Longitudinal change in end-digit preference in blood pressure recordings in the hypertension patients followed up in primary care clinics.
Clin Exp Hypertens
; 40(8): 758-761, 2018.
Article
de En
| MEDLINE
| ID: mdl-29400573
ABSTRACT
SUBJECT This study was to evaluate whether a special lecture on the Chinese Guideline for Blood Pressure Measurement (CGBPM) improves end-digit preference (EDP) of blood pressure (BP) recordings in primary care clinics. METHODS:
In 2012, the doctors working in a clinic received a lecture, which emphasizes that when mercurial sphygmomanometer was used, only 0, and even numbers could be recorded as BP end-digit. In 2016, we collected the BP recordings (2011-2015) of 462 hypertensive patients followed in the educated clinic or in another no-educated clinic. The percentages of 0, 2, 4, 6, 8 in BP end-digit were calculated for evaluating zero EDP, and the percent decline in each year was calculated on the formula (baseline percentage - actual percentage in a year)/baseline percentage.RESULTS:
In 2011, the percentage of zero end-digit was over 75% for SBP or DBP in both clinics. Against the no-educated clinic, the educated clinic had significant higher percent decline of zero EDP on SBP (31.5% vs -2.6%) and DBP (36.9% vs -14.3%) in 2013, and in 2014 (SBP 38.0% vs 11.6%; DBP 42.8% vs -4.0%). In 2015, the educated clinic still had higher percent decline of zero EDP on DBP (43.3% vs 29.3%). Furthermore, the percentages of zero end-digit for SBP (43.6% vs 49.2%) or for DBP (43.5% vs 59.0%) were lower in the educated clinic in 2015.CONCLUSION:
Education on BP measurement and recording could improve the quality of BP recordings, and this effect may last for three years.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Soins de santé primaires
/
Pression sanguine
/
Mesure de la pression artérielle
/
Attitude du personnel soignant
/
Formation médicale continue comme sujet
Type d'étude:
Guideline
/
Observational_studies
Aspects:
Patient_preference
Limites:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
Clin Exp Hypertens
Année:
2018
Type de document:
Article
Pays d'affiliation:
Chine