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

Abstract Background The 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 acc...

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Autores principales:	Katarzyna Nessler, Anna Krztoń-Królewiecka, Anna Suska, Mitchell R. Mann, Michał B. Nessler, Adam Windak
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Home blood pressure monitoring HBPM Hypertension management Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/bb2d82801ffd4d93a381477466c746b8
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spelling	oai:doaj.org-article:bb2d82801ffd4d93a381477466c746b82021-11-14T12:07:31ZThe quality of patients’ self-blood pressure measurements: a cross-sectional study10.1186/s12872-021-02351-51471-2261https://doaj.org/article/bb2d82801ffd4d93a381477466c746b82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12872-021-02351-5https://doaj.org/toc/1471-2261Abstract Background The 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. Methods One 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. Results Only 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. Conclusions Our 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.Katarzyna NesslerAnna Krztoń-KrólewieckaAnna SuskaMitchell R. MannMichał B. NesslerAdam WindakBMCarticleHome blood pressure monitoringHBPMHypertension managementDiseases of the circulatory (Cardiovascular) systemRC666-701ENBMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Home blood pressure monitoring HBPM Hypertension management Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Home blood pressure monitoring HBPM Hypertension management Diseases of the circulatory (Cardiovascular) system RC666-701 Katarzyna Nessler Anna Krztoń-Królewiecka Anna Suska Mitchell R. Mann Michał B. Nessler Adam Windak The quality of patients’ self-blood pressure measurements: a cross-sectional study
description	Abstract Background The 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. Methods One 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. Results Only 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. Conclusions Our 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.
format	article
author	Katarzyna Nessler Anna Krztoń-Królewiecka Anna Suska Mitchell R. Mann Michał B. Nessler Adam Windak
author_facet	Katarzyna Nessler Anna Krztoń-Królewiecka Anna Suska Mitchell R. Mann Michał B. Nessler Adam Windak
author_sort	Katarzyna Nessler
title	The quality of patients’ self-blood pressure measurements: a cross-sectional study
title_short	The quality of patients’ self-blood pressure measurements: a cross-sectional study
title_full	The quality of patients’ self-blood pressure measurements: a cross-sectional study
title_fullStr	The quality of patients’ self-blood pressure measurements: a cross-sectional study
title_full_unstemmed	The quality of patients’ self-blood pressure measurements: a cross-sectional study
title_sort	quality of patients’ self-blood pressure measurements: a cross-sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bb2d82801ffd4d93a381477466c746b8
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The quality of patients’ self-blood pressure measurements: a cross-sectional study

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