Prevalence and Predictors of Use of Home Sphygmomanometers Among Hypertensive Patients

Abstract

ObjectiveFew studies have looked at the predictors of use of home sphygmomanometers among hypertensive patients in low-income countries such as Pakistan. Considering the importance of home blood pressure monitoring (HBPM), cross-sectional study was conducted to evaluate the prevalence and predictors of the usage of all kinds of HBPM devices.MethodThis study was conducted in Karachi during the time period of January-February 2017. Adult patients previously diagnosed with hypertension visiting tertiary care hospitals were selected for the study. Interviews from the individuals were conducted after verbal consent using a pre-coded questionnaire. The data was analyzed using Statistical Package for the Social Sciences v. 23.0 (SPSS, IBM Corporation, NY, USA). Chi-squared test was applied as the primary statistical test.ResultsMore than half of the participants used a home sphygmomanometer (n=250, 61.7%). The age, level of education, family history of hypertension, compliance to drugs and blood pressure (BP) monitoring, few times a month at clinics were significant determinants of HBPM (P values < 0.001). It was found that more individuals owned a digital sphygmomanometer (n=128, 51.3%) as compared to a manual type (n=122, 48.8%). Moreover, avoiding BP measurement in a noisy environment was the most common precaution taken (n=117, 46.8%).ConclusionThe study showed that around 40% of the hypertensive individuals did not own a sphygmomanometer and less than 25% performed HBPM regularly. General awareness by healthcare professionals can be a possible factor which can increase HBPM.

<p>Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study</p>

“…This finding was lower than results reported from a study carried out in Karachi (southern Asia), northeastern Singapore (Asia), northern Carolina, and China where the prevalence of self-Monitoring of BP among hypertensive patients was 25%, 24%, 43.1%, and 24.5% respectively. 35,40,41,44 This variation might be due to the differences in a study setting where a study was conducted at a tertiary hospital for the study in Karachi, and differences in the sample size (700) for the study carried out in northern Carolina.…”

“…This finding is supported by the study conducted in Karachi and Italy. 44,48 This could be due to the fact that higher education provides better information about self-monitoring of BP and hypertension-related complications. The education helps to make the patient conscious of their health status and also creates the opportunity of being aware of the disease condition and its weightiness.…”

“…A semi-structured interviewer-administered questionnaire and a retrospective patients' medical records review was used to collect data. The questionnaire was prepared after reviewing relevant literature, [34][35][36][40][41][42][43][44] with modification fit to the local context. The questionnaire was prepared in English and translated to Afan Oromo and finally translated back to English to maintain consistency.…”

Rural–urban difference in blood pressure measurement frequency among elderly with hypertension: a cross-sectional study in Shandong, China

“…In addition, health care professionals’ guidance may contribute to more frequent engagement in BP measurement. Studies have indicated the importance of professionals’ guidance on BP measurement [ 26 , 28 ]. Elderly hypertensive patients who had accepted health care professionals’ guidance usually are told to engage in regularly BP measurement.…”

Comportamento da pressão arterial sistêmica em pacientes submetidos a procedimentos cirúrgicos odontológicos

“…5,6 Para obter um controle da hipertensão arterial sistêmica (HAS), que acomete grande parte da população, é realizada a mensuração das pressões; esse passo é indispensável para o melhor diagnóstico, sendo de maior utilização entre os profissionais o esfigmomanômetro manual. 7 A avaliação da alteração na PA precisa ser feita em aparelhos manuais, visto que estudos comprovam que a aferição automatizada não chega ao nível de precisão de um aparelho manual, tornando o modo manual um padrão de referência para precisão. 8 O presente estudo tem por objetivo descrever, por meio de uma revisão de literatura, a ocorrência de alterações significativas na PA sistêmica de pacientes submetidos a procedimentos cirúrgicos odontológicos.…”