Edmonds D, Foerster E, Groth H, Greminger P, Siegenthaler W, Vetter W
J Hypertens Suppl. 1985 Apr;3(1):S31-4.
Compliance with antihypertensive therapy was measured before and after distribution of non-automatic blood pressure devices. After 2 weeks of placebo treatment, 37 patients were treated with an antihypertensive combination drug containing triamterene. Adherence to therapy was assessed over 8 months by measuring urine fluorescence due to triamterene at intervals of 2-4 weeks, unknown to the patients. After 3 months of therapy, all patients, not just those with poor compliance, were given blood pressure devices and were carefully instructed in their use. The results showed that self-recording of blood pressure increased the compliance rate in the total group from 65% at the beginning of the study to 81% at the end. In those who initially showed poor compliance, there was an increase in compliance from 0 to 70% after self-measuring of blood pressure was introduced. We conclude that self-recording of blood pressure may be of value in patients with unsatisfactory blood pressure responses in whom poor compliance is suspected.
在分发非自动血压计前后测量了抗高血压治疗的依从性。在进行2周的安慰剂治疗后，37名患者接受了含有氨苯蝶啶的抗高血压联合药物治疗。在患者不知情的情况下，通过每2 - 4周测量一次因氨苯蝶啶导致的尿液荧光，对治疗依从性进行了8个月的评估。治疗3个月后，所有患者，而不仅仅是依从性差的患者，都被给予了血压计，并得到了关于如何使用的详细指导。结果显示，血压自我记录使总组的依从率从研究开始时的65%提高到了结束时的81%。在最初依从性较差的患者中，引入血压自我测量后，依从性从0提高到了70%。我们得出结论，对于血压反应不理想且怀疑依从性差的患者，血压自我记录可能具有价值。
