Getnet Mihret, Getahun Amare Belete, Bitew Desalegn Anmut, Getu Ayechew Adera
Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Cardiovasc Med. 2025 Mar 12;12:1436256. doi: 10.3389/fcvm.2025.1436256. eCollection 2025.
Blood pressure is a lateral force exerted on the wall of arteries and is critical for the normal distribution of blood containing nutrients and oxygen to metabolic tissues. It is one of the vital signs often measured by interns, nurses, and physicians at doctor's offices, at bedside, and possibly at home. Accurate blood pressure measurement is essential for proper diagnosis and management of patients, especially those with hypertension. The aim of this cross-sectional survey study is to assess the practice of measuring blood pressure by interns.
This study was conducted in the form of a survey administered through face-to-face interviews. All the interns at the Univeristy of Gondar Specialized Referral Hospital were approached. The survey included questions about devices used, patient's information, and blood pressure measurement techniques. Epi-Data version 3.1 was used for data entry and exported to STATA 17 for data management and analysis. The Chi-square test was checked to assess the eligibility of variables for logistic regression. Finally, in the multivariable binary logistic regression analysis, variables with -value < 0.05 were considered to be statistically significantly associated. The Adjusted Odds Ratio (AOR) with 95% CI was reported to declare the statistical significance and strength of association between blood pressure measurement and independent variables.
The magnitude of appropriate measurement of blood pressure among interns was 10.1 (95% CI: 7.19, 13.9). A total of 318 interns participated in the current study. Of these study participants, 65.4% (208) were males. A increase in participants age (AOR: 1.48, 95% CI: 1.09, 2.01), being male interns (AOR: 5.51, 95% CI: 1.51, 8.97), and having patients who were familiar with the procedure (AOR: 2.95, 95% CI: 1.19, 7.03) were factors significantly associated with appropriate adherence to blood pressure measurement.
Only 10% of six-year medical students (Interns) were successful in appropriately assessing blood pressure. Age, being male, and patient understanding were factors significantly associated to the adherence of blood pressure measurement. Considering the frequency of BP measurement and the impact of hypertension on morbidity and mortality, efforts are needed to maximize the quality of BP measurement by health professionals. This process should begin early during training and be consistent throughout their clinical practice, supplemented by ongoing education.
血压是作用于动脉壁的侧向力，对于将含有营养物质和氧气的血液正常分配到代谢组织至关重要。它是实习医生、护士和医生在诊所、床边甚至可能在家中经常测量的生命体征之一。准确测量血压对于患者的正确诊断和管理至关重要，尤其是对于高血压患者。这项横断面调查研究的目的是评估实习医生测量血压的实践情况。
本研究以通过面对面访谈进行的调查形式开展。研究对象为贡德尔大学专科医院的所有实习医生。调查包括有关使用的设备、患者信息和血压测量技术的问题。使用Epi-Data 3.1版本进行数据录入，并导出到STATA 17进行数据管理和分析。采用卡方检验来评估变量是否适合进行逻辑回归。最后，在多变量二元逻辑回归分析中，P值<0.05的变量被认为具有统计学显著相关性。报告调整后的比值比（AOR）及其95%置信区间，以说明血压测量与自变量之间的统计学显著性和关联强度。
实习医生中血压测量方法恰当的比例为10.1%（95%置信区间：7.19，13.9）。共有318名实习医生参与了本研究。在这些研究参与者中，65.4%（208名）为男性。参与者年龄增加（AOR：1.48，95%置信区间：1.09，2.01）、男性实习医生（AOR：5.51，95%置信区间：1.51，8.97）以及患者熟悉测量流程（AOR：2.95，95%置信区间：1.19，7.03）是与正确遵循血压测量方法显著相关的因素。
六年制医学生（实习医生）中只有10%能够成功正确评估血压。年龄、性别以及患者的理解程度是与血压测量遵循情况显著相关的因素。考虑到血压测量的频率以及高血压对发病率和死亡率的影响，需要努力提高卫生专业人员血压测量的质量。这个过程应该在培训早期就开始，并在他们的临床实践中持续进行，并辅以持续教育。
