The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients

Pinar, Rukiye, Ataalkin, Siddika and Watson, Roger (2010) The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients. Journal of Clinical Nursing, 19 13-14: 1861-1864. doi:10.1111/j.1365-2702.2010.03224.x

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Pinar, Rukiye
Ataalkin, Siddika
Watson, Roger
Title The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2010-07
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2010.03224.x
Volume 19
Issue 13-14
Start page 1861
End page 1864
Total pages 4
Editor Carol Haigh
Debra Jackson
Roger Watson
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing Ltd
Collection year 2011
Language eng
Subject C1
110201 Cardiology (incl. Cardiovascular Diseases)
111099 Nursing not elsewhere classified
920103 Cardiovascular System and Diseases
Formatted abstract
Aims. To test whether there is any difference between blood pressure readings with patients wearing clothes under the manometer's cuff and not wearing clothes.

Background. The few studies published on this subject have shown that blood pressure measurements give similar results whether the patients' arm is covered by clothing or not. However, it has not been clarified whether this is also true in hypertensive patients.

Method. Blood pressure was measured on non-sleeved arm, sleeved arm and again on non-sleeved arm in 258 hypertensive patients using a mercury-filled column sphygmomanometer. Three nurses who were experienced and specially trained for the study performed blood pressure measurements. They were unaware of the purpose of the research.

Results. Measuring blood pressure with the manometer's cuff over participant's sleeved arm did not differ significantly from non-sleeved arm measurements.

Relevance to clinical practice. Sleeves have no effect on blood pressure results. Blood pressure readings taken over the sleeves will be much more practical and time saving in busy departments like emergency rooms, during disasters like earthquake where decisions have to make in minutes. Additionally, it will be time saving for general health screening surveys. Finally, it may have preferable because of hygiene concerns, patient privacy and religious beliefs.
© 2010 Blackwell Publishing Ltd.

Keyword Blood pressure
References Adiyaman A, Verhoeff R, Lenders JWM, Deinum J& Thien T (2006) The position of the arm during blood pressure measurement in sitting position. Blood Pressure Monitoring 11, 309–314. Altun B, Arici M, Nergizoglu G, Derici U, Karatan O, Turgan C, Sindel S, Erbay B, Hasanoglu E & Cag˘ lar S (2005) Prevalence, awareness, treatment and control of hypertension in Turkey (The PatenT study) in 2003. Journal of Hypertension 23, 1817–1823. Campbell NR, Culleton BW & McKay DW (2005) Misclassification of blood pressure by usual measurement in ambulatory physician practices. American Journal of Hypertension 18, 1522–1527. Drevenhorn E, Hakansson A & Petersson K (2001) Blood pressure measurement: an observational study of 21 public health nurses. Journal of Clinical Nursing 10, 189–194. Es¸ er I, Khorshid L, Gu¨ nes¸ UY & Demir Y (2007) The effect of different body positions on blood pressure. Journal of Clinical Nursing 16, 137–140. European Society of Hypertension –ESH– Working Group on Blood Pressure Monitoring. (2003) European society of hypertension recommendations for conventional, ambulatory and home blood pressure measurement. Journal of Hypertension 21, 821–848. Foster-Fitzpatrick L, Ortiz A, Sibilano H, Marcantonio R & Braun LT (1999) The effects of crossed leg on blood pressure measurement. Nursing Research 48, 105–108. Hellman R & Grimm SA (1984) The influence of talking on diastolic blood pressure readings. Research in Nursing and Health 7, 253–256. Holleman DR, Westmen EC, McCrory DC & Simel DL (1993) The effect of sleeved arms on oscillometric blood pressure measurement. Journal of General Internal Medicine 8, 325–326. Kahan E, Yaphe J, Knaani-Levinz H & Weingarten MA (2003) Comparison of blood pressure measurements on the bare arm, below a rolled-up sleeve, or over a sleeve. Family Practice 20, 730–732. Liebl ME, Holzgreve H, Schulz M, Crispin A & Bogner J (2004) The effect of clothes on sphygmomanometric and oscillometric blood pressure measurement. Blood Pressure 13, 279–282. Lovallo WR, Wilson MF, Vincent AS, Sung BH, McKey BS & Whitsett TL (2004) Blood pressure response to caffeine shows incomplete tolerance after short-term regular consumption. Hypertension 43, 760–765. Ma G, Sabin N & Dawes M (2008) A comparison of blood pressure measurement over a sleeved arm versus a bare arm. Canadian Medical Association Journal 178, 585–589. Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, Grassi G, Heagerty AM, Kjeldsen SV, Laurent S, Narkiewicz K, Ruilope L, Rynkiewicz A, Schmieder RE, Struijker Boudier HAJ & Zanchetti A (2007) Guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European society of hypertension (ESH) and of the European society of cardiology (ESC). European Heart Journal 28, 1462–1536. Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG & Roccella EJ. Subcommittee of Professional and Public Education of the American Heart Association Council in High Blood Pressure Research (2005) AHA scientific statement: recommendations for blood pressure measurement in human and experimental animals; part 1: blood pressure measurement in humans. A statement for professionals from the subcommittee of professional and public education of the American heart association council on high blood pressure research.. Hypertension 45, 142–161. Pinar R, Sabuncu N & Oksay A (2004) Effects of crossed leg on blood pressure. Blood Pressure 13, 252–254. Segura J, Campo C, Gil P, Roldan C, Vigil L, Rodicio JL & Ruilope LM (2004) Development of chronic kidney disease and cardiovascular prognosis in essential hypertensive patients. Journal of the American Society of Nephrology 15, 1616–1622. Turkish Cardiology Association, Hypertension Working Group (2000) A guide for national hypertension treatment and follow-up. Archives of The Turkish Society of Cardiology 28, 335–397. Villages I, Arias AI, Botero A & Escobar A (1995) Evaluation of the technique used by health care workers for taking blood pressure. Hypertension 26, 1204–1206. Williams B, Poulter NR, Brown MJ, Davis M, McInnes GT, Potter JF, Sever PS & McG Thom S (2004) British hypertension society guidelines. Guidelines for management of hypertension: report of the fourth working party of the British hypertension society, 2004-BHS IV. Journal of Human Hypertension 18, 139–185.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 30 Jul 2010, 11:19:47 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work