Thorpe Carolyn T, Oddone Eugene Z, Bosworth Hayden B
Health Innovation Program, Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI 53792-7685, USA.
J Clin Hypertens (Greenwich). 2008 Sep;10(9):692-9. doi: 10.1111/j.1751-7176.2008.00005.x.
Self blood pressure monitoring (SBPM) can facilitate hypertension management, but determinants of SBPM are understudied. The authors examined the relationship of patient and social environment characteristics to monitor possession and frequency of SBPM in 578 male hypertensive veterans. Measures included possession of a monitor; SBPM frequency; concurrent blood pressure control; and patient demographic, clinical, and psychosocial factors. In logistic regression analyses, older age, diabetes, unemployment, and better mental health status were related to greater likelihood of monitor possession. Ordinal logistic regression showed that among patients with a monitor, having diabetes, being unemployed, and having a shorter duration of hypertension were independently related to greater frequency of SBPM. Monitor possession, but not frequency of SBPM, was related to a decreased likelihood of blood pressure control in adjusted analyses. Our results suggest that patient characteristics may influence SBPM and may represent points of leverage for intervening to increase self-monitoring.
自我血压监测（SBPM）有助于高血压的管理，但对SBPM的决定因素研究不足。作者研究了578名男性高血压退伍军人的患者及社会环境特征与监测器拥有情况和SBPM频率之间的关系。测量指标包括是否拥有监测器、SBPM频率、同时期的血压控制情况，以及患者的人口统计学、临床和心理社会因素。在逻辑回归分析中，年龄较大、患有糖尿病、失业以及心理健康状况较好与拥有监测器的可能性较大相关。有序逻辑回归显示，在拥有监测器的患者中，患有糖尿病、失业以及高血压病程较短与SBPM频率较高独立相关。在调整分析中，拥有监测器与血压控制可能性降低有关，但SBPM频率与血压控制可能性无关。我们的结果表明，患者特征可能会影响SBPM，并且可能是进行干预以增加自我监测的着力点。
