129032Southcentral Foundation, Anchorage, AK, USA.
IREACH, 6760Washington State University, Seattle, WA, USA.
J Aging Health. 2021 Aug-Sep;33(7-8_suppl):40S-50S. doi: 10.1177/08982643211013692.
Home blood pressure monitoring (HBPM) is an important component of blood pressure (BP) management. We assessed performance of two HBPM devices among Alaska Native and American Indian people (ANAIs). We measured BP using Omron BP786 arm cuff, Omron BP654 wrist cuff, and Baum aneroid sphygmomanometer in 100 ANAIs. Performance was assessed with intraclass correlation, paired -tests, and calibration models. Compared to sphygmomanometer, average BP was higher for wrist cuff (systolic = 4.8 mmHg and diastolic = 3.6 mmHg) and varied for arm cuff (systolic = -1.5 mmHg and diastolic = 2.5 mmHg). Calibration increased performance from grade B to A for arm cuff and from D to B for wrist cuff. Calibration increased false negatives and decreased false positives. The arm HBPM device is more accurate than the wrist cuff among ANAIs with hypertension. Most patients are willing to use the arm cuff when accuracy is discussed.
家庭血压监测（HBPM）是血压（BP）管理的重要组成部分。我们评估了两种 HBPM 设备在阿拉斯加原住民和美洲印第安人（ANAIs）中的性能。我们在 100 名 ANAIs 中使用欧姆龙 BP786 臂式袖带、欧姆龙 BP654 腕式袖带和 Baum 血压计测量血压。使用组内相关系数、配对检验和校准模型评估性能。与血压计相比，腕式袖带的平均血压较高（收缩压=4.8mmHg，舒张压=3.6mmHg），臂式袖带的血压差异较大（收缩压=-1.5mmHg，舒张压=2.5mmHg）。臂式袖带的校准从 B 级提高到 A 级，腕式袖带从 D 级提高到 B 级。校准增加了假阴性，减少了假阳性。在高血压的 ANAIs 中，臂式 HBPM 设备比腕式袖带更准确。当讨论准确性时，大多数患者愿意使用臂式袖带。
