“The day-to-day monitoring technique of high blood pressure.”
High blood pressure is a common chronic disease known as the “silent killer”. It usually has no visible symptoms, but long-term hypertension can cause damage to organs such as the heart, blood vessels and kidneys, and can even cause serious complications such as heart disease, brain stroke, heart failure and chronic kidney failure. Therefore, day-to-day monitoring of high blood pressure patients is essential to keep abreast of blood pressure changes, to provide a basis for adjusting treatment programmes and to reduce the risk of complications.
1. Timely detection of blood pressure abnormalities: Many high blood pressure patients may not have significant symptoms of discomfort at an early stage, but blood pressure has risen. Through day-to-day monitoring, unusual changes in blood pressure can be detected at an early stage and timely measures taken to intervene to avoid further development. 2. Assessing the effectiveness of treatment: patients with hypertension need long-term stress medication, and day-to-day monitoring can help patients understand the efficacy of treatment. If blood pressure control is not ideal, treatment can be adjusted in a timely manner to improve its effectiveness. 3. Prevention of complications: Continued hypertension can cause damage to various organs of the body and can be detected in a timely manner through the monitoring of blood pressure and appropriate measures to prevent complications. 4. Raising awareness of self-management: day-to-day monitoring of blood pressure requires the patient ‘ s own involvement, which helps to increase the patient ‘ s awareness of self-management and fosters the development of good living habits, such as a reasonable diet, adequate exercise and abdomination of alcohol and alcohol, so as to better control blood pressure.
1. Select the appropriate sphygmomanometer – upper arm electrostatic sphygmomanometer: Household measurements give priority to the use of the upper arm electronic sphygmomanometers certified by international standards. Its accuracy and safety are high and its measurements are relatively stable. – Periodic calibration: Sphygmomanometers require regular calibration to ensure the accuracy of the measurements. It is recommended that calibration be undertaken at least once a year, in contact with the sphygmomanometer manufacturer or the specialized calibration agency. 2. Select the appropriate measurement time – a fixed time: to measure blood pressure as much as possible per day at the same time in order to better compare blood pressure changes. It is generally recommended to measure blood pressure within an hour of getting up in the morning and before sleeping at night. – Avoiding interference: do not engage in intense exercise, drink alcohol, drink coffee, smoke, etc. within 30 minutes of measuring blood pressure in order not to influence the results of the measurements. At the same time, it is important to remain calm and to avoid emotion. 3. Select the appropriate measurement position – sitting on a chair with a back, with two feet flat on the ground, arms on the table, and the position of the heart. Hands up, relax, don’t talk. – Hierarchy measurements: If a bed is chosen, lie flat on the bed, with both limbs flat on both sides of the body, with the palm of the hand up and no extra mating on the upper part, so that the upper limbs are naturally at the same level as the heart.
Frequency of monitoring 1. Patients with good blood pressure control: If blood pressure is in the target range and is less volatile, it can be measured on a weekly basis for 1-2 days each morning and every evening. 2. Patients with poor blood pressure control: If blood pressure is not optimal or is in the stage of medical adjustment, it is recommended to measure 2 – 3 times a day, including after getting up in the morning, before sleeping at night and in the afternoon or evening. 3. Special circumstances: Blood pressure should be measured in a timely manner if the patient suffers from disorders such as dizziness, headache, heart attack, or in cases of movement, emotional agitation, etc., in order to understand the changes in blood pressure.
Methods of monitoring 1. Properly wear cuffbands – Select the appropriate cuffband size: the cuff belt should be appropriate for the upper arm size of the patient and the cuff bag should cover at least 4/5 of the upper arm diameter. If the cuffband is too small, the results will be high; if the cuffband is too large, the results will be low. – Properly wear cufflinks: Tighten the cuffband to the skin, so that it can fit a finger. The cuffband is 2 – 3 cm above the elbow joint, and the airbag centre of the cufflink is located in the part of the cylindrical artery (located at the throttle above the elbow joint). 2. Care in the measurement process – Keep quiet: keep quiet when measuring blood pressure, do not speak or move the body in order not to affect the measurement results. – Multiple measurements: For each blood pressure measure, 2 – 3 continuous measurements shall be made, followed by an average of 2 blood pressure measurements as a result of this measurement. – Recording of measurements: After measuring blood pressure, timely recording of measurements, including measurements of time, blood pressure values, heart rate, etc. At the same time, measurements can be mapped to better observe blood pressure trends.
Data analysis and processing 1. Understanding normal blood pressure range: normal blood pressure range 90 – 139 mmHg, condensed pressure 60 – 89 mmHg. High blood pressure is measured three times on a non-same day, with a constriction pressure of 140 mmHg and/or a condensation pressure of 90 mmHg. 2. Observation of trends in blood pressure: By observing data recorded on blood pressure, it is possible to understand how the blood pressure changes over time. If significant fluctuations in blood pressure are observed, the reasons, such as whether they relate to eating, exercise, emotions etc., should be analysed in a timely manner. 3. Timely feedback to the doctor: If the patient finds that his/her blood pressure is not optimal, or if there is abnormal blood pressure fluctuations, the results of the measurements should be fed back to the doctor in a timely manner. The doctor can adjust the treatment to the patient ‘ s specific circumstances.
Monitoring attention for special population groups 1. Old-age hypertension patients: older-age patients experience high blood pressure fluctuations and are prone to low blood pressure. Therefore, in addition to monitoring sit-in blood pressure, care is taken to measure station-level blood pressure. When you get up, you change position, you move slowly to avoid sudden rise leading to a sudden drop in blood pressure. Diabetes: Diabetes can easily be combined with high blood pressure, and blood pressure is more strictly controlled. It is generally recommended that the blood pressure of diabetes patients be controlled below 130/80 mmHg. At the same time, patients with diabetes undergo periodic check-ups of kidney function, eye, etc. in order to detect complications in a timely manner. 3. Pregnant women: During pregnancy, they may experience high blood pressure during pregnancy, which threatens the health of the mother and the child. Pregnant women should regularly measure blood pressure and be careful to observe symptoms of oedema, headaches, etc. If blood pressure is found to be elevated, timely medical treatment should be provided.
Summary Daily monitoring of hypertension is an important component of management of hypertension, which, through the correct monitoring methods and frequency, provides a timely picture of changes in blood pressure and provides a basis for adjustment of treatment programmes. At the same time, patients develop good living habits and actively cooperate with doctors to achieve better blood pressure control and reduce the risk of complications. It was to be hoped that a large number of high blood pressure patients would focus on day-to-day monitoring, care for their blood pressure health and improve their quality of life.
High blood pressure.
