Views of Hypertension Patients on Wearable Blood Pressure Devices

Yıl 2024, Cilt: 7 Sayı: 1, 20 - 28, 25.03.2024

Seda Şahan , Sevil Güler

https://doi.org/10.38108/ouhcd.1236826

Öz

Objective: This study was conducted to determine the opinions of hypertension patients about wearable blood pressure devices in blood pressure measurement.
Method: The research was conducted in a descriptive type. Sample calculation was made using G Power analysis. For 99% power, 514 hypertension patients participated in the study. An individual introduction form and brochure were used to collect the research data. The brochure contains visual and written information about Omron HEM-6410 T, Smartwatches, Minish, OMRON HBP-9020, Free scan cuffless blood pressure, and Valencell in-ear blood pressure.
Results: It was determined that 86.0% (n=442) of the patients did not know about wearable blood pressure devices, and 32.5% (n=167) expected wearable blood pressure devices to be cheap. After the introduction of wearable blood pressure devices to the patients, 30.4% (n=156) of the patients stated that they would prefer the Omron HBP-9020 device and 84.6% (n=435) of the patients stated that they would use wearable blood pressure devices if there were wearable blood pressure devices in our country.
Conclusion: It was determined that most patients self-monitored their blood pressure but did not know about wearable blood pressure devices. It was determined that the patients' wearable blood pressure device preferences differed according to their sociodemographic characteristics. It may be recommended to educate patients about the features, advantages and use of wearable blood pressure devices.

Anahtar Kelimeler

hypertension, Wearable electronic devices, blood pressure

Hipertansiyon Hastalarının Giyilebilir Kan Basıncı Cihazlarına Yönelik Görüşleri

Öz

Amaç: Bu araştırma, hipertansiyon hastalarının kan basıncı ölçümünde giyilebilir kan basıncı cihazlarına yönelik görüşlerini belirlemek amacıyla yapılmıştır.
Yöntem: Araştırma tanımlayıcı tipte yapılmıştır. G Power güç analizi kullanılarak örneklem hesaplaması yapılmıştır. %99 güç için araştırmaya 514 hipertansiyon hastası alınmıştır. Araştırma verilerinin toplanmasında birey tanıtım formu ve broşür kullanılmıştır. Broşürde Omron HEM-6410 T, Akıllı saatler, Minish, OMRON HBP-9020, Freescan manşetsiz kan basıncı, Valencell kulak içi kan basıncı ile ilgili görsel ve yazılı bilgi yer almaktadır.
Bulgular: Hastaların %86.0’sı (n=442) giyilebilir kan basıncı cihazları hakkında bilgi sahibi olmadıkları, %32.5’inin (n=167) giyilebilir kan basıncı cihazlarının ucuz olmasını bekledikleri belirlenmiştir. Hastalara giyilebilir kan basıncı cihazları ile ilgili tanıtım yapıldıktan sonra %30.4’ü (n=156) Omron HBP-9020 cihazını tercih edeceklerini ve %84.6’sı (n=435) ülkemizde giyilebilir kan basıncı cihazları olsa kullanabileceklerini ifade etmiştir.
Sonuç: Hastaların çoğunluğunun kendi kendine kan basıncı izlemi yaptıkları ancak giyilebilir kan basıncı cihazlarına ilişkin bilgi sahibi olmadıkları belirlenmiştir. Hastaların sosyodemografik özelliklerine göre tercih ettikleri giyilebilir kan basıncı cihaz tercihlerinin ise değişiklik gösterdiği saptanmıştır. Hastalara giyilebilir kan basıncı cihazlarının özellikleri, avantajları ve kullanımı ile ilgili eğitim verilmesi önerilebilir.

Anahtar Kelimeler

hipertansiyon, giyilebilir elektronik cihaz, kan basıncı

Kaynakça

• Areia C, King E, Ede J, Young L, Tarassenko L, Watkinson P, Wollam S. (2022). Experiences of current vital signs monitoring practices and views of wearable monitoring: A qualitative study in patients and nurses. Journal of Advanced Nursing, 78(3),810-822.
• Asayama K, Fujiwara T, Hoshide S, Ohkubo T, Kario K, Stergiou GS, et al. (2019). Nocturnal blood pressure measured by home devices: Evidence and perspective for clinical application. Journal of hypertension, 37(5), 905-916.
• Baral-Grant S, Haque M, Nouwen A, Greenfield S, McManus R. (2012). Self-monitoring of blood pressure in hypertension: A UK primary care survey. International Journal of Hypertension, 125-129.
• Bard DM, Joseph JI, van Helmond N. (2019). Cuff-less methods for blood pressure telemonitoring. Frontiers in Cardiovascular Medicine, 6, 40-43.
• Bilo G, Zorzi C, Munera JEO, Torlasco C, Giuli V, Parati G. (2015). Validation of the Somnotouch-NIBP noninvasive continuous blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. Blood Pressure Monitoring, 20 (5), 291-294.
• Boubouchairopoulou N, Kollias A, Chiu B, Chen B, Lagou S, Anestis P, et al. (2017). A novel cuffless device for self-measurement of blood pressure: concept, performance and clinical validation. Journal of Human Hypertension, 31(7), 479-482.
• Casiglia E, Tikhonoff V, Albertini F, Palatini P. (2016). Poor reliability of wrist blood pressure self-measurement at home: a population-based study. Hypertension, 68(4),896-903.
• Eugene V, Bourne PA. (2013). Journal of Behavioral Health. Journal of Behavioral Health, 2(3), 259-268.
• Ferguson TS, Tulloch-Reid MK, Younger NO, Knight-Madden JM, Samms-Vaughan M, Ashley D, ve ark. (2010). Prevalence of the metabolic syndrome and its components in relation to socioeconomic status among
• Jamaican young adults: A cross-sectional study. BMC Public Health, 10(1), 1-10.
• Fleming S, Atherton H, McCartney D, Hodgkinson J, Greenfield S, Hobbs FDR, et al. (2015). Self-screening and non-physician screening for hypertension in communities: A systematic review. American Journal of Hypertension, 28(11), 1316-1324.
• Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. (2013). Facilitators and barriers to hypertension self-management in urban African Americans: Perspectives of patients and family members. Patient Preference and Adherence,7, 741.
• Guggiari C, Büla C, Iglesias K, Waeber B. (2014). Measurement with an automated oscillometric wrist device with position sensor leads to lower values than measurements obtained with an automated oscillometric arm device from the same manufacturer in elderly persons. Blood Pressure Monitoring, 19(1), 32-37.
• Hill JR, Conner RS. (2016). Use of home monitoring to improve blood pressure control. The Journal for Nurse Practitioners, 12(10), e423-e425.
• Hu H, Li G, Arao T. (2013). How hypertensive patients in the rural areas use home blood pressure monitoring and its relationship with medication adherence: A primary care survey in China. Open Journal of Preventive Medicine, 2(3), 26-34.
• Kaambwa B, Bryan S, Jowett S, Mant J, Bray EP, Hobbs FR, et al. (2014).Telemonitoring and self-management in the control of hypertension (TASMINH2): A cost-effectiveness analysis. European Journal of Preventive Cardiology, 21(12), 1517-1530.
• Kario K, Tomitani N, Morimoto T, Kanegae H, Lacy P, Williams B. (2022). Relationship between blood pressure repeatedly measured by a wrist-cuff oscillometric wearable blood pressure monitoring device and left ventricular mass index in working hypertensive patients. Hypertension Research, 45(1), 87-96.
• Konlan KD, Afam-Adjei CJ, Afam-Adjei C, Oware J, Appiah TA, Konlan KD, et al. (2020). Practice and sociodemographic factors influencing self-monitoring of blood pressure in Ghanaians with hypertension. International Journal of Chronic Diseases, 1(2), 153-158.
• Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095-2128.
• McGillion MH, Dvirnik N, Yang S, Belley-Côté E, Lamy A, Whitlock R, et al. (2022). Continuous Noninvasive Remote Automated Blood Pressure Monitoring With Novel Wearable Technology: A Preliminary Validation Study. JMIR mHealth and uHealth, 10(2), e24916.
• McGrath BP. (2015). Diagnostic tests: home monitoring of blood pressure. Australian Prescriber, 38(1), 16.
• Meng K, Chen J, Li X, Wu Y, Fan W, Zhou Z, et al. (2019). Flexible weaving constructed self‐powered pressure sensor enabling continuous diagnosis of cardiovascular disease and measurement of cuffless blood pressure. Advanced Functional Materials, 29(5), 1806388.
• Moran A, Forouzanfar M, Sampson U, Chugh S, Feigin V, Mensah G. (2013). The epidemiology of cardiovascular diseases in sub-Saharan Africa: The global burden of diseases, injuries and risk factors 2010 study. Progress in Cardiovascular Diseases, 56(3), 234-239.
• Mukkamala R, Stergiou GS, Avolio AP. (2022). Cuffless blood pressure measurement. Annual Review of Biomedical Engineering, 24, 203-230.
• Nessler K, Krztoń-Królewiecka A, Suska A, Mann MR, Nessler MB, Windak A. (2021). The quality of patients’ self-blood pressure measurements: A cross-sectional study. BMC Cardiovascular Disorders, 21(1),1-8.
• Nunan D, Thompson M, Heneghan CJ, Perera R, McManus RJ, Ward A. (2015). Accuracy of self-monitored blood pressure for diagnosing hypertension in primary care. Journal of Hypertension, 33(4), 755-762.
• Roerecke M, Kaczorowski J, Myers MG. (2019). Comparing automated office blood pressure readings with other methods of blood pressure measurement for identifying patients with possible hypertension: a systematic review and meta-analysis. JAMA Internal Medicine,179(3), 351-362.
• Stergiou GS, Mukkamala R, Avolio A, Kyriakoulis KG, Mieke S, Murray A, et al. (2022). Cuffless blood pressure measuring devices: Review and statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. Journal of Hypertension, 40(8),1449-1460.
• Tan N, Khin L, Pagi R. (2005). Home blood-pressure monitoring among hypertensive patients in an Asian population. Journal of Human Hypertension, 19(7),559-564.
• Viera AJ, Cohen LW, Mitchell CM, Sloane PD. (2008). Use of home blood pressure monitoring by hypertensive patients in primary care: Survey of a practice‐based research network cohort. The Journal of Clinical Hypertension,10(4), 280-286.
• Wake AD, Bekele DM, Tuji TS. (2020). Knowledge and attitude of self-monitoring of blood pressure among adult hypertensive patients on follow-up at selected public hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A cross-sectional study. Integrated Blood Pressure Control,1(3),1-9.
• Watanabe N, Bando YK, Kawachi T, Yamakita H, Futatsuyama K, Honda Y, et al. (2017). Development and validation of a novel cuff-less blood pressure monitoring device. Basic to Translational Science, 2(6), 631-642. Weenk M, van Goor H, Frietman B, Engelen LJ, van Laarhoven CJ, Smit J, et al. (2017). Continuous monitoring of vital signs using wearable devices on the general ward: Pilot study. JMIR mHealth and uHealth, 5(7), e7208.
• Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European Heart Journal, 39(33), 3021-3104.
• Yeboah K, Dodam KK, Affrim PK, Adu-Gyamfi L, Bado AR, Owusu Mensah RN, et al. (2018) Metabolic syndrome and parental history of cardiovascular disease in young adults in urban Ghana. BMC Public Health, 18(1),1-8.
• Zahid H, Amin A, Amin E, Waheed S, Asad A, Faheem A, et al. (2017). Prevalence and predictors of use of home sphygmomanometers among hypertensive patients. Cureus, 9(4).
• Zeng W-w, Chan SW, Tomlinson B. (2021). Patient preferences for ambulatory blood pressure monitoring devices: Wrist-type or arm-type? Plos One,16(8), e0255871.