Effect of self-test blood pressure in community management of elderly hypertensive patients

RONG Li; LUO Li-ming

doi:10.3969/j.1674-4055.2015.04.16

Abstract：Objective To analyze the effect of self-test blood pressure in community management of elderly hypertensive patients. Methods The elderly hypertensive patients (n=256, male 143, female 113, aged from 65 to 83 and average age=72.23±10.34) were chosen from May 2010 to Sept. 2012, and randomly divided into control group and observation group (each n=128). The control group was given routine hypertension standardized management and observation group was given self-test blood pressure intervention besides of the same intervention as that in control group. The changes of blood pressure, compliance behaviors, drug administration and adverse reactions were compared between 2 groups after 1 y. Results In observation group, systolic blood pressure decreased [(145.35±9.54) mmHg vs. (133.85±7.52) mmHg] and diastolic blood pressure decreased [(85.62±5.73) mmHg vs. (81.28±6.41) mmHg] compared with control group after intervention (all P<0.05). In observation group, the compliance rate of drug taking, awareness rate of hypertension and blood pressure control rate all increased compared with control group (all P<0.05) after intervention. The percentage of patients maintained initial dose was significantly higher, and percentage of patients with increased dose and dropout rate were significantly lower in observation group than those in control group (all P<0.05) after intervention. The incidence of adverse reactions was significantly lower in observation group than that in control group (7.81%vs. 17.18%, P=0.023). Conclusion The intervention mode of self-test blood pressure can significantly control the level of blood pressure and reduce incidence of adverse reactions in elderly hypertensive patients, which is worth to be popularized in community hospitals.