Medical students, do you know how to measure blood pressure correctly?

ObjectiveThe aim of this study was to estimate the level of knowledge of the blood pressure (BP) measurement technique among medical students. Materials and methodsA total of 791 students in the fourth and the final, sixth year were recruited at the Faculty of Medicine, University of Belgrade, before the start of compulsory practical sessions in the classrooms, during the period 2–9 December 2013. Data were collected using questionnaires on the technique of BP measurement according to the existing guidelines. ResultsThe least correct answers among students of both years were related to the fact that the stethoscope membrane should not be placed under the cuff (13.5% fourth year and 19.4% sixth year students). The highest proportion of correct answers (97.5%) in the fourth year was related to the fact that BP should be measured twice during patient examination. By the sixth year, however, most students (96.6%) knew that previous physical activity may cause an increase in the values of BP. With respect to whether or not the students were shown how to measure the BP properly in classes, 54.9% of fourth-year and 52.5% sixth-year students agreed or strongly agreed with this statement (&khgr;2=0.461, P=0.497). No correlation was established between the knowledge score and self-perceived confidence in measuring BP (&rgr;=0.062, P=0.211). ConclusionThe theoretical background of the BP measurement technique varies among students in both years. The correct means of BP measurement should be elaborated thoroughly, with the aim of preventing misconceptions and misdiagnosis of hypertension.

[1]  Gianfranco Parati,et al.  Ambulatory blood pressure measurement: what is the international consensus? , 2013, Hypertension.

[2]  D. Bonaduce,et al.  Effects of exercise training on cardiovascular adrenergic system , 2013, Front. Physiol..

[3]  Angela M Crosley,et al.  Knowledge of accurate blood pressure measurement procedures in chiropractic students. , 2013, The Journal of chiropractic education.

[4]  Richard Birtwhistle,et al.  Recommendations on screening for high blood pressure in Canadian adults. , 2013, Canadian family physician Medecin de famille canadien.

[5]  F. Veglio,et al.  Effectiveness of Blood Pressure Educational and Evaluation Program for the Improvement of Measurement Accuracy Among Nurses , 2013, High Blood Pressure & Cardiovascular Prevention.

[6]  Maciej Henneberg,et al.  Results of Epidemiological Studies of Blood Pressure Are Biased by Continuous Variation in Arm Size Related to Body Mass , 2012, Human biology.

[7]  J. Baguet Out-of-office blood pressure: from measurement to control , 2012, Integrated blood pressure control.

[8]  T. Akpolat Obesity, hypertension and home sphygmomanometer cuffs. , 2010, European journal of internal medicine.

[9]  G. Parati,et al.  Why Is Out-of-Office Blood Pressure Measurement Needed?: Home Blood Pressure Measurements Will Increasingly Replace Ambulatory Blood Pressure Monitoring in the Diagnosis and Management of Hypertension , 2009, Hypertension.

[10]  F. Rodríguez‐Artalejo,et al.  Knowledge of correct blood pressure measurement procedures among medical and nursing students. , 2009, Revista espanola de cardiologia.

[11]  M. Levi,et al.  Is it time to celebrate a century of blood pressure management? , 2008, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[12]  N. Campbell,et al.  Misclassification of blood pressure by usual measurement in ambulatory physician practices. , 2005, American journal of hypertension.

[13]  A. Bhalla,et al.  Accurate blood pressure recording: is it difficult? , 2005, Indian journal of medical sciences.

[14]  T. Mattoo Arm cuff in the measurement of blood pressure. , 2002, American journal of hypertension.

[15]  A J Smith,et al.  Hospital blood pressure measurement: staff and device assessment. , 1999, Journal of quality in clinical practice.

[16]  Grant L. Peters,et al.  The effect of crossing legs on blood pressure: a randomized single-blind cross-over study. , 1999, Blood pressure monitoring.

[17]  N. Campbell,et al.  Clinical assessment of blood pressure. , 1990, Journal of human hypertension.

[18]  THE WORLD HEALTH ORGANIZATION , 1954 .

[19]  Lyne Cloutier,et al.  PRESSURE MEASUREMENT : ARM CIRCUMFERENCE AND CUFF SIZE AVAILABILITY , 2009 .

[20]  Daniel W. Jones,et al.  Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. , 2005, Hypertension.

[21]  S. A. de Moraes,et al.  Assessment of the techniques of blood pressure measurement by health professionals. , 2003, Arquivos brasileiros de cardiologia.