Literature DB >> 33477378

Non-Targeted Self-Measurement of Blood Pressure: Association with Self-Medication, Unscheduled Emergency Visits and Anxiety.

Glessiane de Oliveira Almeida1, Felipe J Aidar2,3,4,5, Dihogo Gama de Matos2, Paulo Francisco de Almeida-Neto6, Enaldo Vieira de Melo7, José Augusto Soares Barreto Filho1,7,8,9, Marcos Antonio Almeida-Santos7,9, Victor Batista Oliveira1,7, Rebeca Rocha de Almeida1, Suelen Maiara Dos Santos1, Larissa Monteiro Costa Pereira1, Juliana Santos Barbosa1, Antônio Carlos Sobral Sousa1,7,8,9,10.   

Abstract

Background and Objective: The routine practice of self-medication of blood pressure (BP) not oriented with pulse devices may not be precisely useful in the control of BP and can lead the patient to self-medicate in error. Thus, we need to evaluate the non-oriented self-assessment of BP in real-life circumstances in hypertensive patients. The objective of this study was to evaluate in hypertensive patients the association of BP self-measurement with its control, as well as the presence of anxiety disorders, the occurrence of unscheduled visits to the emergency room, and self-medication. Materials and
Methods: An observational study was carried out with 1000 hypertensive volunteers (age: 61.0 ± 12.5). Using a questionnaire, sociodemographic and clinical data on BP control were collected. Anxiety was assessed by the State-Trait Anxiety Inventory (STAI).
Results: The group that performed non-oriented self-measurement of BP, showed that they had higher frequencies of self-medication (57.9%, p < 0.05) and more unscheduled visits to the emergency room (68%, p < 0.05). In addition, a lower level of BP control (46.8%, p < 0.05) was associated with higher levels of anxiety (52.3%, p < 0.05) in the group that performed non-oriented self-measurements of BP.
Conclusion: The practice of non-oriented self-assessment of BP was associated with negative factors such as high levels of anxiety and higher frequencies of self-medication and unscheduled emergency visits.

Entities:  

Keywords:  anxiety; self-measurement; self-medication; systemic arterial hypertension

Mesh:

Substances:

Year:  2021        PMID: 33477378      PMCID: PMC7830661          DOI: 10.3390/medicina57010075

Source DB:  PubMed          Journal:  Medicina (Kaunas)        ISSN: 1010-660X            Impact factor:   2.430


  28 in total

1.  Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary care.

Authors:  Paul Little; Jane Barnett; Lucy Barnsley; Jean Marjoram; Alex Fitzgerald-Barron; David Mant
Journal:  BMJ       Date:  2002-08-03

2.  Targets and self monitoring in hypertension: randomised controlled trial and cost effectiveness analysis.

Authors:  R J McManus; J Mant; A Roalfe; R A Oakes; S Bryan; H M Pattison; F D R Hobbs
Journal:  BMJ       Date:  2005-08-22

3.  Association of Age of Onset of Hypertension With Cardiovascular Diseases and Mortality.

Authors:  Chi Wang; Yu Yuan; Mengyi Zheng; An Pan; Miao Wang; Maoxiang Zhao; Yao Li; Siyu Yao; Shuohua Chen; Shouling Wu; Hao Xue
Journal:  J Am Coll Cardiol       Date:  2020-06-16       Impact factor: 24.094

Review 4.  Measuring the global burden of disease.

Authors:  Christopher J L Murray; Alan D Lopez
Journal:  N Engl J Med       Date:  2013-08-01       Impact factor: 91.245

Review 5.  Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010.

Authors:  Harvey A Whiteford; Louisa Degenhardt; Jürgen Rehm; Amanda J Baxter; Alize J Ferrari; Holly E Erskine; Fiona J Charlson; Rosana E Norman; Abraham D Flaxman; Nicole Johns; Roy Burstein; Christopher J L Murray; Theo Vos
Journal:  Lancet       Date:  2013-08-29       Impact factor: 79.321

6.  [Use of medical consultations and the occurrence of systemic arterial hypertension in urban and rural areas of Brazil, according to PNAD data 2008].

Authors:  Jessica Pronestino de Lima Moreira; José Rodrigo de Moraes; Ronir Raggio Luiz
Journal:  Cien Saude Colet       Date:  2011-09

7.  Ambulatory blood pressure monitoring in 9357 subjects from 11 populations highlights missed opportunities for cardiovascular prevention in women.

Authors:  José Boggia; Lutgarde Thijs; Tine W Hansen; Yan Li; Masahiro Kikuya; Kristina Björklund-Bodegård; Tom Richart; Takayoshi Ohkubo; Jørgen Jeppesen; Christian Torp-Pedersen; Eamon Dolan; Tatiana Kuznetsova; Agnieszka Olszanecka; Valérie Tikhonoff; Sofia Malyutina; Edoardo Casiglia; Yuri Nikitin; Lars Lind; Gladys Maestre; Edgardo Sandoya; Kalina Kawecka-Jaszcz; Yutaka Imai; Jiguang Wang; Hans Ibsen; Eoin O'Brien; Jan A Staessen
Journal:  Hypertension       Date:  2011-01-24       Impact factor: 10.190

8.  Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial.

Authors:  Karen L Margolis; Stephen E Asche; Anna R Bergdall; Steven P Dehmer; Sarah E Groen; Holly M Kadrmas; Tessa J Kerby; Krissa J Klotzle; Michael V Maciosek; Ryan D Michels; Patrick J O'Connor; Rachel A Pritchard; Jaime L Sekenski; JoAnn M Sperl-Hillen; Nicole K Trower
Journal:  JAMA       Date:  2013-07-03       Impact factor: 56.272

9.  Cost estimation of hypertension management based on home blood pressure monitoring alone or combined office and ambulatory blood pressure measurements.

Authors:  Nadia Boubouchairopoulou; Nikos Karpettas; Kostas Athanasakis; Anastasios Kollias; Athanase D Protogerou; Apostolos Achimastos; George S Stergiou
Journal:  J Am Soc Hypertens       Date:  2014-07-16

10.  7th Brazilian Guideline of Arterial Hypertension: Chapter 14 - Hypertensive Crisis

Authors:  M V B Malachias; E C D Barbosa; J F V Martim; G B A Rosito; J Y Toledo; O Passarelli
Journal:  Arq Bras Cardiol       Date:  2016-09       Impact factor: 2.000

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