Evaluation on the application of community hypertension screening model by automated blood pressure measurement
10.19428/j.cnki.sjpm.2022.22106
- VernacularTitle:有人值守的标准化测量血压模式在社区高血压筛查中的应用
- Author:
Haifeng XU
1
;
Minna CHENG
2
;
Qinghua YAN
2
;
Ying YU
3
;
Meihong JIN
4
;
Ting XUE
1
;
Haiying TANG
1
;
Yuheng WANG
2
Author Information
1. Fengxian District Center for Disease Control and Prevention， Shanghai 201499， China
2. Shanghai Municipal Center for Disease Control and Prevention， Shanghai 200336， China
3. Shanghai Fengxian District Xidu Community Health Service Center， Shanghai 201499， China
4. Shanghai Fengxian District Nanqiao Community Health Service Center， Shanghai 201499， China
- Publication Type:Journal Article
- Keywords:
blood pressure measurement;
standardization;
hypertension;
screening;
consulting room
- From:
Shanghai Journal of Preventive Medicine
2022;34(11):1074-1078
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the effect of standardized blood pressure measurement in consulting room （SBPM） model on blood pressure screening of non-hypertensive patients in community. MethodsFour communities were randomly selected from Fengxian District of Shanghai， and non-hypertensive patients in the communities were included for screening. Based on the communities， participants were further classified into the intervention group and control group. A one-year intervention study was conducted from January 1， 2021 to December 31， 2021. The intervention group received the intervention measures of standardized measurement， and the control group remained the routine measurement. The distribution of blood pressure values and last digit of the values between the intervention group and control group were tested using Chi-square test and normality test. Then changes in abnormal blood pressure rate before and after the intervention were determined by double difference method. Statistical analysis was performed using SPSS 20.0. ResultsA total of 15 368 participants were included in the intervention group， and 19 811 participants in the control group. After the intervention， range of the last digit of blood pressure values in the intervention group was 9.55%‒10.41%， of which that of systolic and diastolic blood pressure were equally distributed （P=0.932 and 0.871， respectively）. The range of the last digit in the control group was 1.31%‒42.58%， of which that of systolic and diastolic blood pressure showed unequal distribution （P<0.001）. Through one-year standardized measurement intervention， the abnormal rate of blood pressure in the intervention group was 26.29%， which was 7.61 times as high as that in the control group （OR=7.55， 95%CI： 6.75‒8.57， P<0.001）. ConclusionStandardized blood pressure measurement in consulting room is suitable for the screening of blood pressure measurement in community， which has higher data quality than that of routine measurement.
