[Descriptive study of ambulatory blood pressure monitoring in the Primary Care Nursing clinic].
| Autor: | Garzón-Quiñones M; Diplomada en Enfermería, EIR Familiar y Comunitaria, Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España. Electronic address: marinagarzonq@gmail.com., Gallardo-Gonzalo C, Padín-Minaya C, López-Pisa RM, Rodríguez-Latre LM |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Enfermeria clinica [Enferm Clin] 2013 Sep-Oct; Vol. 23 (5), pp. 218-24. Date of Electronic Publication: 2013 Oct 02. |
| DOI: | 10.1016/j.enfcli.2013.08.001 |
| Abstrakt: | Objective: To analyze the clinical characteristics and the circadian patterns of patients who received ambulatory blood pressure monitoring (ABPM) by a Primary Care Team. Method: A descriptive, observational, cross-sectional study at community level. People older than 18 years on ABPM (2007-2011). Variables: demographic, cardiovascular disease, diabetes mellitus, cardiovascular risk factors, any type of arterial hypertension and circadian pattern. Intruments of measurement: 2 validated instruments with comparable results were used. Procedure: The instruments for ABPM were placed during the nursing visit. The instruments were then removed after 24h, and the data was retrieved and recorded in the computerized clinical history. Results: A total of 326 people were studied, with a mean age of 60.53±12.96 years, of whom 56.7% were male. According to ABPM the patient results showed that: 38.5% had «white coat» arterial hypertension, 36.2% were classified as poorly controlled arterial hypertension, 17.2% had masked hypertension, and 8% with isolated hypertension. Dipper circadian patterns were present in 39.6% of patients and non- dipper in 60.4%. Conclusions: ABPM allows to Primary Health Care professionals to check the actual situation of the blood pressure over 24h and analyze the circadian pattern. In clinical practice this involves having a comprehensive care strategy on life style, as well as adherence to treatment. (Copyright © 2013 Elsevier España, S.L. All rights reserved.) |
| Databáze: | MEDLINE |
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