Acceptability and psychological impact of out-of-office monitoring to diagnose hypertension: an evaluation of survey data from primary care patients
| Autor: | Alison Ward, Alice Tompson, Richard J McManus, Matthew Thompson, Carl Heneghan, David Nunan, Rafael Perera |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure Wilcoxon signed-rank test Anxiety 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences 0302 clinical medicine Interquartile range Surveys and Questionnaires medicine Humans 030212 general & internal medicine Depression (differential diagnoses) Aged Aged 80 and over Primary Health Care Depression business.industry Research Blood Pressure Monitoring Ambulatory Middle Aged Patient Acceptance of Health Care Self Care Blood pressure Hypertension Ambulatory Physical therapy Female medicine.symptom Family Practice business |
| Zdroj: | Br J Gen Pract |
| Popis: | BackgroundOut-of-office blood pressure (BP) is recommended for diagnosing hypertension in primary care due to its increased accuracy compared to office BP. Moreover, being diagnosed as hypertensive has previously been linked to lower wellbeing. There is limited evidence regarding the acceptability of out-of-office BP and its impact on wellbeing.AimTo assess the acceptability and psychological impact of out-of-office monitoring in people with suspected hypertension.Design and settingA pre- and post-evaluation of participants with elevated (≥130 mmHg) systolic BP, assessing the psychological impact of 28 days of self-monitoring followed by ambulatory BP monitoring for 24 hours.MethodParticipants completed standardised psychological measures pre- and post-monitoring, and a validated acceptability scale post-monitoring. Descriptive data were compared using χ2 tests and binary logistic regression. Pre- and post-monitoring comparisons were made using the paired t–test and Wilcoxon signed rank test.ResultsOut-of-office BP monitoring had no impact on depression and anxiety status in 93% and 85% of participants, respectively. Self-monitoring was more acceptable than ambulatory monitoring (n = 183, median 2.4, interquartile range [IQR] 1.9–3.1 versus median 3.2, IQR 2.7–3.7, PConclusionOut-of-office monitoring for hypertension diagnosis does not appear to be harmful. However, health professionals should be aware that in some patients it induces feelings of anxiety, and self-monitoring may be preferable to ambulatory monitoring. |
| Databáze: | OpenAIRE |
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