Evaluation of an electronic sphygmomanometer suitable for the self-monitoring of blood pressure

1986 ◽  
Vol 24 (2) ◽  
pp. 223-226 ◽  
Author(s):  
Andrew Steptoe ◽  
David Molineux
Curationis ◽  
2021 ◽  
Vol 44 (1) ◽  
Author(s):  
Johanna Munyungula ◽  
Simangele Shakwane

Background: Preeclampsia is one of the causes of maternal deaths and is also responsible for complications such as premature births worldwide. In South Africa, hypertensive disorders cause 14% of all maternal deaths. Evidence indicates that it may be beneficial to empower women to monitor their blood pressure (BP) in the comfort of their homes.Objectives: The purpose of this study was to explore and describe preeclampsia patients’ knowledge and attitudes towards the self-monitoring of their BP.Method: An exploratory, descriptive and contextual qualitative research study was conducted. Fourteen preeclampsia patients were purposively sampled and participated in the study. In-depth semi-structured interviews were used to collect data. Data were analysed using the thematic analytic approach.Results: The knowledge and attitudes towards the self-monitoring of blood pressure (SMBP) were explored. Four themes emerged, namely understanding of hypertension disorders during pregnancy, openness on self-monitoring at home, its hindrances and benefits. The participants portrayed limited understanding and knowledge of preeclampsia, yet they had positive attitudes towards monitoring BP themselves and were open and willing to do self-monitoring at home.Conclusion: The use of SMBP may relieve overcrowding in public healthcare institutions. Encouraging patients to participate in self-monitoring could promote active participation and a positive outlook on their pregnancies. The unavailability and unaffordability of the equipment may pose a challenge to women with a low socioeconomic status.


2020 ◽  
Author(s):  
Christelle Akl ◽  
Nadine Rashidi ◽  
Chaza Akik ◽  
Eveline Hitti ◽  
Ghassan Hamadeh ◽  
...  

Abstract Background Self-monitoring of blood pressure has been shown to optimize the management of blood pressure in high-income settings, but there is less evidence from low-to-middle income countries. We designed a proof-of-concept pilot trial to assess the feasibility and acceptability of an intervention built around self-monitoring of blood pressure and health education, and to measure its association with reduced blood pressure among hypertensives. The study was conducted in Lebanon, a country where the management of hypertension presents challenges similar to those faced in countries of the Arab region and other middle-income countries. Methods We conducted a parallel two-arm pilot trial with a mixed-method approach to investigate the effect of the intervention on patient experience. Hypertensive patients (n = 80) were recruited at two primary and one tertiary health centers in Beirut, and were randomly allocated (1:1) to either an intervention group where patients received blood pressure devices, diaries and educational sessions, or a control group where patients received standard of care as practiced in their health centers. The main outcomes were feasibility (recruitment, retention and adherence), acceptability, and changes in systolic blood pressure. Quantitative and qualitative data were obtained at baseline and 6 weeks later. Results The recruitment rates for the study was 52% and retention was 95%. Most participants in the self-monitoring group (33/38) reported that the device was convenient and easy to use. Complete case analysis showed that blood pressure monitoring was associated with a greater reduction in systolic (-6.3 mmHg, 95%CI [-12.4; − 0.17]) and diastolic (-1.9 mmHg, 95%CI [-6.34; 2.58]) blood pressure in the self-monitoring group (n = 36) as compared to the standard of care group (n = 36). Improved knowledge of hypertension was also observed in the self-monitoring group. There were no adverse events related to study participation. Conclusions Self-monitoring is acceptable and feasible and has the potential to improve hypertension management. Our results should be further tested in trials with adequate statistical power and longer follow-up periods to examine the effectiveness of the intervention on blood pressure levels. Trial Registration and funding: Retrospectively Registered on April 3, 2020. ISRCTN 16450193. Funded by the Harvard Medical School Center for Global Health Delivery.


2020 ◽  
Author(s):  
Wanhua Xie ◽  
Yunhe Gao ◽  
Weichi Tan

BACKGROUND In the conventional method, the blood pressure values of pregnant women were measured by nurses in the obstetrics outpatient clinics, and then were entered into the computer system.The pregnant women should wait for long time to complete this process.We hypothesized that the self-service blood pressure measurement by pregnant women could be a better option rather than measuring the blood pressure by nurses. OBJECTIVE This study aimed to analyze the effect of self-service blood pressure measurement in obstetrical outpatient clinic on waiting time, satisfaction of pregnant women and outpatient volume, and provide reference for the optimization of outpatient service processes. METHODS This was a cross-sectional study. The waiting time and satisfaction degree of pregnant women, as well as the outpatient volume in the Obstetrics Outpatient Clinic were compared on the use of self-service blood pressure measurement system with the conventional method. A total of 519 pregnant women in the obstetrics outpatient clinics of Guangzhou Women and Children’s Medical Center in China participated in the satisfaction survey. The sample means were compared with t-test. RESULTS Compared to wait a longer queue for blood pressure measured by nurses, after using the self-service blood pressure measurement system, the waiting time of pregnant women for blood pressure measurement was significantly reduced from (18.57±9.68) min to (2.39±1.96) min (P<0.001). In addition, the satisfaction degree of pregnant women was significantly increased (P<0.001), and the monthly outpatient volume was significantly increased (P=0.02,P<0.05). CONCLUSIONS This study showed that after implementation of self-service blood pressure measurement, the waiting time of the pregnant women for blood pressure measurement was decreased significantly, while the satisfactory degree and outpatient flow were increased significantly, improving the cost-effectiveness.Therefore, this method is worth to be popularized in clinical practices. Relevance to clinical practice: How to use medical intelligence in clinical practices, replace manual works by self-service devices to address the high outpatient flow, high work load of medical personnel, and improve the experience of patients in seeking medical services are the most concerned issues by both patients as well as hospital managers.This study demonstrated that the self-service blood pressure measurement as a promising strategy in clinical practices and provided reference for the optimization of outpatient service processes. CLINICALTRIAL This study was approved by the Ethics Committee of the Guangzhou Women and Children’s Medical Center (approval number:SFE-KL-46401; Supplementary file 4). All the pregnant women included in this study signed the informed consent form.


JAMIA Open ◽  
2021 ◽  
Author(s):  
Beatrice Mugabirwe ◽  
Tabor Flickinger ◽  
Lauren Cox ◽  
Pius Ariho ◽  
Rebecca Dillingham ◽  
...  

Abstract Background Mobile technologies to improve blood pressure control in resource-limited settings are needed. We adapted and evaluated the acceptability and feasibility of PositiveLinks, a mobile phone application for self-monitoring, social support, and engagement in care for people living with HIV, among patients with hypertension in rural Uganda. Methods We enrolled adults on treatment for hypertension at Mbarara Regional Referral Hospital and Mbarara Municipal health center IV, southwestern Uganda. We provided and educated all participants on the use of PositiveLinks application and automated blood pressure monitors. We administered a baseline questionnaire and performed in-depth interviews 30 days later to explore acceptability, feasibility, medication adherence, social support, and blood pressure control. Results A total of 37 participants completed the interviews, mean age of 58 years (SD 10.8) and 28 (75.7%) were female. All participants embraced the PositiveLinks mobile app and were enthusiastic about self-monitoring of blood pressure, 35 (94.6%) experienced peer to peer support. Among the 35 participants non-adherent to medications at baseline, 31 had improved medication adherence. All except 1 of the 31(83.8%) who had uncontrolled blood pressure at baseline, had self-reported controlled blood pressure after 30 days of use of PositiveLinks. Conclusion Patients with hypertension in rural Uganda embraced the PositiveLinks mobile application and had improved medication adherence, social support, and blood pressure control. Further assessment of cost-effectiveness of the application in blood pressure control in resource-limited settings will be pursued in future studies.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e037874
Author(s):  
Lisa Hinton ◽  
James Hodgkinson ◽  
Katherine L Tucker ◽  
Linda Rozmovits ◽  
Lucy Chappell ◽  
...  

ObjectiveOne in 20 women are affected by pre-eclampsia, a major cause of maternal and perinatal morbidity, death and premature birth worldwide. Diagnosis is made from monitoring blood pressure (BP) and urine and symptoms at antenatal visits after 20 weeks of pregnancy. There are no randomised data from contemporary trials to guide the efficacy of self-monitoring of BP (SMBP) in pregnancy. We explored the perspectives of maternity staff to understand the context and health system challenges to introducing and implementing SMBP in maternity care, ahead of undertaking a trial.DesignExploratory study using a qualitative approach.SettingEight hospitals, English National Health Service.ParticipantsObstetricians, community and hospital midwives, pharmacists, trainee doctors (n=147).MethodsSemi-structured interviews with site research team members and clinicians, interviews and focus group discussions. Rapid content and thematic analysis undertaken.ResultsThe main themes to emerge around SMBP include (1) different BP changes in pregnancy, (2) reliability and accuracy of BP monitoring, (3) anticipated impact of SMBP on women, (4) anticipated impact of SMBP on the antenatal care system, (5) caution, uncertainty and evidence, (6) concerns over action/inaction and patient safety.ConclusionsThe potential impact of SMBP on maternity services is profound although nuanced. While introducing SMBP does not reduce the responsibility clinicians have for women’s health, it may enhance the responsibilities and agency of pregnant women, and introduces a new set of relationships into maternity care. This is a new space for reconfiguration of roles, mutual expectations and the relationships between and responsibilities of healthcare providers and women.Trial registration numberNCT03334149.


2007 ◽  
Vol 345-346 ◽  
pp. 873-876
Author(s):  
Jin Oh Lee ◽  
Min Soo Kang ◽  
Jeong Hun Shin ◽  
Kil Sung Lee

The pedometer, an objective assessment of measuring step counts, has often been used to motivate individuals to increase their ambulatory physical activity. Minimal contact pedometer-based intervention (MCPBI) is gaining in popularity because they are simple and inexpensive. MCPBI is based on self-monitoring by the participants; however, one limitation of using the self-monitoring approach was the participant attrition (i.e., dropout), which makes it difficult to achieve the successful intervention. A new algorithm for pedometer-based intervention, the systematic-monitoring based on conditional feedback, was designed to increase awareness and allow participants to more successfully attain their step goals. Thus, the purpose of this study was to examine the effect of the systematic-monitoring based on conditional feedback algorithm on 10,000 step goal attainments. The study result can be used to design more comprehensive pedometer-based physical activity interventions to increase individuals’ overall health status.


Author(s):  
Judson B. Murray

Confucian mysticism is a subfield in academic areas of study including Chinese thought, Chinese religions, Confucian studies, and comparative mysticism. Important topics examined in this subfield include, first, a view of the human self that is fundamentally relational, both in an interpersonal sense and because Confucians presuppose various correlations and an integration between, on the one hand, the matter–energy, capacities, processes, and activities comprising the self and, on the other, the elements, forces, patterns, and processes of the world it inhabits. One paradigmatic way Confucians conceptualize the interrelation between the self and the cosmos is their idea and ideal of the “unity of Heaven and humanity.” The Confucian mystical self, provided failings such as unbalanced emotions, selfish desires, and self-centeredness are effectively curtailed, contributes vitally to, because of its profound reverence for life, the generative and life-sustaining process of change that pervades and animates the cosmos. Second, practitioners use various techniques of religious praxis in combination to form multifaceted training regimens aimed at self-cultivation and self-transformation. Examples include a form of meditation called “quiet-sitting,” rituals, textual study, “investigating things,” self-examination and self-monitoring, filial piety, and “reverent attentiveness.” Third, training in these practices can achieve the different mystical aims, experiences, and transformations they seek, all of which relate to the overarching ideal of the unity of Heaven and humanity. These objectives, broadly speaking, include self-understanding, accurately grasping the “principles” of things and affairs, effortless moral virtuosity, “forming one body with all things” (and other types of Confucian mystical union), and exemplifying “sincerity.” Accomplishing them collapses the conventional divide separating several specious dichotomies, such as thought and action, self and other, humankind and nature, internal and external, the subjective and the objective, and moral ought and is. Fourth, the influence that precedent and tradition exert in Confucianism has prompted scholars to devote attention both to notable continuities and to intriguing innovations in comparing ancient mystical ideas, practices, experiences, and aims to later expressions and elaborations of them. At present, much of the scholarship on Confucian mysticism contributes to efforts attempting to provide rich and nuanced analyses of the tradition’s core doctrines, practices, experiences, and ethical and religious aims, by viewing these subjects through the lens of Confucianism’s mystical and spiritual dimensions. Less scholarly attention has been devoted to identifying and explicating the possible contributions that studying Confucian mysticism can make to the scholarship on theories of mysticism and comparative mysticism. Scholars of mysticism have not yet availed themselves of the wealth of data, the possible additional perspectives on contested issues, and the new trajectories for future research that Confucianism offers to these fields. Also, few studies employ the definitions, categories, and theories that have been developed in the contemporary study of mysticism as a methodology for studying Confucian mysticism.


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