Current practices and knowledge of home blood pressure monitoring among people with hypertension: Insights from a Multicentric study from North India.

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Indian heart journal Pub Date : 2024-11-01 Epub Date: 2024-11-22 DOI:10.1016/j.ihj.2024.11.249
Akash Batta, Anusha Singhania, Sarit Sharma, Singal Gautam, Ankur Singla, Harsimran Kalsi, Diksha Mahendru, Samneet Singh, Ishaan Goyal, Hiyanoor Ghosh, Aditya Uppal, Nishma Dhand, Namita Bansal, Anurag Chaudhary, Gurpreet Singh Wander, Sivasubramanian Ramakrishnan, Bishav Mohan
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引用次数: 0

Abstract

Objectives: Hypertension (HTN) management guidelines recommend home blood pressure monitoring (HBPM) as an important tool for BP control. Limited data exists on HBPM epidemiology among people with HTN and their caregivers in the Indian context.

Methods: The current study was conducted across three North Indian centres to evaluate the prevalence, training and technique of HBPM among people with HTN and their caregivers. People with diagnosed HTN (>3 months duration) and their caregivers, were screened and their HBPM use was evaluated. HBPM practices were assessed by observing participants measuring BP using a pre-validated, structured 16-point observational checklist. HBPM knowledge was assessed using a 19-point self-administered questionnaire based on the most recent AHA guidelines. Responses were graded and classified based on quartiles.

Results: A total of 2750 participants were screened, of which 2588 (2070 from urban and 518 from rural areas) were included. A total of 468 (18.1 %) were using HBPM. The proportion of respondents using HBPM was 20.5 % (424/2070) in urban, and 8.5 % (44/518) in rural areas. Only 24.7 % (n = 116) of the 468 participants (236 patients and 232 caregivers) using HBPM at home recalled ever receiving training from any healthcare workers. The majority (75.2 %, 352/468) of participants reported learning HBPM themselves through observation, videos, and reading. In HBPM practice assessment, 15.9 % of people with HTN (37/232) vs 5.9 % caregivers (14/236) scored excellent (score >75 %). In HPBM knowledge assessment, 0.4 % of people with HTN (1/232) vs no caregivers scored excellent. HPBM practices were better than knowledge, with mean scores of 62.3 ± 13.1 % and 40.1 ± 16.2 % respectively. Higher education level was associated with improved patient knowledge (p = 0.041), but not practices (p = 0.225).

Conclusions: There is need for more robust training on HBPM to enable people from all backgrounds to better manage their HTN, especially in rural areas. Education is not a barrier to learning good HBPM technique.

高血压患者家庭血压监测的当前做法和知识:印度北部一项多中心研究的启示。
目的:高血压(HTN)管理指南建议将家庭血压监测(HBPM)作为控制血压的重要工具。在印度,关于高血压患者及其护理人员的家庭血压监测流行病学数据有限:本研究在北印度的三个中心进行,目的是评估高血压患者及其护理人员中 HBPM 的流行率、培训和技术。对确诊为高血压患者(病程超过 3 个月)及其护理人员进行了筛查,并对他们使用 HBPM 的情况进行了评估。通过使用预先验证的结构化 16 点观察核对表观察参与者测量血压,评估 HBPM 的使用情况。根据最新的 AHA 指南,使用 19 分自填式问卷对 HBPM 知识进行评估。结果:结果:共筛选出 2750 名参与者,其中 2588 人(2070 人来自城市地区,518 人来自农村地区)被纳入其中。共有 468 人(18.1%)使用 HBPM。城市地区使用 HBPM 的受访者比例为 20.5%(424/2070),农村地区为 8.5%(44/518)。在 468 名在家使用 HBPM 的受访者(236 名患者和 232 名护理人员)中,只有 24.7%(n=116)回忆起曾接受过任何医护人员的培训。大多数参与者(75.2%,352/468)表示自己是通过观察、视频和阅读来学习 HBPM 的。在 HBPM 实践评估中,15.9% 的高血压患者(37/232)和 5.9% 的护理人员(14/236)获得了优秀(得分大于 75%)。在 HPBM 知识评估中,0.4% 的高血压患者(1/232)与没有护理人员得分优秀。HPBM实践优于知识,平均得分分别为62.3±13.1%和40.1±16.2%。较高的教育水平与患者知识水平的提高相关(p=0.041),但与实践水平的提高无关(p=0.225):结论:有必要加强 HBPM 培训,使各种背景的人都能更好地管理高血压,尤其是在农村地区。教育并不是学习良好 HBPM 技术的障碍。
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来源期刊
Indian heart journal
Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
6.70%
发文量
82
审稿时长
52 days
期刊介绍: Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.
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