Viera Anthony J, Cohen Lauren W, Mitchell Cheryl Madeline, Sloane Philip D
Department of Family Medicine, UNC Chapel Hill, Chapel Hill, North Carolina 27599-7595, USA.
Blood Press Monit. 2008 Jun;13(3):133-7. doi: 10.1097/MBP.0b013e32830263b7.
Little is known about how and why patients use home blood pressure monitoring (HBPM). We investigated from where patients obtain their monitor, their reasons for using HBPM, and their frequency of performing blood pressure (BP) measurements. We also examined whether those using HBPM provide written reports of measurements to their doctor and whether they have ever had their monitor checked.
We conducted a cross-sectional mail survey of adult patients with hypertension enrolled in a practice-based research network of 24 primary care practices throughout the state of North Carolina. We analyzed results using descriptive statistics.
We received 530 returned questionnaires (76% response rate). Of the 43% (n=226) who reported performing HBPM, 68% purchased their monitor from a pharmacy or department store; the remaining purchased their monitor elsewhere or received it as a gift. Approximately 19% [95% confidence interval (CI): 13.6-23.9] check their BP every day or almost every day; 26% (95% CI: 20.5-32.2) check their BP a few times per week; and 29% (95% CI: 3.0-35.0) check their BP a few times per month. For nearly one-third, their primary reason for using HBPM was because their doctor recommended it. Over one-half said they used HBPM because they were 'just interested in knowing' their BP. The majority (70%; 95% CI: 64.4-76.4) indicated that they did not provide a written report of BP readings to their doctor. Less than one-third (29%, 95% CI: 22.9-34.9) has had their monitor checked by a doctor or nurse.
Most patients with hypertension using HBPM do so because of a doctor's recommendation or a simple desire to know their BP. The majority of those performing home measurements do so at least a few times per month. Most do not provide their doctor with a written report of measurements, and most have not had their monitor checked.
关于患者如何以及为何使用家庭血压监测（HBPM），我们知之甚少。我们调查了患者从何处获得监测仪、他们使用HBPM的原因以及他们测量血压（BP）的频率。我们还研究了使用HBPM的患者是否会向医生提供测量书面报告，以及他们的监测仪是否曾被检查过。
我们对北卡罗来纳州24家基层医疗诊所组成的基于实践的研究网络中登记的成年高血压患者进行了横断面邮件调查。我们使用描述性统计分析结果。
我们收到了530份返回的问卷（回复率为76%）。在报告进行HBPM的43%（n = 226）患者中，68%从药店或百货商店购买了监测仪；其余患者在其他地方购买或作为礼物收到监测仪。约19%[95%置信区间（CI）：13.6 - 23.9]每天或几乎每天测量血压；26%（95% CI：20.5 - 32.2）每周测量几次血压；29%（95% CI：3.0 - 35.0）每月测量几次血压。近三分之一的患者使用HBPM的主要原因是医生推荐。超过一半的患者表示他们使用HBPM是因为“只是想知道”自己的血压。大多数（70%；95% CI：64.4 - 76.4）表示他们没有向医生提供血压读数的书面报告。不到三分之一（29%，95% CI：22.9 - 34.9）的患者让医生或护士检查过他们的监测仪。
大多数使用HBPM的高血压患者这样做是因为医生的推荐或仅仅是想知道自己的血压。大多数在家测量血压的患者每月至少测量几次。大多数患者没有向医生提供测量书面报告，并且大多数患者的监测仪没有被检查过。
