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:: Volume 1, Issue 1 (Caspian J Soc Med 2015) ::
Caspian J Soc Med 2015, 1(1): 5-10 Back to browse issues page
Efficacy of home blood pressure monitoring program on blood pressure control in hypertensive patients
Seyed Reza Hosseini , Mohammad Ghanbari , Hoda Qarouei , Ali Bijani
Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
Abstract:   (1451 Views)
Background: Hypertension may cause serious consequences such as cerebrovascular accident, coronary heart disease, ocular damage and renal diseases if left untreated. The aim of this study was to determine the efficacy of a home blood pressure monitoring (HBPM) on control of blood pressure in hypertensive patients. 
Methods: This historical cohort study was carried out on hypertensive patients whose data was kept in health houses. The exposed group was included 110 hypertensive patients that were using HBPM and the non exposed group was included 220 patients that did not use it. Both groups were receiving the usual health house visits. Data was analyzed by chi-square, t-test and logistic regression.
Results: The mean systolic (p=0.041) and diastolic (p=0.002) blood pressure was lower for the exposed group as written in their last records. In logistic regression model, HBPM had significant effect on lowering systolic blood pressure (OR=1.64, 1.01-2.66, p=0.04) but not on diastolic blood pressure (OR=1.12, 0.68-1.84, p=0.65). Frequency of having a regular exercise program (p<0.001) and avoiding salt in diet (p<0.001) was more in the exposed group and the mean BMI was lower in this group than the non exposed group (27.09±5.02 vs 29.57±4.91) (p<0.001). 
Conclusion: Use of HBPM was associated with better control of blood pressure and life style adjustments such as regular exercise program and avoiding salt.
Keywords: Home blood pressure monitoring, Hypertension, Efficacy, Cardiovascular disease
Full-Text [PDF 279 kb]   (534 Downloads)    
Type of Study: original article | Subject: Social
Received: 2014/11/15 | Accepted: 2015/01/25 | Published: 2015/02/10
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Hosseini S R, Ghanbari M, Qarouei H, Bijani A. Efficacy of home blood pressure monitoring program on blood pressure control in hypertensive patients. Caspian J Soc Med. 2015; 1 (1) :5-10
URL: http://cjsm.mubabol.ac.ir/article-1-22-en.html

Volume 1, Issue 1 (Caspian J Soc Med 2015) Back to browse issues page
Caspian Journal of Social Medicine
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