Pagsibigan Jesusa S, Balabagno Araceli O, Tuazon Josefina A, Evangelista Lorraine S
College of Nursing, University of the Philippines Manila.
Sue and Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.
Acta Med Philipp. 2017;51(4):351-359. doi: 10.47895/amp.v51i4.523. Epub 2017 Dec 29.
To compare the level of adherence of public health nurses to BP measurement guidelines based on their knowledge if the guidelines and skills in BP measurement before and after Blood Pressure Measurement Training Program (BPMTP).
An experimental pre- and post-test design using two-staged cluster randomization was conducted. 118 PHNs (mean age ± 38.45 years, mean years of experience ± 13.45 years; 84.1% women) from six districts in Manila were equally assigned to either the BPMTP group or control group. Structured instruments were used.
Demographic characteristics, current BP measurement practices, and level of adherence to BP measurement guidelines based on knowledge of the guidelines and skills in BP measurement were equivalent in both groups at baseline. Nurses in the BPMTP group showed improved adherence (=<0.05) compared to nurses in the control group. Both groups did not show significant change in their skill on recording, interpretation, and referral (=1.000).
This study showed that Blood Pressure Measurement Training Package is feasible in improving adherence of nurses based on their increased knowledge of the BP measurement guidelines and skills in BP measurement. A larger-scale study is warranted to show that BPMTP can potentially improve clinical management of hypertension in public health clinics globally.
基于公共卫生护士在血压测量培训项目（BPMTP）前后对血压测量指南的了解及血压测量技能，比较其对血压测量指南的依从程度。
采用两阶段整群随机化的实验前后测设计。来自马尼拉六个区的118名公共卫生护士（平均年龄±38.45岁，平均工作年限±13.45年；84.1%为女性）被平均分配到BPMTP组或对照组。使用结构化工具。
两组在基线时的人口统计学特征、当前血压测量实践以及基于对指南的了解和血压测量技能的血压测量指南依从程度相当。与对照组护士相比，BPMTP组护士的依从性有所提高（P<0.05）。两组在记录、解读和转诊技能方面均未显示出显著变化（P=1.000）。
本研究表明，基于护士对血压测量指南的了解增加及血压测量技能提升，血压测量培训包在提高护士依从性方面是可行的。有必要进行更大规模的研究以表明BPMTP可能改善全球公共卫生诊所中高血压的临床管理。
