Research Article
Knowledge and Practice of PHC Physicians toward the Detection and
Management of Hypertension and Other CVD Risk Factors in Egypt
Table 3
Results of 43 PHC physicians CVD observation checklist for outpatient department.
| | No. () | % | 95% CI |
| | General procedures | | | | | General physical examination done | 28 | 65.1 | (53.2 : 77.0) | | Blood pressure taken | 42 | 97.7 | (94.0 : 101.4) |
| | The patient: | | | | | Sitting Position | 24 | 55.8 | (43.4 : 68.2) | | Arm supported on desk, pillow, and so forth | 32 | 74.4 | (63.5 : 85.3) | | Midpoint of supper arm at level of the heart | 33 | 76.7 | (66.2 : 87.2) | | Tight sleeves and/or collars removed | 29 | 67.4 | (55.7 : 79.1) | | Sphygmomanometer cuff applied directly on the skin | 42 | 97.7 | (94.0 : 101.4) |
| | Equipment | | | | | What mercury sphygmomanometer | 34 | 79.1 | (69.0 : 89.2) | | Aneroid | 9 | 20.9 | (10.8 : 31.0) | | With deflated cuff the manometer read zero | 43 | 100 | — | | Rubber bladder inside cuff around 40% of the upper arm circumference | 42 | 97.7 | (94 : 101.4) | | Sphygmomanometer valve working properly (open and closing) | 43 | 100 | — |
| | Measurement procedure | | | | | Patient rested for at least 5 minutes | 34 | 79.1 | (69 : 89.2) | | BP procedure explained | 2 | 4.7 | (−0.6 : 10) | | Lower end of the cuff one inch above the antecubital fossa | 28 | 65.1 | (53.2 : 77.0) | | Index and middle fingers palpate the radial pulse | 29 | 67.4 | (56.0 : 79.1) | | Stethoscope applied over brachial artery, but not touching tubing or the cuff | 29 | 67.4 | (56.0 : 79.1) | | Blood pressure measurement in both arms | 7 | 16.3 | (7.1 : 25.5) | | More than one blood pressure measurement few minutes apart | 11 | 25.6 | (14.7 : 36.5) |
| | Overall correct practice (%) | 43 | 68.5 | (57.4 : 79.6) |
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*Percentages denote correct practices.
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