The reliability of patient blood pressure self-assessments - a cross-sectional study

© 2022. The Author(s)..

OBJECTIVE: Home blood pressure monitoring (HBPM) is an increasingly important tool in managing hypertension (HTN); however, its efficacy depends on its accuracy. This study aimed to explore the differences between blood pressure (BP) measurements conducted by patients and medical professionals and the patient demographic factors correlating with inaccurate self-measured BP levels.

METHODS: One hundred hypertensive patients completed a questionnaire inquiring about their health status and HBPM procedures and were filmed while measuring their BP using their own devices. A researcher then measured the patients' BP using a calibrated sphygmomanometer to assess the accuracy of patient-performed readings. This cross-sectional study was conducted in five primary healthcare centers in Kraków, Poland.

RESULTS: The mean differences in systolic and diastolic BP readings by patients and researchers were 8.36 mmHg (SD = 10.90 mmHg) and 2.16 mmHg (SD = 9.12 mmHg), respectively. Inaccuracies in patient BP measurements were associated with a less than high school education level, patients' age, and a family history of HTN.

CONCLUSION: Patient self-measured BP levels were higher than researcher values, likely due to a higher patient error rate. Healthcare providers must increase training regarding correct HBPM techniques offered to patients; such efforts should be directed at all hypertensive patients, emphasizing the most error-prone demographics.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC primary care - 24(2023), 1 vom: 03. Jan., Seite 2

Sprache:

Englisch

Beteiligte Personen:

Nessler, Katarzyna [VerfasserIn]
Krztoń-Królewiecka, Anna [VerfasserIn]
Suska, Anna [VerfasserIn]
Mann, Mitchell R [VerfasserIn]
Nessler, Michał B [VerfasserIn]
Windak, Adam [VerfasserIn]

Links:

Volltext

Themen:

Hypertension
Journal Article
Self measurement of blood pressure

Anmerkungen:

Date Completed 05.01.2023

Date Revised 03.02.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12875-022-01962-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351082301