[Determining diagnosis and therapy control of hypertension by time-limited loan of blood pressure monitors to patients. A report of experiences with acceptance and practical applications of the procedure in general practice].
Data from an investigation on acceptance and practicability of a temporary self assessment of blood pressure values including 181 patients of a rural practise are presented. Cooperation of the total collective was surprisingly good although particularly those patients with most risk factors revealed deficits in fulfilling the preconceived goals. Compared to 24 hour blood pressure monitoring total drop out rate in the self assessment group was lower (6.6%) although the requirement for involvement and cooperation was increased in this group. On an average about 39 blood pressure measurements have been performed by each patient. In the protocol six measurements per day over a period of 8 days were scheduled, amounting to a total number of single data recorded by experience of other authors to be sufficient for a valid assessment of the real blood pressure situation of each patient. In view of this proof of a satisfying cooperation and the relatively low costs of this method we believe that, according to our personal experience, this method (temporary blood pressure monitoring with rented blood pressure apparatus) may be recommended to every family doctor interested in adequate blood pressure diagnosis. As the investigation demonstrated the efforts caused by this method are low and do not interfere with usual activities in the office of a family doctor. On the other hand the pedagogic effect on the patient may not be underestimated.
Meyer
F
F
Facharzt für Allgemeinmedizin-Sportmedizin, Facharzt für Hals-Nasen-Ohren-Heilkunde, Oettingen.
D000293:Adolescent; D000328:Adult; D000368:Aged; D015924:Blood Pressure Monitors / Q000191:economics; D003362:Cost-Benefit Analysis; D003625:Data Collection / Q000191:economics; D003937:Diagnosis, Differential; D005194:Family Practice / Q000191:economics; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000191:economics; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012815:Signal Processing, Computer-Assisted; D013557:Switzerland
Diagnosefindung und Therapiekontrolle der Hypertonie durch den zeitlich begrenzten Verleih von Blutdruckmessgeräten an Patienten. Ein Erfahrungsbericht zur Akzeptanz und Praktikabilität des Verfahrens aus der Allgemeinpraxis.