Current status of home blood pressure monitoring and its influencing factors in hospitalized hypertensive patients

Abstract:

Objective：To investigate the current status of home blood pressure monitoring（HBPM） and its influencing factors in hos－pitalized hypertensive patients. Methods：A face-to-face questionnaire survey was conducted in hypertensive patients who were hos－pitalized Department of Cardiology，The First Affiliated Hospital of Chongqing Medical University，in May 2018 and had a duration of disease longer than 1 year，and relevant data were collected for analysis. Logistic regression was used to analyze the influencing fac－tors for HBPM in hospitalized hypertensive patients. Results：Of the 105 patients included in the analysis，５２（49.5%） were males and ５３（50.5%） were females；the mean age was （71.3±9.8） years，and the duration of disease was between 1 and 40 years with the 1st quartile and the 3rd quartile to be 6.5 and 20 years，respectively. Eighty-three（79%） hospitalized hypertensive patients performed HBPM. A univariate analysis showed that the influencing factors for HBPM included educational level，level of hospital patients visited，smoking habit，knowledge of the concept of HBPM（ ?字2=18.335，7.385，3.834，and 65.561，respectively；P=0.000，0.025，0.050，and 0.000，respectively）. A multivariate logistic regression indicated that smoking habit and knowledge of the concept of HBPM may be the main influencing factors for HBPM in hospitalized hypertensive patients（OR=0.110 and 166.593，respectively；P=0.018 and 0.000，respectively）. Conclusion：Although there is a relatively high proportion of hospitalized hypertensive patients performing HBPM，it is necessary to promote the knowledge of HBPM in a convenient way（i.e.，internet media） and encourage hypertensive pa－tients to participate in HBPM-related training，which would strengthen patients’ understanding of HBPM and increase the proportion of patients performing HBPM in the population. Meanwhile，pa－tients should be urged to quit smoking，and their family should be provided with related health education.