Remote Home Blood Pressure Monitoring for Management of Hypertension

Autor: Oliphant, Kathleen M.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Druh dokumentu: Text
Popis: Remote home blood pressure (BP) monitoring has the potential to improve patient engagement and adherence with the prescribed treatment plan for managing hypertension. This DNP project examined the effects of daily remote BP measurement using transmission of biometric data through a Bluetooth-equipped device paired to participants’ smartphones. Twelve adults, with an age range of 37 to 69 years, completed four weeks of daily BP measurements and communicated via text, telephone call, or video visit with care team members to discuss the plan of care and address any concerns. A Wilcoxon signed-ranks test was performed to determine the magnitude of difference between the week 1 and week 4 systolic and diastolic BP measurements. The results revealed Week 4 systolic BPs (M = 127, SD = 12.48) were significantly lower than the Week 1 systolic BPs (M = 136, SD = 12.48), W = -2, p = .004 and the Week 4 diastolic BPs (M = 82, SD = 10.97) were significantly lower than the Week 1 diastolic BPs (M = 89, SD = 9.92), W = -4, p = .006. This average systolic decrease of 9 mmHg and average diastolic decrease of 7 mmHg indicated success in lowering BP within a four-week timeframe. The clinical management of a chronic condition such as hypertension is a long-term process, but the findings of this DNP project supported the empirical evidence showing that remote BP monitoring improves patient outcomes.
Databáze: Networked Digital Library of Theses & Dissertations