Authors (including presenting author) :
Lau WH(1), Chung KW(1), Fung WM(1), Lee SF(1), Chiu SL(1), Leung YF(1), Tsang SW(1),Kan YS(1), Wong LF(1), Lam PH(1), Kwok FL(1), Chiu WHC(1), Hui MTE(1), Hui E(1)(2), Li KTP(1)(3)
Affiliation :
(1) Department of Family Medicine, NTEC, (2) Department of Medicine & Geriatrics of Shatin Hospital, NTEC (3) Department of Medicine & Therapeutics of the Prince of Wales Hospital, NTEC
Introduction :
Primary Health Care is the first place to contact patients with the health care system. If we offer a starting point for engaging patients in disease monitoring and management, it can increase treatment concordance and improve health outcomes. Blood pressure measurement machine is the effective and convenience tool to measure people’s blood pressure. Accurate blood pressure measurement is essential to hypertension diagnosis and management. But barriers exit in routine blood pressure measurement by staff in clinic that inaccurate to reflect the actual blood pressure of patients in view of blood pressure can differ with changes in emotion, environment and other factors. Home blood pressure can reflect the patients’ blood pressure in daily living and the changes of health situation. Regular monitoring of blood pressure can also lead to better blood pressure control by increasing awareness of hypertension and compliance with drugs treatment. Developing the self-measurement of blood pressure in clinics helps patients to actively involve their health monitoring and promote positive behaviors in disease management. On the same time patients are also encouraged to make use of the home blood pressure machine.
Objectives :
(1)To motivate patients’ engagement on disease management. (2)To strengthen patients active involvement in disease monitoring.(3)To raise patients’ health awareness.
Methodology :
The survey was carried out in four clinics in Shatin and Tai Po district respectively. The participants were invited to complete the questionnaire after using self-measurement of automated blood pressure machine. The randomized selection was conducted from 28 December 2018 to 3 January 2019. Residents of hostel or old age home were excluded in this survey. There were 10 questions were filled out by each participant including on operation of blood pressure machine, attitude, acceptance and home blood pressure monitoring. Statistical analysis was performed using the IBM SPSS statistics 25. Chi-Squares was calculated the relationship between the variables with using two-tailed t-test. Statistical significance was considered at the 5% level (P ≤ 0.05).
Result & Outcome :
The 211 participants completed the questionnaires with 74 male (35.1%) and 137 female (64.9%). The mean of age was 60.82 and the median was 61. There were 76.8% of participants had primary or secondary educational level respectively and 10.9% had tertiary level. 68.2% of them could operate the automated blood pressure machine independently by following instruction sheet in clinics and 25.6 % needed to have partial assistance by staff. The ability of operation of the blood pressure machine was correlation with education level (X2=17.339, p=0.008) but it was no relationship whether the participants performed home blood pressure monitoring or not (X2=0.859, p=0.651) Approximate 90% of participants were satisfactory with shortening the queuing time and unrestricted time for blood pressure measurement. 83.4% felt relax in process of measurement and it had better outcome with blood pressure (X2=15.57, p=0.004). Nearly 90% had positive attitude to acceptance the self-measurement of blood pressure in clinic. Although regular home blood pressure monitoring was quite popular among participants, it still had 20.9% without home monitoring. Of them there was approximate 50% expressed that home monitoring was unnecessary for them. The strategies should be explored to establish a structure program to enhancement of patients’ knowledge, motivation, involvement, communication and cooperation for engaging in disease management.
Co-location with:
