Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency

Introduction: Blood Pressure (BP) measurement is the basis of diagnosis and treatment of hypertension. Automatic BP monitors are available for self-measurement of BP at home and it helps in adaptation of treatment strategy. However, proper measurement procedures are of paramount importance for credi...

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Main Authors: Shaikat Mondal, Himel Mondal, Rajib Dutta, Amit Pal, Saswata Swakshar Acharya, Chayan Baidya
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11427/32111_CE[Ra1]_F(SL)_PF1(AJ_SL)_PFA(AJ_SL)_PB(AJ_SL)_PN(SL).pdf
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author Shaikat Mondal
Himel Mondal
Rajib Dutta
Amit Pal
Saswata Swakshar Acharya
Chayan Baidya
author_facet Shaikat Mondal
Himel Mondal
Rajib Dutta
Amit Pal
Saswata Swakshar Acharya
Chayan Baidya
author_sort Shaikat Mondal
collection DOAJ
description Introduction: Blood Pressure (BP) measurement is the basis of diagnosis and treatment of hypertension. Automatic BP monitors are available for self-measurement of BP at home and it helps in adaptation of treatment strategy. However, proper measurement procedures are of paramount importance for credible BP readings. Aim: To ascertain the level of competency in Home Blood Pressure Monitoring (HBPM) among patients and their family members (i.e., operators) and to find the effect of a simple educational program on improvement in the competency in HBPM. Materials and Methods: A cross-sectional survey was conducted with patients or their family members who measure BP at home. Procedure of HBPM, as practiced by the participants was observed by the surveyor physician and competency was scored on 17 item survey questionnaire. Then, an educational tool was used to educate the participants. Summative assessment was conducted after the training program by another session of HBPM. The data was tested statistically by chi-square and paired t-test with α=0.05. Results: A total of 125 respondents of mean age 34.51±12.32 years participated in the survey. Among 17 items, overall competency score in HBPM before training program was 4.63±4.59. The competency score (16.31±2.53) significantly (p<0.001) increased after the training. Conclusion: The HBPM procedure, as followed by patients or their family members is grossly deficient in accordance with standard protocol. This deficiency can be improved with simple educational program.
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spelling doaj.art-77288415d71f467f9762094a3cc44f572022-12-21T19:06:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-04-01124OC10OC1410.7860/JCDR/2018/32111.11427Competency in Home Blood Pressure Monitoring and Effect of Training Program on CompetencyShaikat Mondal0Himel Mondal1Rajib Dutta2Amit Pal3Saswata Swakshar Acharya4Chayan Baidya5Postgraduate Student, Department of Physiology, Medical College and Hospital, Kolkata, West Bengal, India.Postgraduate Student, Department of Physiology, MKCG Medical College, Ganjam, Odisha, India.Medical Officer, Sick Newborn Care Unit, Basirhat District Hospital, West Bengal, India.Postgraduate Student, Department of Pathology, ESI-PGIMSR, Manicktala, Kolkata, West Bengal, India.Medical Officer, Department of Medicine, National Urban Health Mission, Khardaha Municipality, Kolkata, West Bengal, India.Intern, Department of Medicine, JB Roy State Ayurvedic Medical College, Kolkata, West Bengal, India.Introduction: Blood Pressure (BP) measurement is the basis of diagnosis and treatment of hypertension. Automatic BP monitors are available for self-measurement of BP at home and it helps in adaptation of treatment strategy. However, proper measurement procedures are of paramount importance for credible BP readings. Aim: To ascertain the level of competency in Home Blood Pressure Monitoring (HBPM) among patients and their family members (i.e., operators) and to find the effect of a simple educational program on improvement in the competency in HBPM. Materials and Methods: A cross-sectional survey was conducted with patients or their family members who measure BP at home. Procedure of HBPM, as practiced by the participants was observed by the surveyor physician and competency was scored on 17 item survey questionnaire. Then, an educational tool was used to educate the participants. Summative assessment was conducted after the training program by another session of HBPM. The data was tested statistically by chi-square and paired t-test with α=0.05. Results: A total of 125 respondents of mean age 34.51±12.32 years participated in the survey. Among 17 items, overall competency score in HBPM before training program was 4.63±4.59. The competency score (16.31±2.53) significantly (p<0.001) increased after the training. Conclusion: The HBPM procedure, as followed by patients or their family members is grossly deficient in accordance with standard protocol. This deficiency can be improved with simple educational program.https://jcdr.net/articles/PDF/11427/32111_CE[Ra1]_F(SL)_PF1(AJ_SL)_PFA(AJ_SL)_PB(AJ_SL)_PN(SL).pdfhypertensionphysicianswhite coat hypertension
spellingShingle Shaikat Mondal
Himel Mondal
Rajib Dutta
Amit Pal
Saswata Swakshar Acharya
Chayan Baidya
Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
Journal of Clinical and Diagnostic Research
hypertension
physicians
white coat hypertension
title Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
title_full Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
title_fullStr Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
title_full_unstemmed Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
title_short Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
title_sort competency in home blood pressure monitoring and effect of training program on competency
topic hypertension
physicians
white coat hypertension
url https://jcdr.net/articles/PDF/11427/32111_CE[Ra1]_F(SL)_PF1(AJ_SL)_PFA(AJ_SL)_PB(AJ_SL)_PN(SL).pdf
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