التفاصيل البيبلوغرافية
| العنوان: |
Primary care doctors' views on selfmonitoring of blood pressure and self- titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
| المؤلفون: |
Moreno, Irene Marco, Ibañez, Patricia Martínez, Hidalgo, Eugenia Avelino, Pujalte, Laura Bellot, Franch, Ignacio Barreira, Ibañez, Lucia Martínez, Veses, Marina Escrig, Loreiro, Margarita Giménez, García, María Bóveda, Ser, Mercedes Calleja- del, Hurtado, Isabel, Sempere, Aníbal García, Bernal, Clara L. Rodríguez, Peiró, Salvador, Genovés, José Sanfélix, Gimeno, Gabriel Sanfelix |
| المصدر: |
BJGP Open; Oct2020, Vol. 4 Issue 4, p1-12, 12p |
| مصطلحات موضوعية: |
PRIMARY care, BLOOD pressure, HYPERTENSION, CLINICAL trials, NURSING |
| مستخلص: |
Background: Despite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the selfmanagement of BP, through the combination of home monitoring of BP with self- titration, could be anaccessible and effective tool for improving hypertension control in the primary care setting. The ADAMPA study is a trial with participants randomised to BP self- management (BPSM) with selftitration of antihypertensive medication or to usual care, in a population of patients with poorly controlled hypertension. Aim: To explore the views and attitudes of primary care doctors participating in the ADAMPA trial regarding BPSM with self- titration. Design & setting: A focus group study took place with primary care doctors participating in the ADAMPA trial, which was carried out in one health district of the Valencia Health System in Spain. Method: Nine primary care doctors participating in the ADAMPA trial were included in the focus group. Three researchers (two using manual methods and one using NVivo software) independently conducted a content analysis, reading the transcripts, identifying, classifying, and coding the contents, and developing a conceptual scheme based on these topics. Results: Participating doctors clearly support home BP monitoring (HBPM), the setting of individual BP targets, and incorporating patient readings into decision- making. They consider it an investment to educate patients for medication self- adjustment and estimate that an important proportion of their patients are potential candidates for hypertension self- management with medication self- titration. However, they show important divergences regarding the role of nursing in BP control. Conclusion: Primary care doctors participating in the ADAMPA trial feel comfortable with BPSM with self- titration, and would consider extending its use (or the use of some components, such as BP target setting) to other patients with hypertension outside the trial. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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