Are Community Health Center Patients Interested in Self-Measured Blood Pressure Monitoring (SMBP) - And Can They Do It?

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Integrated Blood Pressure Control Pub Date : 2021-02-12 eCollection Date: 2021-01-01 DOI:10.2147/IBPC.S285007
Debosree Roy, Margaret Meador, Nana Sasu, Kate Whelihan, Joy H Lewis
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引用次数: 4

Abstract

Introduction: Self-measured blood pressure monitoring (SMBP) helps diagnose and manage hypertension from outside the clinic, which has implications for patient empowerment and outcomes, continuity of care, and resilience in care communities catering to vulnerable populations.

Methods: We instituted a protocol for SMBP among hypertensive patients at 9 community health centers in 3 states and administered questionnaires to patients before and after the protocol was instituted to assess knowledge and engagement with disease management, beliefs and attitudes towards, and experience doing SMBP. Questionnaires included 16 items designed to evaluate patient perceptions and beliefs about SMBP. These included a series of questions using a 5-point Likert scale, binary questions related to their perceived ability to comply with specific SMBP guidelines and open-ended questions to obtain descriptions of experiences with SMBP.

Results: The pre-questionnaire was completed by 478 patients and the post-questionnaire was completed by 372. Seventy-seven percent of respondents knew their ideal blood pressure and their engagement with blood pressure management increased significantly (p=0.0024) after completing the protocol. Additionally, 85% of respondents said that they had a positive experience doing SMBP. Open-ended responses revealed insight regarding why patients chose to do SMBP and factors patients appreciated about SMBP.

Discussion: When trained properly and supported, community health center patients are capable of and motivated to perform accurate SMBP. Our study provides evidence that health center patients can follow detailed SMBP protocols and monitor their own blood pressure from the safety of their homes, which is critical to their care continuum, particularly in days of a pandemic.

Abstract Image

Abstract Image

社区卫生中心的病人对自我测量血压监测(SMBP)感兴趣吗?他们能做到吗?
自我测量血压监测(SMBP)有助于在诊所外诊断和管理高血压,这对患者赋权和结果、护理的连续性以及面向弱势群体的护理社区的恢复力具有重要意义。方法:我们在3个州的9个社区卫生中心对高血压患者制定了SMBP方案,并在方案制定前后对患者进行问卷调查,以评估患者对疾病管理的知识和参与程度、对SMBP的信念和态度以及实施SMBP的经验。问卷包括16个项目,旨在评估患者对SMBP的看法和信念。这些问题包括一系列使用5点李克特量表的问题,与他们遵守特定SMBP指南的感知能力相关的二元问题,以及获得SMBP经验描述的开放式问题。结果:完成问卷前调查478例,完成问卷后调查372例。77%的受访者知道自己的理想血压,完成方案后,他们对血压管理的参与度显著增加(p=0.0024)。此外,85%的受访者表示他们在SMBP中获得了积极的体验。开放式回答揭示了患者选择SMBP的原因以及患者对SMBP的欣赏因素。讨论:在适当的培训和支持下,社区卫生中心的患者有能力和动力执行准确的SMBP。我们的研究提供了证据,表明卫生中心的患者可以遵循详细的SMBP协议,并在家中安全监测自己的血压,这对他们的护理连续性至关重要,特别是在大流行的日子里。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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