Patients' and clinicians' views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study
Patients' and clinicians' views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study
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DOI：
10.3399/bjgp16x686149
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发表时间：
2016-11-01
影响因子：
5.9
通讯作者：
Greenfield, Sheila M.
中科院分区：
文献类型：
--
作者：
Grant, Sabrina;Hodgkinson, James A.;Greenfield, Sheila M.
背景血压的自我监测是常见的，但如何进行的指导各不相同，目前还不清楚如何看待这样的指导。目的探讨患者和医疗保健专业人员（HCP）的意见和经验，使用不同的自我监测方案，以确定什么是可接受的和可行的，并告知未来的建议。设计和设置13个焦点小组和4个HCP访谈举行，共有66名参与者（41名患者和25名HCP），来自初级和二级护理，有和没有自我monitoring.Methodstandard和缩短自我监测协议的经验。焦点小组和访谈记录，逐字转录，并使用不断comparative method.ResultsPatients一般支持结构化的时间表，但有足够的灵活性，允许适应个人的日常分析。他们更喜欢较短（3天）的方案，而不是较长（7天）的方案。尽管HCP可以描述使用时间表对患者的益处，但他们不愿意推荐特定的时间表。人们担心使用不同的时间表进行诊断和后续监测。适当的教育被认为是至关重要的所有参与者，使自我监测时间表，以遵循在home.ConclusionThere是不是一个“一刀切的方法”，以开发最佳协议的角度来看，用户和那些实施it.A的方法，即患者被要求完成最低数量的读数所需的准确的血压估计在一个灵活的方式似乎最有可能成功。信息性建议和指导应包括患者和专业人员的这种灵活性。
BackgroundSelf-monitoring of blood pressure is common but guidance on how it should be carried out varies and it is currently unclear how such guidance is viewed.AimTo explore patients' and healthcare professionals' (HCPs) views and experiences of the use of different self-monitoring regimens to determine what is acceptable and feasible, and to inform future recommendations.Design and settingThirteen focus groups and four HCP interviews were held, with a total of 66 participants (41 patients and 25 HCPs) from primary and secondary care with and without experience of self-monitoring.MethodStandard and shortened self-monitoring protocols were both considered. Focus groups and interviews were recorded, transcribed verbatim, and analysed using the constant comparative method.ResultsPatients generally supported structured schedules but with sufficient flexibility to allow adaptation to individual routine. They preferred a shorter (3-day) schedule to longer (7-day) regimens. Although HCPs could describe benefits for patients of using a schedule, they were reluctant to recommend a specific schedule. Concerns surrounded the use of different schedules for diagnosis and subsequent monitoring. Appropriate education was seen as vital by all participants to enable a self-monitoring schedule to be followed at home.ConclusionThere is not a 'one size fits all approach' to developing the optimum protocol from the perspective of users and those implementing it. An approach whereby patients are asked to complete the minimum number of readings required for accurate blood pressure estimation in a flexible manner seems most likely to succeed. Informative advice and guidance should incorporate such flexibility for patients and professionals alike.