Abstract: FR-PO1033
Awareness and Monitoring Behavior of Home Blood Pressure Among Patients with CKD in Guangzhou, China
Session Information
- Hypertension and CVD: Clinical Outcomes, Trials
November 08, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Hypertension and CVD
- 1402 Hypertension and CVD: Clinical, Outcomes, and Trials
Authors
- Zheng, Jing, School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
- Wang, Yamin, School of Nursing, Sun Yat-Sen University, Guangzhou, China
- Li, Hui-qun, Department of Nephrology,the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
- Chen, Yan-ru, Department of Nephrology,the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
- Zhao, Wenbo, Department of Nephrology,the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
Background
Home blood pressure monitoring (HBPM) has been proved superior to office measurements to predict cardiovascular outcomes and target organ damage in patients with chronic kidney disease(CKD). However, the awareness and monitoring behavior of home BP in CKD patients are still not explored in depth in China. The aim of this study was to investigate the awareness and monitoring behavior of home BP among patients with CKD and to compare the difference of control rate of BP between patients with and without HBPM.
Methods
This was a cross-sectional, descriptive study conducted in a hospital in Guangzhou, a city in southern China.The CKD patients complicated with hypertension (office systolic blood pressure(SBP)≥140mmHg and/or diastolic blood pressure(DBP)≥90mmHg) were recruited in 2019 by convenience sampling and were surveyed with the awareness and behavior model of HBPM questionnaire.
Results
A total of 114 patients with CKD stage 2-5, aged 52.8±14.2 years were enrolled. The mean values of office SBP and DBP were 145.8±20.2mmHg and 93.0±12.7mmHg respectively, while only 3.5%(4/114) patients correctly answered the upper limit of normal BP and 44.7% (51/114) of them reached the target of BP control (office BP＜140/90mmHg).Although the BP monitors were owned by 91.2% (104/114) patients, in which 96.2% (100/104) were electronic device and 94% (94/100) were upper-arm BP monitors,75% (78/104) of CKD patients didn't know that the monitor needed to be calibrated regularly.Regarding the monitoring frequency of home BP, 15.8% (18/114) didn't measure their BP at home,and 35.1% (40/114) measured only when they felt uncomfortable (e.g. headache, dizziness). 41.7% (40/96) never recorded the measurements, and 49% (47/96) never communicated the monitored data with their health professionals. The control rate of BP (office BP＜140/90mmHg) in patients undergoing HBPM was 46.9% , which was higher than the one in patients without HBPM(33.3%, p＜0.05).
Conclusion
CKD patients have poor BP control in Guangzhou, China.Although most of them have a HBPM device, the awareness of HBPM are still insufficient，and the utilizing rate of HBPM are undesirable. Given patients undergoing HBPM have a higher control rate of BP than those without HBPM, education and supervision should be strengthened to promote the application of HBPM on CKD patients.
Funding
- Government Support - Non-U.S.