2020 Volume 47 Issue 2 Pages 352-356
The Guidelines for the Management of Hypertension 2014 show that the treatment of hypertension should be done based on the home blood pressure (HBP). HBP monitoring is essential for hypertensive patients. We studied the current state of HBP monitoring and the understanding of the standard of hypertension using the questionnaire of 510 hypertensive patients (240 male, 260 female) who were examined at Yamagata Medical Examination Center. 72.7% of the patients agreed with the recommendation of HBP monitoring by the doctor, but 24.5% did not. 92.3% of the patients had electronic manometers. 14.7% had wrist devices only. The frequency of the monitoring was as follows; those who monitored every day was 29.8%, once or twice a week 15.1%, 3 to 4 times a week 14.7%, several times a month 19.2%, and several times a year or never 14.3%. Monitoring was done in the sitting position by 75.5, and supine by 6.0%. Regarding the time of the monitoring; morning and evening was 27.3%, morning only 32.5%, evening only 5.5% and not determined 19.2%. Resting time before the measurement was adopted by 62.0%, and not adopted by 18.6%. Regarding the number of measurements per occasion; once was 18.8%, twice 44.1%, once or twice 9.6%, 3 times 6.0%, over 4 times 0.6%. All values were included by 19.6%, the first one only by 32.0%, the last one only by 6.9%, the mean by 18.2%, the lowest value by 13.9% and the highest value by 2.7%. Understanding the ratio of the standard of hypertension when measured at the medical center was 26.0% for systolic blood pressure (SBP), and 25.9% for diastolic blood pressure (DBP), while the figures for home monitoring were 15.4% for SBP and 20.2% for DBP. The understanding of the standard of hypertension was poor, especially in HBP. Education about the importance of to the one third of patients who seldom monitor is very important.
