Patient satisfaction with the SpaceLabs 90207 ambulatory blood pressure monitor in pregnancy

被引:20
作者
Walker, SP
Permezel, MJ
Brennecke, SP
Tuttle, LK
Higgins, JR
机构
[1] Mercy Hosp Women, Univ Dept Obstet & Gynaecol, East Melbourne, Vic 3002, Australia
[2] Royal Hosp Women, Carlton, Vic, Australia
[3] Erinville Hosp, Cork, Ireland
关键词
ambulatory blood pressure monitoring; pregnancy; patient satisfaction;
D O I
10.1081/PRG-200030306
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: The objective of this study was to evaluate the acceptability of the SpaceLabs 90207 ambulatory blood pressure monitor among pregnant women. Methods: Patients participating in research projects involving ambulatory blood pressure monitoring (ABPM) in pregnancy (N = 110) were asked to complete a questionnaire relating to patient satisfaction on completion of the monitoring period. The first part of the questionnaire involved rating on a visual Likert scale (0-10) whether they found the monitor heavy, noisy, cumbersome, disturbing, or embarrassing to wear. The second part of the questionnaire addressed whether cuff inflation caused significant sleep disturbance or physical discomfort. Outcome Measures: The mean (SD) and range of the Likert scores are reported. The number of patients reporting sleep disturbance or physical discomfort was calculated. Logistic regression was used to examine which factors were significant predictors of discontinuing monitoring. Results: The mean (SD) responses measured by the Liken scores were: finding the monitor heavy 3.2 (2.3); comfortable 4.8 (2.3); straightforward to use 8.8 (1.8); cumbersome 3.8 (2.3); disturbing 4.5 (2.7); noisy 1.6 (2.2); and embarrassing to wear 1.7 (2.1). Difficulty initiating steep was reported by 28.8% of patients, and a further 56.3% reported difficulty maintaining sleep due to the monitor. Sleep disturbance was found to be the strongest predictor [r = 0.52; OR 1.68 (1.23, 2.27), p = 0.0009] for the 15% of patients discontinuing the monitoring. Conclusions: While pregnant women tolerate the noise, weight, inconvenience, and disturbance associated with ambulatory blood pressure monitoring (ABPM) well, sleep disturbance is a major cause of dissatisfaction and noncompliance. Future studies should evaluate critically the number of nocturnal blood pressure assessments required, and should allow for a withdrawal rate of approximately 15% when performing sample size calculations for ABPM studies in pregnancy.
引用
收藏
页码:295 / 301
页数:7
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