Survey on home blood pressure measurement and blood pressure control rate among hypertensive patients in Beijing Yuetan community
10.3760/cma.j.issn.1671-7368.2020.01.005
- VernacularTitle: 北京市月坛社区高血压患者家庭血压测量及血压达标情况调查
- Author:
Lili BIAN
1
;
Yuming DONG
;
Hongying ZHAO
;
Beibei SONG
;
Qingyun XUE
;
Peipei WANG
;
Jing LI
;
Suqin ZHAO
Author Information
1. Yuetan Community Health Service Center, Fuxing Hospital, Capital Medical University, Beijing 100045, China
- Publication Type:Journal Article
- Keywords:
Hypertension;
Home blood pressure measurement;
Blood pressure control rate
- From:
Chinese Journal of General Practitioners
2020;19(1):27-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To survey on the home blood pressure measurement and blood pressure control rate among patients with hypertension in Beijing Yuetan community.
Methods:A questionnaire survey was conducted among 504 hypertensive patients, who were visiting Beijing Yuetan Community Health Service Center and selected by convenience-sampling method during June 2018 to January 2019. The status of home blood pressure measurement, the awareness of hypertension, the blood pressure control rate and factors related to not regularly measuring were surveyed.
Results:Of the 504 patients, 93.7% (472/504) took regular medication, but only 61.5% (310/504) had regular blood pressure measurements; 92.5% (466/504) had sphygmomanometers at home with electronic type mainly; 89.9% (453/504) patients knew the method of blood pressure measurement, but only 11.5% (52/453) had their sphygmomanometer calibrated. Among those who measured blood pressure, 77.4% (240/310) measured per week. The main reason for not measuring blood pressure regularly was that there was no need to measure blood pressure without any discomfort, accounting for 50.0% (97/194). The office blood pressure control rate (with desktop mercury sphygmomanometer) was 62.3% (314/504); the blood pressure control rate both in the morning and at bed time was 61.3% (73/119), that in the morning was 68.1% (81/119) and at bed time was 75.6% (90/119). The control rates of systolic blood pressure and heart rate by home measurement at morning and bedtime were significantly higher than those by office measurement (χ2=5.02, 9.97, 15.51, 13.72; all P<0.05).
Conclusions:The home blood pressure monitoring rate and knowledge level of hypertension among patients with hypertension in Yuetan community are relatively low. There are some differences in blood pressure control rate between office measurement and home measurement. Comprehensive evaluation is needed in the management process, and the treatment plan should be adjusted according to the specific condition of patients.
