Steinmann William C, Chitima-Matsiga Rebecca, Bagree Sarika
Department of Internal Medicine, University of Missouri - Columbia School of Medicine, USA.
Mo Med. 2011 Nov-Dec;108(6):443-7.
Practice guidelines recommend home blood pressure monitoring (HBPM) in the management of hypertension. We surveyed generalists and subspecialists regarding HBPM attitudes and practices in hypertensive patients. Both use HBPM for diagnostic and therapeutic purposes but question the evidence regarding HBPM efficacy. Standardized implementation and monitoring methods to improve HBPM practices are absent. Both generalists and specialists have concerns about HBPM instrument capabilities and perceive patient physical limitations and negative attitudes as additional barriers to effective blood pressure monitoring outside the office.
实践指南推荐在高血压管理中进行家庭血压监测（HBPM）。我们就高血压患者的家庭血压监测态度和实践对全科医生和专科医生进行了调查。二者都将家庭血压监测用于诊断和治疗目的，但对家庭血压监测疗效的证据表示质疑。目前缺乏用于改善家庭血压监测实践的标准化实施和监测方法。全科医生和专科医生都对家庭血压监测仪器的性能表示担忧，并认为患者的身体限制和消极态度是诊室以外有效血压监测的额外障碍。
