Physician's Awareness and Education for Patient on Life Style Modification and Home Blood Pressure Monitoring Recommended in Hypertension Guideline

Kim, Do Young; Kim, Sung Hoon; Kim, Hyun‐Joong; Jung, Sang Man; Ryu, Kyu-Hyung

doi:10.5646/jksh.2012.18.3.97

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Physicians from Korea have also demonstrated a relatively good awareness of HBPM (78% recommended HBPM to their patients), but comparatively poor compliance with HBPM guidelines (only 16% correctly reported all HBPM procedures) 11. Similar trends have been observed in the Netherlands, where both patients and physicians reported good acceptance of out-of-office BP monitoring, but lower rates of implementation in clinical practice 12…”

Section: Discussionmentioning

confidence: 75%

Ambulatory and home blood pressure monitoring: gaps between clinical guidelines and clinical practice in Singapore

Setia¹,

Subramaniam²,

Teo³

et al. 2017

IJGM

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PurposeOut-of-office blood pressure (BP) measurements (home blood pressure monitoring [HBPM] and ambulatory blood pressure monitoring [ABPM]) provide important additional information for effective hypertension detection and management decisions. Therefore, out-of-office BP measurement is now recommended by several international guidelines. This study evaluated the practice and uptake of HBPM and ABPM among physicians from Singapore.Materials and methodsA sample of physicians from Singapore was surveyed between 8 September and 5 October 2016. Those included were in public or private practice had been practicing for ≥3 years, directly cared for patients ≥70% of the time, and treated ≥30 patients for hypertension per month. The questionnaire covered six main categories: general BP management, BP variability (BPV) awareness/diagnosis, HBPM, ABPM, BPV management, and associated training needs.ResultsSixty physicians (30 general practitioners, 20 cardiologists, and 10 nephrologists) were included (77% male, 85% aged 31–60 years, and mean 22-year practice). Physicians recommended HBPM and ABPM to 81% and 27% of hypertensive patients, respectively. HBPM was most often used to monitor antihypertensive therapy (88% of physicians) and 97% thought that ABPM was useful for providing information on BPV. HBPM instructions often differed from current guideline recommendations in terms of frequency, number of measurements, and timing. The proportion of consultation time devoted to discussing HBPM and BPV was one-quarter or less for 73% of physicians, and only 55% said that they had the ability to provide education on HBPM and BPV. Patient inertia, poor patient compliance, lack of medical consultation time, and poor patient access to a BP machine were the most common challenges for implementing out-of-office BP monitoring.ConclusionAlthough physicians from Singapore do recommend out-of-office BP measurement to patients with hypertension, this survey identified several important gaps in knowledge and clinical practice.

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Section: Discussionmentioning

confidence: 75%

Ambulatory and home blood pressure monitoring: gaps between clinical guidelines and clinical practice in Singapore

Setia¹,

Subramaniam²,

Teo³

et al. 2017

IJGM

View full text Add to dashboard Cite

show abstract

Knowledge, perception and practice of health professionals regarding blood pressure measurement methods: a scoping review

Todkar

Padwal²,

Cloutier

2020

Journal of Hypertension

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Objective: Guideline-concordant performance of accurate blood pressure measurement (BPM), whether the modality is home (HBPM), ambulatory (ABPM), automated (AOBP) or office (OBPM), is dependent on proper technique. Knowledge, perception and practice of health professionals for BPM is crucial and has been partly studied, but a thorough review has never been reported. A scoping review of global studies was conducted to synthesize published data on this topic. Methods: An Arksey and O‘Malley methodological framework was used. Keywords were identified and extraction was completed to April 2019 using CINAHL and MEDLINE. Studies were classified as positive for knowledge, perception and practice if the majority (>50%) of reported responses were favourable, and negative otherwise. If specific results were not reported, the author's conclusions were used to classified. Results: Seventy-two studies were identified: 25 HBPM, 14 ABPM, two AOBP, 40 OBPM. For knowledge, the percentage of negative studies were higher for HBPM (40%) and OBPM (68%) and lower for ABPM (14%) regarding BPM techniques. For perception, the number of negative studies were lower for HBPM (20%) and ABPM (7%) regarding usefulness of BPM methods in hypertension management. For practice, the number of negative studies were higher for HBPM (48%), ABPM (71%), OBPM (73%) and AOBP (50%) regarding implementation of hypertension guidelines. Conclusion: The results of this scoping review demonstrate adequate perception of BPM but suboptimal knowledge and practice. Education is still needed to improve knowledge and practice. Future efforts should focus on improving what we know and what we do when measuring BP.

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Physician's Awareness and Education for Patient on Life Style Modification and Home Blood Pressure Monitoring Recommended in Hypertension Guideline

Cited by 2 publications

References 14 publications

Ambulatory and home blood pressure monitoring: gaps between clinical guidelines and clinical practice in Singapore

Ambulatory and home blood pressure monitoring: gaps between clinical guidelines and clinical practice in Singapore

Knowledge, perception and practice of health professionals regarding blood pressure measurement methods: a scoping review

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