农村医疗系统中患者自我测量血压的做法、看法和障碍。

IF 3.2 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Sunny Parmar, Yvonne Commodore-Mensah, Gurmukteshwar Singh, Kathryn Foti, Cheryl Himmelfarb, Alexander Richard Chang, Ion Dan Bucaloiu
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引用次数: 0

摘要

背景:自我测量血压(SMBP)已被现行的高血压(HTN)诊断和管理指南所认可。我们对一个农村医疗系统中的个人进行了调查,了解他们与 SMBP 相关的做法和态度,从而为今后的实践提供指导:通过在线患者门户网站向该系统中血压>140/90 mmHg 或接受心血管治疗的 56275 名患者随机抽样发送了调查问题。问题涉及家用血压计的所有权、使用情况、购买意愿、与医疗服务提供者共享数据的意愿、对患者教育的看法以及以患者为中心的医疗服务。多变量逻辑回归用于研究与 SMBP 行为相关的患者特征:总回复率为 12%,8.4% 的受访者完成了所有问题。大多数受访者(60.9%)拥有血压计,51.5%的受访者表示前一个月在家检查过血压。在拥有血压计的受访者中,45.1% 的人表示收到过关于血压计使用技巧、使用频率和读数解释的指导。只有 29.2% 的人表示在过去六个月中与医疗服务提供者分享过读数,而 57.9% 的人表示愿意定期分享。年龄越大、性别为女性、收入越高,拥有设备的可能性就越大。年龄较小、收入较低和医疗补助保险与更愿意定期与医疗服务提供者分享 SMBP 结果有关:虽然相当一部分受访者定期进行 SMBP,但许多人表示没有接受过足够的 SMBP 教育,而且很少有人与医疗服务提供者分享他们的家庭血压读数。以患者为中心的干预措施和基于远程医疗的护理是我们调查中发现的可以加强未来高血压护理的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Practices, Perceptions, and Barriers to Self-measurement of Blood Pressure in a Rural Health System.

Background: Self-measurement of blood pressure (SMBP) is endorsed by current guidelines for diagnosing and managing hypertension (HTN). We surveyed individuals in a rural healthcare system on practices and attitudes related to SMBP that could guide future practice.

Methods: Survey questions were sent via an online patient portal to a random sample of 56,275 patients with either BP > 140/90 mm Hg or cardiovascular care in the system. Questions addressed home blood pressure (BP) monitor ownership, use, willingness to purchase, desire to share data with providers, perceptions of patient education, and patient-centeredness of care. Multivariable logistic regression was used to examine patient characteristics associated with SMBP behaviors.

Results: The overall response rate was 12%, and 8.4% completed all questions. Most respondents, 60.9%, owned a BP monitor, while 51.5% reported checking their BP at home the month prior. Among device owners, 45.1% reported receiving instructions on SMBP technique, frequency, and reading interpretation. Only 29.2% reported sharing readings with providers in the last 6 months, whereas 57.9% said they would be willing to do so regularly. Older age, female sex, and higher income were associated with a higher likelihood of device ownership. Younger age, lower income, and Medicaid insurance were associated with a greater willingness to share SMBP results with providers regularly.

Conclusions: While a significant proportion of respondents performed SMBP regularly, many reported insufficient education on SMBP, and few shared their home BP readings with providers. Patient-centered interventions and telemedicine-based care are opportunities that emerged in our survey that could enhance future HTN care.

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来源期刊
American Journal of Hypertension
American Journal of Hypertension 医学-外周血管病
CiteScore
6.90
自引率
6.20%
发文量
144
审稿时长
3-8 weeks
期刊介绍: The American Journal of Hypertension is a monthly, peer-reviewed journal that provides a forum for scientific inquiry of the highest standards in the field of hypertension and related cardiovascular disease. The journal publishes high-quality original research and review articles on basic sciences, molecular biology, clinical and experimental hypertension, cardiology, epidemiology, pediatric hypertension, endocrinology, neurophysiology, and nephrology.
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