Department of Nursing, Federal University of Ceara, Fortaleza, Ceara, Brazil.
Department of Internal Medicine, University of Alberta, Edmonton, Alberta, Canada.
J Hum Hypertens. 2022 Jul;36(7):681-688. doi: 10.1038/s41371-021-00556-x. Epub 2021 Jun 5.
Obtaining accurate blood pressure readings is vital. However, students and health professionals do not always receive adequate training on blood pressure measurement, especially regarding new technologies, leading to insufficient knowledge. Therefore, the aim of this study is to analyze Brazilian health professionals' perceptions and knowledge about automated blood pressure monitors. This cross-sectional study involved 1734 Brazilian nurses, nursing technicians, and doctors who reported having some experience of using automated monitors. Perceptions about differences between readings obtained through the auscultatory and oscillometric methods, influence of small differences in clinical decision-making, confidence in automated monitors, and knowledge about contraindications for the use of these devices were assessed. Most medical and nursing professionals considered differences of up to 5 mmHg (40.94%) between auscultatory and oscillometric measurements acceptable. Of these, 69.02% reported that even small differences can influence clinical decisions. Confidence in readings obtained using automated blood pressure monitors was reported by 53.92%. Among the motivations for making these devices available in health services, the most frequent was the saving of time (48.85%) and the least frequent, the perception that the use of this technology requires less training (9.40%). Arrhythmia was the most recognized contraindication for the use of automated monitors (28.49%), followed by obesity (28.14%) and blood pressure readings above 160 × 100 mmHg. In conclusion, there is a lack of knowledge about the functionalities and indications of blood pressure monitors and a low tolerance for measurements different from those obtained through manual mercury sphygmomanometers or aneroids.
获得准确的血压读数至关重要。然而,学生和卫生专业人员并不总是接受足够的血压测量培训,尤其是关于新技术的培训,导致知识不足。因此,本研究旨在分析巴西卫生专业人员对自动血压监测器的认知和知识。这是一项横断面研究,涉及 1734 名巴西护士、护理技师和医生,他们报告说有使用自动监测器的经验。评估了他们对听诊法和示波法读数差异的看法、临床决策中小的差异的影响、对自动监测器的信心以及对这些设备使用禁忌症的了解。大多数医学和护理专业人员认为听诊法和示波法测量值之间差异高达 5mmHg(40.94%)是可以接受的。其中,69.02%的人报告说即使是微小的差异也会影响临床决策。53.92%的人报告对自动血压监测器获得的读数有信心。在将这些设备应用于卫生服务的动机中,最常见的是节省时间(48.85%),而最少的是认为使用这项技术需要较少的培训(9.40%)。心律失常是最被认可的自动监测器使用禁忌症(28.49%),其次是肥胖(28.14%)和血压读数高于 160×100mmHg。总之,对血压监测器的功能和适应症了解不足,对不同于手动汞柱血压计或无液气压计测量的结果容忍度低。