Use of Home Blood Pressure Monitoring and Exercise, Diet and Medication Compliance in Japan

Saito, Ikuo; Nomura, Motoko; Hara, Hiroshi; Kawabe, Hiroshi

doi:10.3109/10641961003667922

Cited by 15 publications

(10 citation statements)

References 9 publications

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“…A qualitative study done in Malaysia found that patients who self-monitored were eager to be more involved in discussions about their blood pressure control 21. Similar findings were also reported in a qualitative study looking at primary care patients’ experiences of home blood pressure measurement in the United Kingdom and Japan 22,23. Therefore, wherever feasible, patients should be taught to measure and monitor their own blood pressure and to assess their own adherence.…”

Section: Discussionmentioning

confidence: 56%

A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

Shima¹,

Hairi²,

Majid³

2014

PPA

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PurposeThe aim of this study was to explore patients’ experiences with their illnesses and the reasons which influenced them in not following hypertensive care recommendations (antihypertensive medication intake, physical activity, and diet changes) in primary health clinic settings.Patients and methodsA qualitative methodology was applied. The data were gathered from in-depth interviews with 25 hypertensive patients attending follow-up in nine government primary health clinics in two districts (Hulu Langat and Klang) in the state of Selangor, Malaysia. The transcribed data were analyzed using thematic analysis.ResultsThere was evidence of lack of patient self-empowerment and community support in Malaysian society. Most of the participants did not take their antihypertensive medication or change their physical activity and diet after diagnosis. There was an agreement between the patients and the health care professionals before starting the treatment recommendation, but there lacked further counseling and monitoring. Most of the reasons given for not taking antihypertensive medication, not doing physical activity and not following diet recommendations were due to side effects or fear of the side effects of antihypertensive medication, patients’ attitudes, lack of information from health care professionals and insufficient social support from their surrounding environment. We also observed the differences on these reasons for nonadherence among the three ethnic groups.ConclusionHealth care professionals should move toward supporting adherence in the management of hypertensive patients by maintaining a dialogue. Patients need to be given time to enable them to overcome their inhibition of asking questions and to accept the recommendations. A self-management approach must be responsive to the needs of individuals, ethnicities, and communities.

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Section: Discussionmentioning

confidence: 56%

A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

Shima¹,

Hairi²,

Majid³

2014

PPA

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“…In this study, interviewed patients reported an increased adherence to pharmacological and non-pharmacological method of hypertension management when they noted high blood pressure readings on their home blood pressure monitors. A recent study on the use of HBPM in Japan reported that patients who used HBPM regularly are more likely to have satisfactory compliance with exercise diet and medications [20]. …”

Section: Discussionmentioning

confidence: 99%

The influence of self-owned home blood pressure monitoring (HBPM) on primary care patients with hypertension: A qualitative study

Abdullah

Othman

2011

BMC Fam Pract

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BackgroundHome blood pressure monitoring (HBPM) is gaining popularity among hypertensive patients. This study aimed to explore the influence of self-initiated HBPM on primary care patients with hypertension.MethodsSix in-depth interviews and two focus group discussions were conducted, taking into consideration the experiences of 24 primary care patients with hypertension. These patients had been using HBPM as part of their hypertension management. The overriding influences were grouped under themes which emerged from analyzing the data using the grounded theory approach.ResultsThere are both positive and negative influences of self-initiated HBPM. Patients used the readings of their HBPM to decide on many aspects of their hypertension management. The HBPM readings both influenced their adherence to diet and exercise and provided certain reassurance when they experienced symptoms. In addition, the act of discussing their HBPM readings with their health care providers resulted in an enhanced doctor-patient therapeutic relationship. Nevertheless, HBPM created confusion at times in some patients, particularly with regard to the target blood pressure level and the need for medication. This led to some patients making their own medical decisions based on their own standards.ConclusionsHBPM is becoming an integral part of hypertension management. Primary care patients who self-initiated HBPM reported being more self-efficacious, but lack of participation and guidance from their doctors created confusion, and hindered the true benefit of HBPM.

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“…La búsqueda de la información le permite al paciente conocer y manejar su enfermedad y desempeñar un papel activo en su autocuidado, logrando la adherencia al tratamiento farmacológico y no farmacológico (21,22), de forma que el conocimiento del tratamiento farmacológico se constituye en una directriz que permite mejorar la calidad de vida, reducir complicaciones y la progresión de la enfermedad (23). Lograr que el paciente use adecuadamente la sal en su dieta es indicador de una apropiada información y comprensión, puesto que los estudios han mostrado que una de las mayores dificultades en el manejo de la hipertensión arterial es el uso adecuado de sal, debido a que una reducción de sodio puede disminuir 3,9 mm/Hg la presión sistólica y 1,9 mm/Hg la presión diastólica (13).…”

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Effect of an Educational Plan on the Self-care Management Capacity of Hypertensive Patients at a Second-tier Institution

et al. 2013

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Objetivo: el propósito de este estudio fue determinar el efecto de un plan educativo en la capacidad de agencia de autocuidado del pa- ciente hipertenso en una institución de segundo nivel. Materiales y métodos: se realizó un estudio de intervención pre y postest, con la participación de 83 pacientes con diagnóstico de hipertensión arterial, a quienes se les aplicó el instrumento “Evaluación de la capacidad de agencia de autocuidado en el paciente hipertenso” al inicio del estudio y tres meses posteriores a la implementación del plan educativo. Resultados: el plan educativo mejoró tanto la capacidad de agencia de autocuidado global como sus rangos, encontrando significancia estadística con un valor de probabilidad menor de 0,002 y de 0,0001 respectivamente. Conclusiones: las intervenciones educativas estructuradas a partir de la identificación de las necesidades individuales de información, en conjunto con el empoderamiento del individuo y el seguimiento por parte del profesional de enfermería, permiten alcanzar conductas permanentes de autocuidado que facilitan el autoconocimiento, la modificación del comportamiento así como la adquisición de conocimientos y habilidades.

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Use of Home Blood Pressure Monitoring and Exercise, Diet and Medication Compliance in Japan

Cited by 15 publications

References 9 publications

A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

The influence of self-owned home blood pressure monitoring (HBPM) on primary care patients with hypertension: A qualitative study

Effect of an Educational Plan on the Self-care Management Capacity of Hypertensive Patients at a Second-tier Institution

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