Reporting of blood pressure levels and self-monitoring practices: a survey among outpatients diagnosed with hypertension in Bogotá, Colombia.

Autor: Villar JC; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia. jvillarc@lacardio.org., Vásquez SM; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia.; Facultad de Ciencias de La Salud, Universidad Autónoma de Bucaramanga, Avenida 42 #48 - 11, Bucaramanga, Santander, Colombia., Balcázar AM; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia., López LAT; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia., Barrera EC; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia., Moreno AM; Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Calle 163 A # 13B - 60 Torre H, Piso 3, Bogotá, Colombia.
Jazyk: angličtina
Zdroj: BMC primary care [BMC Prim Care] 2023 Sep 14; Vol. 24 (1), pp. 185. Date of Electronic Publication: 2023 Sep 14.
DOI: 10.1186/s12875-023-02111-8
Abstrakt: Background: Routine blood pressure (BP) self-monitoring is recommended for patients already diagnosed with hypertension. How often these patients can report their BP levels is unknown, particularly in low-and-middle income countries.
Methods: We surveyed (January 2021 to May 2022) representative samples of patients with established diagnosis of hypertension from 3 health care networks (involving 74 outpatient clinics) and 2 university hospitals in Bogotá, Colombia. Trained health care professionals conducted a telephone survey including questions on demographics, medical history, and general understanding about hypertension and its potential complications. The outcome variables were the self-report of participant's BP levels (primary) and monitoring practices among participants.
Results: Out of 2609 consecutively contacted patients sampled from institutional records, 2323 were invited and 1566 (mean age 66.5, SD = 12.1 years, 74.4% females, 64.0% living low socio-economic strata) gave consent to participate. While 66% of participants had over 5 years of diagnosis, 39.5% had most (≥ 60%) of their follow-up visits with the same doctor. Overall, 645 (41.5%, 95%CI 39.1 -43.9) participants reported their BP levels. This proportion was independent of time from diagnosis, but higher among those of younger age, living in higher socio-economic strata, having more years of education and using more information technologies. Also, more patients reported their BP levels if seen ≥ 60% of the times by the same physician (43.4% Vs. 36.7%). Those reporting closer BP self-monitoring more often used electronic devices, received 2 + medications, and had better knowledge about hypertension.
Conclusion: A minority of hypertensive patients seen in Bogotá were aware of their own BP levels. Those in such capacity were in a better social position, more often seen by the same doctor, knew their condition better and handled more complex treatments. Hypertensive patients from Bogotá may benefit from a more continuous medical care, patient education programs and promoting BP home monitoring.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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