Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

A Comparative Study of Blood Pressure According to Cuff Size and Measurement Site

커프크기와 측정부위에 따른 혈압측정치 비교 연구

  • Song, Mi-Ryeong (Department of Nursing, Hoseo University, Research Institute for Basic Science, Hoseo University) ;
  • Kim, Eun-Kyung (Department of Nursing, Suwon Science College)
  • 송미령 (호서대학교 간호학과, 호서대학교 기초과학연구소 간호학 연구부) ;
  • 김은경 (수원과학대학 간호과)
  • Published : 2009.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify differences in blood pressure according to cuff size and measurement sites of the participants. Method: The participants consisted of 50 women and 50 men whose upper arm circumference was $26\sim30cm$. They had no chronic illness and gave consent to participate. Blood pressure of the wrist was measured in the sitting position, the upper arm with a standard cuff, large and small cuffs were used for measurement in supine position and the thigh in prone position. The data were analyzed with paired t-test using SPSS 12.0 program. Result: The data for the upper arm showed a difference in systolic and diastolic blood pressure depending on the site of measurement. There was a significant difference between measurements with a standard cuff and measurements with large and small cuffs. The systolic blood pressure of the wrist and the thigh were significantly lower than that of the upper arm. Conclusion: These results suggest that the selection of an appropriate cuff is an essential element in ensuring accuracy when measuring blood pressure and differences in systolic blood pressure for the upper arm, wrist and thigh indicate the need to record the measuring site when measuring blood pressure.

Keywords

References

  1. Altunkan, S., Genc, Y., & Altunkan, E. (2007). A comparative study of an ambulatory blood pressure measuring device and a wrist blood pressure monitor with a position sensor versus a mercury sphygmomanometer. European Journal of International Medicine, 18, 118-123. https://doi.org/10.1016/j.ejim.2006.09.018
  2. Back, J. Y. (2006). The effect of yoga on resting metabolic rate, body composition, and fitness. Unpublished master's thesis, Dankook University, Cheonan.
  3. Choi, S. K. (2002). Intra-individual and inter-individual errors in measuring blood pressure. Inje Medical Journal, 23(5), 231-239.
  4. Choo, J. (2002). Clinical evaluation of the accuracy of electronic home blood pressure measuring devices. Journal of Korean Academy Fundamental of Nursing, 9(1), 101-112.
  5. Jarvis, C. (2004). Physical examination & health assessment (4th ed). St Louis: Saunders-Elsevier.
  6. Kim, J. S., & Kim, S. S. (2000). Evaluating the accuracy of blood pressure measurement in general hospital nurses. Journal of Korean Academy Fundamental of Nursing, 7(1), 7-15.
  7. Kim, K. Y. (1997). A study on somatotype and subcutaneous fat distribution of adult males in twenties. Unpublished master's thesis, Kyoungil University, Gyeongsan.
  8. Kim, M. J., Park, H. S., Choi, S. H., Song, K. A., Kim, H. S., Nam, J. J., et al. (2005). Fundamentals of nursing. Seoul: Hyunmoonsa.
  9. Kim, S. J., Lee, S. O., Kim, M. J., Park, J. H., Chang, S. O., Gil, S. Y., et al. (2001). Fundamentals of nursing. Seoul:Soomoonsa.
  10. Lee, J. Y. (2001). A study for development of finger type blood pressure monitor using volume oscillometric method Unpublished master's thesis, Sungkyunkwan University, Suwon.
  11. Lee, K. E., Park, J. S., Lee, Y. W., Jeon, S. J., Hong, M. S., Kang, J. H., et al. (2007). Health assessment(3rd ed.). Seoul: Hyunmoonsa.
  12. Lee, M. H., Park, H. K., & Shon, S. K. (1998). A comparison of direct and three indirect methods of measuring blood pressure. Journal of Korean Academy Fundamental of Nursing, 5(1), 95-106.
  13. Lee, S. H., Kwon, J. H., & Park, H. S. (2003). Accuracy in blood pressure measurement with regular adult in overweight patients. Korean Journal of Obesity, 12(4), 264-271.
  14. Lee, W. R., & Seo, J. D. (2007). Clinical cardiology. Seoul:Korea Medical Book Publisher.
  15. Markandu, N. D., Whitcher, F., Arnold, A., & (2000). The mercury sphygmomanometer abandoned before it is prescribed. Journal Hypertension, 14(1), 31-36. https://doi.org/10.1038/sj.jhh.1000932
  16. Marks, L. A., & Groch, A. (2000). Optimizing cuff width for noninvasive measurement of blood pressure. Blood Pressure Monitoring, 5(3), 153-158. https://doi.org/10.1097/00126097-200006000-00002
  17. Mattoo, T. K. (2002). Arm cuff in the measurement of blood pressure. American Journal of Hypertension, 15(2), Supplement, S67-S68. https://doi.org/10.1016/S0895-7061(01)02301-9
  18. Oliveira, S. M., Arcuri, E. A., & Santos, J. L. (2002). Cuff width influence on blood pressure measurement during the pregnant-puerperal cycle. Journal of Advanced Nursing, 38(2), 180-189. https://doi.org/10.1046/j.1365-2648.2002.02162.x
  19. Ostchega, Y., Prineas, R. J., Dillon, C., McDowell, M., & Carroll, M. (2004). Estimating equations and tables for adult mid-arm circumference based on measured height and weight: Data from the third National Health and Nutrition Examination Survey (NHANES III) and NHANES 1999-2000. Blood Pressure Monitoring, 9(3), 123-131. https://doi.org/10.1097/01.mbp.0000132427.32886.a9
  20. Park, K. Y. (2002). Research on blood pressure change in right lateral position. Unpublished master's thesis, Pusan National University, Pusan.
  21. Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E. Graves, J., Hill, M. N., et al. (2005). Recommendations for blood pressure measurement in humans and experimental animals. Hypertension, 45, 142-161., AHA scientific statement. Retrieved August, 10, 2007, from the Web site http://hyper.ahajournals.org/cgi/content/full/45/1/142.
  22. Potter, P. A., & Perry, A. G. (2005). Fundamentals of nursing. 6th ed, St. Louis: Elsevier Mosby.
  23. Schell, K., Lyons, D., Bradley, E., Bucher, L., Seckel, M., Wakai, S., et al. (2006). Clinical comparison of automatic, noninvasive measurements of blood pressure in the forearm and upper arm with the patient supine or with the head of the bed raised 45 degrees: A follow-up study. American Journal of Critical Care, 15(2), 196-205.
  24. Son, Y. H., Yang, S. H., Yang, S. H. Yoo, J. H., Won, J. S., Jeon, M. Y., et al. (2003). Fundamentals of nursing(3rd ed.). Seoul: Hyunmoonsa.
  25. Sprafka, J. M., Strickland, D., Gomez-Marin, O., & Prineas, R. J. (1991). The effect of cuff size on blood pressure measurement in adults. Epidemiology, 2(3), 214-217. https://doi.org/10.1097/00001648-199105000-00010
  26. Stergiou, G. S., Christodoulakis, G. R., Nasothimiou, E. G., Giovas, P. P., & Kalogeropoulos, P. G. (2008). Can validated wrist devices with position sensors replace arm devices for self-home blood pressure monitoring? A randomized crossover trial using ambulatory monitoring as reference. American Journal of Hypertension, 21(7), 753-758. https://doi.org/10.1038/ajh.2008.176
  27. Suh, G. H. (1994). Comparative study about the indirect blood pressure(measured by different instruments and methods). Journal of Korean Academy Fundamental of Nursing, 1(1), 51-68.