Quality of blood pressure measurement in community health centres. / Calidad de la medida de la presión arterial en centros de salud comunitarios.
Enferm Clin
; 27(5): 294-302, 2017.
Article
em En, Es
| MEDLINE
| ID: mdl-28365207
OBJECTIVE: To determine the quality of the blood pressure measurements performed during routine care in community health centres. METHOD: An observational, cross-sectional study was conducted in 5 private and public health centres in Maldonado, Uruguay, in July-August 2015. The observations were made during the measurements performed by health personnel, using the requirements established by the American Heart Association. An analysis was made on 36 variables that were grouped in categories related to environment, equipment, interrogation, patient, and observer. Statistical analysis was performed using Chi2 test or Fisher test. Statistical significance was considered to be less than 5% (p<.05). RESULTS: The measurements were made by a registered nurse or nurse in 71% of cases, physician in 20%, and student nurse in 9%. An aneroid sphygmomanometer was used in 89%, and mercury 11%. Satisfactory results were found in variables related to environment (93%), equipment (99%), and patient attitude (82%), and intermediate in the attitudes of the operator (64%), and poor in relation to the interrogation (18%), with the mean of correct variables per measurement being 69%. CONCLUSIONS: The main flaws in the procedure were the operator. The measurement of blood pressure is a manoeuvre that healthcare professionals perform thousands of times a year. If the measurement is used for the diagnosis and/or chronic management of arterial hypertension, not systematically applying the established recommendations leads to an inappropriate care of a very significant number of patients.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Determinação da Pressão Arterial
/
Centros Comunitários de Saúde
Tipo de estudo:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Uruguay
Idioma:
En
/
Es
Revista:
Enferm Clin
Assunto da revista:
ENFERMAGEM
/
MEDICINA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Uruguai
País de publicação:
Espanha