Análise do Conhecimento de Profissionais de Enfermagem Sobre a Medida da Pressão Arterial

Ariani Aparecida Rodrigues Almeida; Regina Célia dos Santos Diogo; Angela Maria Geraldo Pierin

doi:10.36489/nursing.2025v29i320p10519-10527

Authors

Ariani Aparecida Rodrigues Almeida Graduanda da Escola de Enfermagem da Universidade de São Paulo https://orcid.org/0000-0002-0453-2683
Regina Célia dos Santos Diogo Pós doutoranda do departamento de enfermagem médico-cirúrgica da Escola de Enfermagem da Universidade de São Paulo. https://orcid.org/0000-0001-7469-6555
Angela Maria Geraldo Pierin Professora Titular do departamento de enfermagem médico-cirúrgica da Escola de Enfermagem da Universidade de São Paulo https://orcid.org/0000-0002-3274-7729

DOI:

https://doi.org/10.36489/nursing.2025v29i320p10519-10527

Keywords:

Knowledge, Blood Pressure Measurement, Nursing Professionals, Hypertension

Abstract

Aim: to analyze the nursing team's knowledge of blood pressure measurement. Methods: exploratory study carried out with adult nursing staff in 2022. Association tests were carried out with a 5% significance level. Results: 43 nurses and 36 technicians/auxiliaries took part, 44.06(12.57) years old, 19.29(11.52) years graduated. 78.5% used a semi-automatic device and 35% reported training in blood pressure measurement. The majority were correct about patient care before measurement, cuff dimensions, consequences for blood pressure when using narrow or wide cuffs and periodic calibration of sphygmomanometers. Only 35% were correct about the normal range of blood pressure. Better knowledge was associated (p<0.05) with higher age, longer working time in the hospital, being a nurse and training in blood pressure measurement. Conclusion: gaps in knowledge about the procedure were identified which could compromise the reliability of blood pressure measurement.

Author Biography

Ariani Aparecida Rodrigues Almeida, Graduanda da Escola de Enfermagem da Universidade de São Paulo

Nursing undergraduate student at the University of São Paulo School of Nursing

References

Feitosa ADM, Barroso WKS, Mion DJ, Nobre F, Mota-Gomes MA, Jardim PCBD, et al. Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement. Arq Bras Cardiol. 2024;121(4):e20240113. doi: https://doi.org/10.36660/abc.20240113i

Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq Bras Cardiol. 2021;116(3):516-658. doi: https://doi.org/10.36660/abc.20201238

Stergiou GS, Palatini P, Parati G, O’Brien E, Januszewicz A, Lurbe E, et al. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. J Hypertens. 2021;39(7):1293-1302. doi: https://doi.org/10.1097/HJH.0000000000002843

Noh SA, Kim HS, Kang SH, Yoon CH, Youn TJ, Chae IH. History and evolution of blood pressure measurement. Clin Hypertens. 2024; 30(9). doi: https://doi.org/10.1186/s40885-024-00268-7

Siddique S, Hameed Khan A, Shahab H, Zhang YQ, Chin Tay J, Buranakitjaroen P, et al. Office blood pressure measurement: A comprehensive review. J Clin Hypertens. 2021;23:440-9. doi: https://doi.org/10.1111/jch.14169

Sharman JE, Tan I, Stergiou GS, et al. Automated 'oscillometric' blood pressure measuring devices: how they work and what they measure. J Hum Hypertens. 2023;37(2):93-100. doi:10.1038/s41371-022-00693-x

Gorman L. Developing student nurses' knowledge about blood pressure measurement Nursing Times [Internet]. 2021[cited Aug 20, 2024]; 117(4):43-6. Available from: 210324-Developing-student-nurses-knowledge-about-blood-pressure-measurement.pdf

Ibiyemi O, Ogunbodede O, Gbolahan OO, Ogah OS. Knowledge and practices of blood pressure measurement among final year students, house officers, and resident dental surgeons in a dental hospital, South West Nigeria. Niger J Clin Pract. 2020;23(6):848-56. doi: https://doi.org/10.4103/njcp.njcp_416_19

Silva AM, Costa MCGP, Neves JC, Almeida GS, Toledo NN. (Des)conhecimento da equipe de enfermagem sobre a medida não-invasiva da pressão arterial. Rev Enferm Atenção Saúde [Internet]. 2021;10(2):e202112. doi: https://doi.org/10.18554/reas.v10i2.4298

