Ozone Sachiko, Sato Mikiya, Takayashiki Ayumi, Sakamoto Naoto, Yoshimoto Hisashi, Maeno Tetsuhiro
Faculty of Medicine University of Tsukuba Tsukuba Japan.
J Gen Fam Med. 2018 Mar 30;19(3):97-101. doi: 10.1002/jgf2.162. eCollection 2018 May.
To assess the extent to which long-term care facilities in Japan adhere to blood pressure (BP) measurement guidelines.
Cross-sectional, observational survey.
Japan (nationwide).
Geriatric health service facilities that responded to a questionnaire among 701 facilities that provide short-time daycare rehabilitation services in Japan.
A written questionnaire that asked about types of measurement devices, number of measurements used to obtain an average BP, resting time prior to measurement, and measurement methods when patients' arms were covered with thin (eg, a light shirt) or thick sleeves (eg, a sweater) was administered.
Proportion of geriatric health service facilities adherent to BP measurement guidelines.
The response rate was 63.2% (443/701). Appropriate upper-arm BP measurement devices were used at 302 facilities (68.2%). The number of measurements was appropriate at 7 facilities (1.6%). Pre-measurement resting time was appropriate (≥5 minutes) at 205 facilities (46.3%). Of the 302 facilities that used appropriate BP measurement devices, 4 (1.3%) measured BP on a bare arm if it was covered with a thin sleeve, while 266 (88.1%) measured BP over a thin sleeve. When arms were covered with thick sleeves, BP was measured on a bare arm at 127 facilities (42.1%) and over a sleeve at 78 facilities (25.8%).
BP measurement guidelines were not necessarily followed by long-term care service facilities in Japan. Modification of guidelines regarding removing thick sweaters and assessing BP on a visit-to-visit basis might be needed.
评估日本长期护理机构遵守血压（BP）测量指南的程度。
横断面观察性调查。
日本（全国范围）。
在日本提供短期日托康复服务的701家机构中回复问卷的老年保健服务机构。
发放一份书面问卷，询问测量设备的类型、用于获取平均血压的测量次数、测量前的静息时间以及患者手臂穿着薄衣物（如薄衬衫）或厚衣物（如毛衣）时的测量方法。
老年保健服务机构遵守血压测量指南的比例。
回复率为63.2%（443/701）。302家机构（68.2%）使用了合适的上臂血压测量设备。7家机构（1.6%）的测量次数合适。205家机构（46.3%）测量前的静息时间合适（≥5分钟）。在使用合适血压测量设备的302家机构中，若手臂覆盖薄衣物，4家机构（1.3%）会在裸露手臂上测量血压，而266家机构（88.1%）会隔着薄衣物测量血压。当手臂覆盖厚衣物时，127家机构（42.1%）在裸露手臂上测量血压，78家机构（25.8%）隔着衣物测量血压。
日本的长期护理服务机构不一定遵循血压测量指南。可能需要修改关于脱掉厚毛衣以及逐次评估血压的指南。
