Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia.
Facultad de Ciencias de La Salud, Universidad Autónoma de Bucaramanga, Avenida 42 #48 - 11, Bucaramanga, Santander, Colombia.
BMC Prim Care. 2023 Sep 14;24(1):185. doi: 10.1186/s12875-023-02111-8.
Routine blood pressure (BP) self-monitoring is recommended for patients already diagnosed with hypertension. How often these patients can report their BP levels is unknown, particularly in low-and-middle income countries.
We surveyed (January 2021 to May 2022) representative samples of patients with established diagnosis of hypertension from 3 health care networks (involving 74 outpatient clinics) and 2 university hospitals in Bogotá, Colombia. Trained health care professionals conducted a telephone survey including questions on demographics, medical history, and general understanding about hypertension and its potential complications. The outcome variables were the self-report of participant's BP levels (primary) and monitoring practices among participants.
Out of 2609 consecutively contacted patients sampled from institutional records, 2323 were invited and 1566 (mean age 66.5, SD = 12.1 years, 74.4% females, 64.0% living low socio-economic strata) gave consent to participate. While 66% of participants had over 5 years of diagnosis, 39.5% had most (≥ 60%) of their follow-up visits with the same doctor. Overall, 645 (41.5%, 95%CI 39.1 -43.9) participants reported their BP levels. This proportion was independent of time from diagnosis, but higher among those of younger age, living in higher socio-economic strata, having more years of education and using more information technologies. Also, more patients reported their BP levels if seen ≥ 60% of the times by the same physician (43.4% Vs. 36.7%). Those reporting closer BP self-monitoring more often used electronic devices, received 2 + medications, and had better knowledge about hypertension.
A minority of hypertensive patients seen in Bogotá were aware of their own BP levels. Those in such capacity were in a better social position, more often seen by the same doctor, knew their condition better and handled more complex treatments. Hypertensive patients from Bogotá may benefit from a more continuous medical care, patient education programs and promoting BP home monitoring.
对于已经被诊断为高血压的患者，建议常规进行血压（BP）自我监测。这些患者报告血压水平的频率尚不清楚，尤其是在中低收入国家。
我们对哥伦比亚波哥大的 3 个医疗网络（涉及 74 个门诊）和 2 家大学医院的已确诊高血压患者进行了代表性抽样调查（2021 年 1 月至 2022 年 5 月）。经过培训的医疗保健专业人员通过电话调查，包括参与者的人口统计学、病史以及对高血压及其潜在并发症的一般了解。主要结局变量为参与者自我报告的 BP 水平（初级结局）和参与者的监测实践。
从机构记录中连续联系了 2609 名患者，邀请了 2323 名患者，其中 1566 名（平均年龄 66.5 岁，标准差 12.1 岁，74.4%为女性，64.0%生活在低社会经济阶层）同意参与。尽管 66%的参与者的诊断时间超过 5 年，但 39.5%的参与者大部分（≥60%）随访都是由同一位医生进行的。总体而言，645 名（41.5%，95%CI 39.1 -43.9）参与者报告了他们的 BP 水平。这一比例与诊断时间无关，但在年龄较小、生活在较高社会经济阶层、受教育程度较高和使用更多信息技术的患者中更高。此外，如果患者被同一位医生看到的次数≥60%（43.4% vs. 36.7%），则报告其 BP 水平的患者比例更高。那些报告 BP 自我监测更密切的患者更常使用电子设备，接受 2 种或更多药物治疗，对高血压有更好的了解。
在波哥大就诊的高血压患者中，只有少数人了解自己的 BP 水平。那些了解自己病情的患者社会地位更高，经常由同一位医生就诊，对自己的病情了解得更好，并且处理更复杂的治疗。波哥大的高血压患者可能受益于更持续的医疗护理、患者教育计划和促进 BP 家庭监测。
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