Adherence of primary care physicians to recommended guidelines for blood pressure measurement

Year 2020, Volume: 45 Issue: 4, 1617 - 1624, 27.12.2020

Çağatay Çavuşoğlu Ahmet Alper Kıykım Kenan Turgutalp Simge Bardak

Abstract

Purpose: Accurate blood pressure measurement (BPM) is the main point for the proper diagnosis and management of hypertension. In this paper, we aim to assess the approaches taken by family physicians (FPs) about BPM and blood pressure measurement devices’ (BPMDs) standards.
Materials and Methods: A survey was prepared in accordance with the current hypertension guidelines to assess the knowledge and awareness of FPs about BPM methods and BPMDs’ standards. Questionnaires were filled out face-to-face with family physicians.
Results: In total, 300 of 412 local FPs were included in this study. Office BPMs were preferred by 41.7% of physicians, whereas 42.7% expressed their preference for HBPMs for hypertension diagnosis and treatment. Aneroid devices were chosen by 61.3% of FPs who believed that their knowledge and skills about BPM were excellent. The rate of FPs who preferred devices not compatible with one of the recommended devices in the guidelines was 79.7%. A total of 53% of FPs recommended upper arm automatic BPMDs to their patients and only 25% of FPs recommended BPMDs proved by clinical studies.
Conclusion: We concluded that the awareness, knowledge, and routine daily practice of FPs in Mersin regarding BPM and BPMDs are poor and need to be improved. The results of this study may help us to question the approaches of FPs to hypertensive patients and may improve HT management.

Keywords

hypertension, blood pressure measurement device, home blood pressure, family physicians

Kan basıncı ölçümünde birinci basamak sağlık hizmetlerinde görev alan hekimlerin güncel kılavuzlara uyumu

Abstract

Amaç: Hipertansiyon tanı ve tedavisinde, en önemli nokta kan basıncının doğru ölçülmesidir. Çalışmamızda aile hekimlerinin kan basıncı ölçüm metotları ve kan basıncı cihaz standartları hakkındaki yaklaşımlarını değerlendirmeyi amaçladık.
Gereç ve Yöntem: Aile hekimlerinin hipertansiyon ölçümmetotları ve hipertansiyon ölçüm cihazları hakkındaki farkındalıklarını ve bilgilerini değerlendirmek amacıyla güncel hipertansiyon kılavuzlarna uygun olarak bir anket hazırlandı. Anketler aile hekimleri ile yüz yüze doldurulmuştur.
Bulgular: Toplamda 412 aile hekiminden 300’ü çalışmaya dahil edildi. Hipertansiyon tanı ve tedavisinde hekimlerin %41.7’si ofis ölçümünü , %42.7’si evde kan basıncı ölçümünü tercih etti. Kan basıncı ölçümleri hakkındaki bilgi ve becerilerinin mükemmel olduğunu düşünen aile hekimlerin %61.3’ü aneroid cihazı tercih etti. Kılavuzlar tarafından önerilen cihazlara uygun olmayan cihazları tercih eden aile hekimlerinin oranı %79.7’idi. Aile hekimlerinin 553.7’si hastalarına otomatik üst kol tansiyon cihazı tavsiye ederken, sadece %25’i klinik çalışmalarla önerilen tansiyon ölçüm cihazlarını tavsiye etti.
Sonuç: Çalışmamızda Mersin’deki aile hekimlerinin günlük partiklerinin, tansiyon ölçümü ve ölçüm cihazları hakkındaki bilgi ve farkındalık seviyelerinin düşük düzeyde olduğu ve geliştirilmesi gerektiğinin farkına vardık. Çalışmamızın sonuçları, aile hekimlerinin hipertansiyon hastalarına yaklaşımını sorgulamamıza ve hipertansiyon yöntemini geliştirmeye yardımcı olabilir.

Keywords

hipertansiyon, kan basıncı ölçüm cihazı, evde kan basıncı

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