Abstract
Self-monitoring of blood pressure may give a truer estimate of usual blood pressure than readings by a doctor in the surgery, and may save time for health professionals. This study aimed to determine the accuracy of self-monitoring in the surgery using a wrist oscillometric sphygmomanometer (Omron RX). One hundred and seventy-three patients were taught to record their own blood pressure with the Omron RX. One hundred and nineteen patients recorded three self-measurements at monthly intervals, and their readings were compared with those of an experienced nurse using the Omron RX and a mercury sphygmomanometer. On average, patients' readings were higher than the nurse's readings (mean difference in phase 1 = systolic pressure 4.7 +/- 13.1 mmHg, diastolic pressure 2.7 +/- 9.3 mmHg [both P < 0.001]). Only half of the patients' readings were within 10 mmHg systolic and 5 mmHg diastolic of the nurse's readings. The readings by the nurse using both devices did not differ.
Full Text
The Full Text of this article is available as a PDF (55.9 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Donner-Banzhoff N., Chan Y., Szalai J. P., Hilditch J. R. Is the 'clinic-home blood pressure difference' associated with psychological distress? A primary care-based study. J Hypertens. 1997 Jun;15(6):585–590. doi: 10.1097/00004872-199715060-00003. [DOI] [PubMed] [Google Scholar]
- Donner-Banzhoff N., Chan Y., Szalai J. P., Hilditch J. 'Home hypertension': exploring the inverse white coat response. Br J Gen Pract. 1998 Aug;48(433):1491–1495. [PMC free article] [PubMed] [Google Scholar]
- Edmonds D., Foerster E., Groth H., Greminger P., Siegenthaler W., Vetter W. Does self-measurement of blood pressure improve patient compliance in hypertension? J Hypertens Suppl. 1985 Apr;3(1):S31–S34. [PubMed] [Google Scholar]
- Little Paul, Barnett Jane, Barnsley Lucy, Marjoram Jean, Fitzgerald-Barron Alex, Mant David. Comparison of agreement between different measures of blood pressure in primary care and daytime ambulatory blood pressure. BMJ. 2002 Aug 3;325(7358):254–254. doi: 10.1136/bmj.325.7358.254. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Myers M. G., Meglis G., Polemidiotis G. The impact of physician vs automated blood pressure readings on office-induced hypertension. J Hum Hypertens. 1997 Aug;11(8):491–493. doi: 10.1038/sj.jhh.1000483. [DOI] [PubMed] [Google Scholar]
- Nordmann A., Frach B., Walker T., Martina B., Battegay E. Reliability of patients measuring blood pressure at home: prospective observational study. BMJ. 1999 Oct 30;319(7218):1172–1172. doi: 10.1136/bmj.319.7218.1172. [DOI] [PMC free article] [PubMed] [Google Scholar]