to measure their BP correctly. Therefore, healthcare systems must provide patients with more adequate training and reference materials on the best practices of BP monitoring.

【 授权许可】

CC BY