患者对高血压诊断的血压测量方法的经验:BP-CHECK研究的定性发现
Laurel D Hansell1, Clarissa W Hsu1, Sean A Munson2
1Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States.
American journal of hypertension
|July 12, 2024
概括
与家庭血压监测 (HBPM) 一样,室外血压监测 (BP) 是患者更喜欢的,以准确诊断高血压. 临床血压测量被认为是不方便的,而台式血压监测则引发了隐私问题.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 建议在新诊断的高血压时进行室外血压测量.
- 临床血压测量是实践中使用的主要方法,尽管有建议.
- 患者对诊断准确性和以患者为中心的态度是关键.
研究的目的:
- 了解患者对高血压诊断方法准确性和以患者为中心的态度.
- 为了比较患者的经验与临床BP,家庭BP监测 (HBPM) 和亭式BP测试.
- 探索患者对24小时门诊血压监测 (ABPM) 的看法.
主要方法:
- 在随机对照诊断试验 (NCT03130257) 中进行的定性研究.
- 35名成年参与者 (31-76岁) 在接受ABPM和临床BP,HBPM或亭式BP测试后接受了采访.
- 在综合医疗保健系统中,在2017年5月至2019年3月期间收集的数据.
主要成果:
- 家庭血压监测 (HBPM) 被认为是舒适的,低负担和准确的.
- 临床血压测量被参与者描述为不方便.
- 京东BP监控面临着关于准确性和隐私的担忧.
- 门诊血压监测 (ABPM) 被认为是最准确的由于重复的措施,但不舒服和破坏性.
- 重复测量 (HBPM,ABPM) 提高了患者对血压变化和高血压诊断的理解.
结论:
- 结合更多血压测量的诊断方法可以改善患者对血压变化的理解.
- 室外血压测试,特别是HBPM,因其准确性和以患者为中心而受到青.
- 在初级保健中加强办公室外血压诊断测试的策略是有必要的.
更多相关视频
05:51Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
17.4K
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.2K
相关概念视频
01:28Special considerations while measuring blood pressure
712
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
712
01:25Errors occurring during blood pressure monitoring
681
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
681
01:17Measurement of Blood Pressure
907
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
907
01:21Sites for measruring blood pressure
1.6K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.6K
01:23Assessment of blood pressure in brachial artery(two-step method)
680
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
680
01:30Equipments Used To Measure Blood Pressure
950
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
950