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

Pinar, Rukiye; Ataalkin, Siddika; Watson, Roger


Rukiye Pinar

Siddika Ataalkin


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.


Pinar, R., Ataalkin, S., & Watson, R. (2010). The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients. Journal of clinical nursing, 19(13-14), 1861-1864.

Journal Article Type Article
Acceptance Date Nov 11, 2009
Online Publication Date Jun 14, 2010
Publication Date 2010-07
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 19
Issue 13-14
Pages 1861-1864
Keywords Blood pressure; Clothes; Hypertension; Nurses; Nursing; Sphygmomanometry
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