Document Detail


Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease.
MedLine Citation:
PMID:  22459637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe patient hypertension knowledge and associations with blood pressure measurements.
METHODS: Patients with chronic kidney disease (CKD) were asked about the impact of high blood pressure on kidneys and their target blood pressure goal. Systolic blood pressure was measured using automated sphygmomanometers.
RESULTS: In 338 adults with hypertension and pre-dialysis CKD, the median [IQR] age was 59 [47,68] years, 45% [n = 152] were women, and 18% [n = 62] were non-white. Lower systolic blood pressure (SBP) was associated with female sex (SBP mmHg median [IQR] 132 [117,149] women vs. 137 [124,152] men; p = 0.04), less advanced CKD (SBP 134 [122,147] stages 1-2 vs. 132 [118,148] stage 3 vs. 140 [125,156] stages 4-5; p = 0.01), and patient ability to correctly identify SBP goal (SBP 134 [119,150] correct vs. 141 [125,154] incorrect; p = 0.05). In adjusted analysis, knowledge of blood pressure goal remained independently associated with lower SBP (-9.96 mmHg [-19.97, -1.95] in correct respondents vs. incorrect; p<0.001).
CONCLUSION: Patient knowledge of goal blood pressure is independently associated with improved blood pressure control.
PRACTICE IMPLICATIONS: Interventions to improve patient knowledge of specific blood pressure targets may have an important role in optimizing blood pressure management.
Authors:
Julie A Wright-Nunes; James Matthew Luther; Talat Alp Ikizler; Kerri L Cavanaugh
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-03-27
Journal Detail:
Title:  Patient education and counseling     Volume:  88     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-31     Completed Date:  2012-10-26     Revised Date:  2013-08-14    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  184-8     Citation Subset:  N    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA. juwright@med.umich.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure / physiology*
Blood Pressure Determination
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice*
Health Literacy
Humans
Hypertension / etiology,  prevention & control*
Kidney Failure, Chronic / complications,  physiopathology*
Male
Middle Aged
Severity of Illness Index
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
K23 DK080952-02S1/DK/NIDDK NIH HHS; K23DK080952-2S1/DK/NIDDK NIH HHS; K24 DK062849/DK/NIDDK NIH HHS; K24 DK062849-01/DK/NIDDK NIH HHS; T32 DK007569/DK/NIDDK NIH HHS; T32 DK007569-10/DK/NIDDK NIH HHS
Comments/Corrections
Comment In:
Patient Educ Couns. 2012 Aug;88(2):157-8   [PMID:  22846465 ]

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