■在初级护理环境中探索患者八周内每日自我测量血压(BP)与同时自我报告的健康值之间的关联,生活方式,症状,和药物摄入量。我们还分别探讨了男性和女性的这些关联。
■该研究是对使用信息技术(PERHIT)的高血压管理中的以PERson为中心的随机对照试验的二次事后分析。该试验在瑞典南部四个地区的初级卫生保健中进行。
■在PERHIT试验中,干预组的参与者(n=454)连续八周使用基于网络的交互式系统进行高血压自我管理。每天晚上,参与者在系统中报告他们的健康状况,生活方式,症状,和药物依从性以及他们自我测量的血压和心率。
■自我报告的BP和10个自我报告的生活方式相关变量之间的关联。
■自我报告的较少的压力和较高的健康与BP相似,收缩压降低1.0mmHg,舒张压降低0.6/0.4mmHg(p<0.001)。坚持用药对血压水平的影响最大(5.2/2.6mmHg,p<0.001)。躁动和头痛也与血压显著相关,但程度较小。体力活动仅与男性的血压水平显着相关,但不是为了女人.
■在高血压管理中,确定高压力水平和低健康的患者可能很重要。药物摄入量与血压之间的关联是明显的,因此强调了高血压患者服药依从性的重要性。
每日家庭血压(BP)与生活方式和症状的自我报告之间的关联以前没有得到很好的探索。自我报告的幸福感更高,较低的躁动,压力较小,且较高的药物依从性与较低的当日BP水平显著相关.男性的体力活动与当天的血压显着相关,但不是为了女人.使用高血压管理系统可以是用于患者和医师之间的通信的有价值的工具。
UNASSIGNED: To explore in a primary care setting the associations between patients\' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately.
UNASSIGNED: The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT). The trial was conducted in primary health care in four regions in Southern Sweden.
UNASSIGNED: Participants (n = 454) in the intervention group in the PERHIT-trial used an interactive web-based system for self-management of hypertension for eight consecutive weeks. Each evening, participants reported in the system their wellbeing, lifestyle, symptoms, and medication adherence as well as their self-measured BP and heart rate.
UNASSIGNED: Association between self-reported BP and 10 self-report lifestyle-related variables.
UNASSIGNED: Self-reported less stress and higher wellbeing were similarly associated with BP, with 1.0 mmHg lower systolic BP and 0.6/0.4 mmHg lower diastolic BP (p < 0.001). Adherence to medication had the greatest impact on BP levels (5.2/2.6 mmHg, p < 0.001). Restlessness and headache were also significantly associated with BP, but to a lesser extent. Physical activity was only significantly associated with BP levels for men, but not for women.
UNASSIGNED: In hypertension management, it may be important to identify patients with high-stress levels and low wellbeing. The association between medication intake and BP was obvious, thus stressing the importance of medication adherence for patients with hypertension.
Associations between daily home blood pressure (BP) and self-
reports of lifestyle and symptoms have not been previously well explored.Self-reported higher wellbeing, lower restlessness, less stress, and higher medication adherence were significantly associated with lower same-day BP levels.Physical activity was significantly associated with same-day BP for men, but not for women.Using a hypertension management system may be a valuable tool for communication between the patient and physician.