Document Detail

Patients' perceptions of changes in their blood pressure.
MedLine Citation:
PMID:  9185026     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: (1) To investigate patients' experience of changes in their blood pressure (BP) in an every day setting and the accuracy of patients' predictions; and (2) to examine what influences patients' belief that they can tell when their BP is up. SUBJECTS: A total of 102 hypertensive patients were recruited sequentially as they presented for routine BP checks. The setting was an inner city general practice. DESIGN: Patients attended for BP checks on a weekly basis. Before each check they were asked whether they thought their BP was higher, lower or the same as usual. Subjects were classified as predictors if they thought they could tell when their BP was up. On completing their series of BP checks each subject completed symptom and Hospital Anxiety and Depression questionnaires. MAIN OUTCOME MEASURES: Accuracy of BP predictions, BP levels and variability, number of symptoms reported and anxiety level. RESULTS: One hundred and two hypertensive patients entered the study of whom 51 patients were predictors. The majority (86%) of predictors could not accurately predict their BP. There were no significant differences in either BP or variability between predictors and non-predictors. Predictors were significantly more anxious and reported more symptoms than non-predictors. CONCLUSIONS: For the majority of predictors there is no significant relationship between predictions of BP and clinical measurements. Predictor status is associated with the reporting of more symptoms and higher levels of anxiety. Doctors should counsel patients against using subjective BP assessments to guide their use of antihypertensive medication.
P Cantillon; M Morgan; R Dundas; J Simpson; J Bartholomew; A Shaw
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of human hypertension     Volume:  11     ISSN:  0950-9240     ISO Abbreviation:  J Hum Hypertens     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-08-14     Completed Date:  1997-08-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  221-5     Citation Subset:  IM    
Department of General Practice, UMDS, Guy's Hospital, London, UK.
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MeSH Terms
Blood Pressure Determination
Blood Pressure Monitoring, Ambulatory*
Health Knowledge, Attitudes, Practice*
Hypertension / physiopathology*
Middle Aged
Predictive Value of Tests
Regression Analysis
Reproducibility of Results
Self Concept

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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