Effect of different blood pressure management modes on blood pressure management in patients with essential hypertension

Abstract

Objective To investigate the effect of blood pressure telemonitoring management mode, blood pressure self-monitoring management mode, and outpatient blood pressure management mode on the level of blood pressure and the rate of reaching the standard for blood pressure in patients with essential hypertension. Methods A total of 441 patients with essential hypertension were recruited and randomly divided into telemonitoring group with 156 patients, non-telemonitoring group with 144 patients, and conventional group with 141 patients. The patients in the telemonitoring group and the non-telemonitoring group were provided with the same model of intelligent electronic blood pressure monitor, and they were managed in accordance with the telemonitoring management mode and the self-monitoring management mode, respectively. The patients in the conventional group received blood pressure management according to the outpatient blood pressure management mode and were asked to go to the community clinic regularly to have their blood pressure measured by a physician. Related data were recorded before management and after 6 months of management, including office blood pressure, the rate of reaching the standard for blood pressure, medication, body mass index, waist circumference, and lifestyle. Results After 6 months of management, all three groups had significant reductions in systolic blood pressure and diastolic blood pressure (t=5.611-14.434,P<0.05). The telemonitoring group had significantly greater changes in systolic blood pressure and diastolic blood pressure after management compared with the conventional group and the non-telemonitoring group (F=-2.984--14.803,P<0.05). After 6 months of management, compared with the conventional group and the non-telemonitoring group, the telemonitoring group had a significantly higher rate of reaching the standard for blood pressure (χ2=12.688, 14.066,P<0.05), a significantly higher number of antihypertensive drugs (F=38.571,t=5.859, 8.325,P<0.05), and a significantly higher proportion of patients receiving combined medication (χ2=31.058, 56.524,P<0.05), and there were no significant differences in the above indicators between the conventional group and the non-telemonitoring group (P>0.05). There was no significant difference in the improvement of life style between the three groups before ma-nagement and after 6 months of management (P>0.05). Conclusion Compared with blood pressure self-monitoring management mode and outpatient blood pressure management mode, blood pressure telemonitoring management mode can better manage blood pressure, improve the rate of reaching the standard for blood pressure, and increase the proportion of patients with combined medication.

Keywords

• hypertension|blood pressure determination|telemedicine|disease management|self-management|ambulatory care