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Patient experience of home and waiting room blood pressure measurement: a qualitative study of patients with recently diagnosed hypertension.
Tompson, Alice C; Schwartz, Claire L; Fleming, Susannah; Ward, Alison M; Greenfield, Sheila M; Grant, Sabrina; Hobbs, Fd Richard; Heneghan, Carl J; McManus, Richard J.
  • Tompson AC; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • Schwartz CL; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • Fleming S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • Ward AM; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • Greenfield SM; Institute of Applied Health Service Research, University of Birmingham, Birmingham.
  • Grant S; Translational Health Sciences, Bristol Medical School, University of Bristol, Southmead Hospital, Bristol.
  • Hobbs FR; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • Heneghan CJ; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
  • McManus RJ; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Br J Gen Pract ; 68(677): e835-e843, 2018 Dec.
Article en En | MEDLINE | ID: mdl-30348884
BACKGROUND: Out-of-office blood pressure (BP) measurement is advocated to confirm hypertension diagnosis. However, little is known about how primary care patients view and use such measurement. AIM: To investigate patient experience of out-of-office BP monitoring, particularly home and practice waiting room BP measurement, before, during, and after diagnosis. DESIGN AND SETTING: A cross-sectional, qualitative study with patients from two UK GP surgeries participating in a feasibility study of waiting room BP measurement. METHOD: Interviewees were identified from recent additions to the practice hypertension register. Interviews were recorded, transcribed, and coded thematically. RESULTS: Of 29 interviewees, 9 (31%) and 22 (76%) had used the waiting room monitor and/or monitored at home respectively. Out-of-office monitoring was used by patients as evidence of control or the lack of need for medication, with the printed results slips from the waiting room monitor perceived to improve 'trustworthiness'. The waiting room monitor enabled those experiencing uncertainty about their equipment or technique to double-check readings. Monitoring at home allowed a more intensive and/or flexible schedule to investigate BP fluctuations and the impact of medication and lifestyle changes. A minority used self-monitoring to inform drug holidays. Reduced intensity of monitoring was reported with both modalities following diagnosis as initial anxiety or patient and GP interest decreased. CONCLUSION: Home and practice waiting room measurements have overlapping but differing roles for patients. Waiting room BP monitors may be a useful out-of-office measurement modality for patients unwilling and/or unable to measure and record their BP at home.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Visita a Consultorio Médico / Atención Primaria de Salud / Autocuidado / Presión Sanguínea / Determinación de la Presión Sanguínea / Prioridad del Paciente / Hipertensión Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Año: 2018 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Visita a Consultorio Médico / Atención Primaria de Salud / Autocuidado / Presión Sanguínea / Determinación de la Presión Sanguínea / Prioridad del Paciente / Hipertensión Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Año: 2018 Tipo del documento: Article