Physician’s Awareness and Education for Patient on Life Style Modification and Home Blood Pressure Monitoring Recommended in Hypertension Guideline
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Background: It is important to understand physicians’ awareness and knowledge on hypertension guideline to comprehend physician oriented barrier against proper hypertension management. Current guidelines emphasize on the role of home blood pressure monitoring. The aim of this study is to investigate the level of awareness and knowledge of Korean physicians on home blood pressure monitoring recommended in current guideline. Methods: A questionnaire survey asking home blood pressure measurement, as well as prehypertension and life style modification, was conducted among 36 primary physicians and 25 residents of a tertiary medical center. Results: Except the limitation alcohol intake (80.3%), the physicians demonstrated above 90% of agreement with other contents of life style modification recommended by published guidelines (salt restriction, stop smoking, weight loss, and regular aerobic exercise). Majority (77.7%) of primary physicians recommend home blood pressure measurement to their patients. Significantly primary physicians were likely to recommend home blood pressure monitoring than residents (48% vs. 77.7%, p = 0.027). But both physicians and residents show poor compliance to home blood pressure monitoring guideline in the point of blood pressure measuring (12% vs. 19.4%, p >0.05). But most of participants are aware of adverse effect of prehypertension (88.5%) and the need of its treatment (96.7%). Conclusions: This result suggest screening alcohol use disorder and brief counseling by physicians should be encouraged as a part of hypertension management and promoting physicians to equip the correct knowledge of home blood pressure measuring recommended in guideline is warranted.
Abstract
Background: It is important to understand physicians’ awareness and knowledge on hypertension guideline to comprehend physician oriented barrier against proper hypertension management. Current guidelines emphasize on the role of home blood pressure monitoring. The aim of this study is to investigate the level of awareness and knowledge of Korean physicians on home blood pressure monitoring recommended in current guideline. Methods: A questionnaire survey asking home blood pressure measurement, as well as prehypertension and life style modification, was conducted among 36 primary physicians and 25 residents of a tertiary medical center. Results: Except the limitation alcohol intake (80.3%), the physicians demonstrated above 90% of agreement with other contents of life style modification recommended by published guidelines (salt restriction, stop smoking, weight loss, and regular aerobic exercise). Majority (77.7%) of primary physicians recommend home blood pressure measurement to their patients. Significantly primary physicians were likely to recommend home blood pressure monitoring than residents (48% vs. 77.7%, p = 0.027). But both physicians and residents show poor compliance to home blood pressure monitoring guideline in the point of blood pressure measuring (12% vs. 19.4%, p >0.05). But most of participants are aware of adverse effect of prehypertension (88.5%) and the need of its treatment (96.7%). Conclusions: This result suggest screening alcohol use disorder and brief counseling by physicians should be encouraged as a part of hypertension management and promoting physicians to equip the correct knowledge of home blood pressure measuring recommended in guideline is warranted.
참고문헌 (18)
- Collins R, "Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context", Lancet, 335, pp.827~838 (1990)
- Trilling JS, "The urgent need to improve hypertension care", Arch Fam Med, 9, pp.794~801 (2000)
- Mehta SS, "Treatment of hypertension in patients with comorbidities: results from the study of hypertensive prescribing practices (SHyPP)", Am J Hypertens, 12(4), pp.333~340 (1999)
- Berlowitz DR, "Inadequate management of blood pressure in a hypertensive population", N Engl J Med, 339, pp.1957~1963 (1998)
- Hobbs FD, "Acceptance of guideline recommendations and perceived implementation of coronary heart disease prevention among primary care physicians in five European countries : the Reassessing European Attitudes about Cardiovascular Treatment(REACT)survey", Fam Pract, 19, pp.596~604 (2002)
- Lee KN, "Gap between guideline and real primary practice: treatment in patients with hypertension", J Korean Soc Hypertens, 16, pp.43~50 (2010)
- Yutaka Imai, "Clinical Significance of Home Blood Pressure and Its Possible Practical Application", 대한고혈압학회지, 18(1), pp.1~16 (2012), 대한고혈압학회
- (2007)[URL]
- Yang JM, "Alcoholic Drinking", J Korean Med Assoc, 47, pp.214~215 (2004)
- (2005)[URL]
- (2008)[URL]
- Costanzo S, "Cardiovascular and overall mortality risk in relation to alcohol consumption in patients with cardiovascular disease", Circulation, 121, pp.1951~1959 (2010)
- Fleming MF, "Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices", JAMA, 277, pp.1039~1045 (1997)
- Rubio G, "Efficacy of physician-delivered brief counseling intervention for binge drinkers", Am J Med, 123, pp.72~78 (2010)
- Parati G, "European Society of Hypertension guidelines for blood pressure monitoring at home : a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring", J Hypertens, 26, pp.1505~1526 (2008)
- Fagard RH, "Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patients in general practice", J Hum Hypertens, 19, pp.801~807 (2005)
- Imai Y, "Usefulness of home blood pressure measurements in assessing the effect of treatment in a single-blind placebo-controlled open trial", J Hypertens, 19, pp.179~185 (2001)
- Imai Y, "Japanese society of hypertension(JSH)guidelines for self-monitoring of blood pressure at home", Hypertens Res, 26, pp.771~782 (2003)