Green BB, Anderson ML, Ehrlich K, Hall YN, Hansell LD, Hsu C, et al. Blood Pressure Checks for Diagnosing Hypertension: Health Professionals' Knowledge, Beliefs, and Practices. J Am Board Fam Med. 2022;35(2):310-19. doi: https://doi.org/10.3122/jabfm.2022.02.210318

Simões TC, Meira KC, Santos J dos, Câmara DCP. Prevalências de doenças crônicas e acesso aos serviços de saúde no Brasil: evidências de três inquéritos domiciliares. Ciênc saúde coletiva. 2021;26(9):3991-4006. doi: https://doi.org/10.1590/1413-81232021269.02982021

- Liu J, Li Y, Li J, Zheng D, Liu C. Sources of automatic office blood pressure measurement error: a systematic review. Physiol Meas. 2022;43(9):10.1088/1361-6579/ac890e. Published 2022 Sep 5. doi:10.1088/1361-6579/ac890e

Ministério da Saúde (BR). Comissão Nacional de Incorporação de Tecnologias no Sistema Único de Saúde - CONITEC. Com nova tecnologia incorporada ao SUS, paciente poderá fazer medição da pressão arterial em casa [Internet]. 2023 [cited Aug 19, 2024]. Available from: https://www.gov.br/conitec/pt-br/assuntos/noticias/2023/maio/com-nova-tecnologia-incorporada-ao-sus-paciente-podera-fazer-medicao-da-pressao-arterial-em-casa

Schutte AE, Kollias A, Stergiou G.S. Blood pressure and its variability: classic and novel measurement techniques. Nat Rev Cardiol. 2022;19:643–654. doi: https://doi.org/10.1038/s41569-022-00690-0

Costa FA, Burgos P, Bombig MTN, Marui FR, Costa W, Fonseca FH, et al. Impacto da sensação de distensão vesical na medida da pressão arterial. Rev Bras Hipertens [Internet]. 2013[cited Aug 22, 2024]; 2(2):95-9. Available from: https://docs.bvsalud.org/biblioref/2018/03/881692/rbh_v20n2_95-99.pdf esta ref não tem atualização

Oliveira RPP, Gouveia Neto JR, Alves MGL, Alves KKAF, Guedes YCF, Meneses ASS, et al. Pressão arterial invasiva: conhecimento teórico dos profissionais de enfermagem de uma unidade de terapia intensiva adulto. Revista Eletrônica Acervo Saúde. 2021;13(4): 1-9. doi: https://doi.org/10.25248/REAS.e6941.2021

Melaragno ALP, Fonseca AS, Assoni MAS, Mandelbaum MHS, organizadoras. Educação Permanente em Saúde. Brasília, DF: Editora ABEn; 2023. 108 p. https://doi.org/10.51234/aben.23.e25

Freitas CCS, Melo GSM, Costa IKF, Pergola-Marconato AM, Tibúrcio MP, Torres GV. Failures related to the measurement of blood pressure among nursing students. Rev Rene. 2016;17(5):699-706. doi: http://doi.org/10.15253/2175-6783.2016000500016

- Hayer R, Kirley K, Tsipas S, Allen J, Hanson D, Johnson E. Redesigning blood pressure measurement training in healthcare schools. Med Educ Online. 2022;27(1):2098548. doi: https://doi.org/10.1080/10872981.2022.2098548

Mouro DL, Godoy S, Veiga EV, Zandomenighi RC, Marchi-Alves LM. Practices adopted by nursing professionals for indirect measurement and recording of blood pressure. Rev Min Enferm. 2017;21:e-995. doi: http://doi.org/10.5935/1415-2762.20170005

Picone DS, Padwal R, Stergiou GS, et al. How to find and use validated blood pressure measuring devices. J Hum Hypertens. 2023;37(2):108-114. doi: http://doi.org/10.1038/s41371-022-00718-5

Peixoto GS, Flauzino VHP, Cesário JMS. A Importância da engenharia clínica no processo de gestão hospitalar. Rev Cient Multid Núc Conhec. 2021;5(15):5-39. doi: https://doi.org/10.32749/nucleodoconhecimento.com.br/saude/engenharia-clinica

Bachur CK, Bachur JA, Candido SS, Machado JP, Daniel ACQG, Silva e Silva CM, et al. The use of active methodologies as teaching strategies of measuring blood pressure. J Hum Growth Dev. 2020;30(3):443-50. doi: http://doi.org/10.7322/jhgd.v30.11112

Kamikawachi E, Carbonari MEE. Tecnologia na educação rumo a uma aprendizagem ativa e significativa. Rev. Foco. 2023;16(02):e688. doi: https://doi.org/10.54751/revistafoco.v16n2-006