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Blood Pressure Measurements Obtained by Community-Dwelling Adults Are Similar to Nurse-Obtained Measurements: The SMART-BP Validate Study.
Liu, Xiaoyue; Slone, Sarah E; Chen, Yuling; Yeboah-Kordieh, Yvette; Alharthi, Abeer; Amihere, Johnitta; Moyo-Songonuga, Sharon; Lane, Tynetta; Ostchega, Yechiam; Brady, Tammy M; Himmelfarb, Cheryl R; Commodore-Mensah, Yvonne.
Afiliación
  • Liu X; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Slone SE; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Chen Y; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Yeboah-Kordieh Y; Johns Hopkins University Bloomberg School of Public Health, Baltimore, U.S.
  • Alharthi A; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Amihere J; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Moyo-Songonuga S; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Lane T; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Ostchega Y; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Brady TM; Division of Nephrology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, U.S.
  • Himmelfarb CR; Johns Hopkins University School of Nursing, Baltimore, U.S.
  • Commodore-Mensah Y; Johns Hopkins University Bloomberg School of Public Health, Baltimore, U.S.
Am J Hypertens ; 37(5): 334-341, 2024 04 15.
Article en En | MEDLINE | ID: mdl-38219026
ABSTRACT

BACKGROUND:

Self-measured blood pressure (SMBP) is an effective strategy for managing and controlling hypertension. However, uncertainty regarding patients' ability to accurately measure their blood pressure (BP) contributes to treatment inertia. Therefore, we compared BP measurements with the Omron HEM-9210T device obtained by nurses and community-dwelling adults after training.

METHODS:

This cross-sectional study was conducted in a simulated home environment at an academic institution. After a 5-min rest, a trained nurse measured a participant's BP twice at a 1-min interval. The participants then ambulated at their usual pace for 2 min. Next, they were asked to rest for 5 min, during which each individual watched a 3-min video on SMBP. Following the rest, the participants obtained two readings at a 1-min interval.

RESULTS:

We recruited 102 community-dwelling adults with a mean age of 54 (±14) years; 59% female, 88% Black race, and 63% with a hypertension diagnosis. Half (n = 51) had a home BP monitor. Overall, there were no significant differences between nurse- and participant-obtained systolic BP (mean difference [MD] -1.1; standard deviation [SD] 8.0; P = 0.178) or diastolic BP (MD -0.9; SD 5.5; P = 0.111). Participants who used an extra-large cuff had higher self-measured diastolic BP (MD -2.9; SD 4.5; P = 0.010). All participants demonstrated satisfactory SMBP skills after the training.

CONCLUSIONS:

Community-dwelling adults can accurately measure BP after a 3-min video training. Integrating SMBP training into patient encounters may result in reliable home BP measurements, improving hypertension management and clinical decision making.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Determinación de la Presión Sanguínea / Hipertensión Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Hypertens Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Determinación de la Presión Sanguínea / Hipertensión Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Hypertens Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos