Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease
Abstract 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...
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| Veröffentlicht in: | Patient education and counseling 2012-08, Vol.88 (2), p.184-188 |
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| creator | Wright-Nunes, Julie A Luther, James Matthew Ikizler, Talat Alp Cavanaugh, Kerri L |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.pec.2012.02.015 |
| format | Article |
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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.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2012.02.015</identifier><identifier>PMID: 22459637</identifier><language>eng</language><publisher>Oxford: Elsevier Ireland Ltd</publisher><subject>Aged ; Biological and medical sciences ; Blood pressure ; Blood Pressure - physiology ; Blood Pressure Determination ; Chronic kidney failure ; Cross-Sectional Studies ; Female ; Goals ; Health Knowledge, Attitudes, Practice ; Health Literacy ; Humans ; Hypertension ; Hypertension - etiology ; Hypertension - prevention & control ; Internal Medicine ; Kidney disease ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - physiopathology ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nursing ; Patient knowledge ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Severity of Illness Index ; Socioeconomic Factors ; Women</subject><ispartof>Patient education and counseling, 2012-08, Vol.88 (2), p.184-188</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2012 Elsevier Ireland Ltd</rights><rights>Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.</rights><rights>2012 Elsevier Ireland Ltd. All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c569t-eff281017efea6270ccbf46cd7d31f0a54ce9c50d76e8a05d9ff89f8d05c81553</citedby><cites>FETCH-LOGICAL-c569t-eff281017efea6270ccbf46cd7d31f0a54ce9c50d76e8a05d9ff89f8d05c81553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pec.2012.02.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27923,27924,30999,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28889568$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22459637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wright-Nunes, Julie A</creatorcontrib><creatorcontrib>Luther, James Matthew</creatorcontrib><creatorcontrib>Ikizler, Talat Alp</creatorcontrib><creatorcontrib>Cavanaugh, Kerri L</creatorcontrib><title>Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Abstract 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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination</subject><subject>Chronic kidney failure</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Goals</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - etiology</subject><subject>Hypertension - prevention & control</subject><subject>Internal Medicine</subject><subject>Kidney disease</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nursing</subject><subject>Patient knowledge</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Severity of Illness Index</subject><subject>Socioeconomic Factors</subject><subject>Women</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFktGLEzEQxhdRvN7pH-CL5EXwZetks9nNIhzI4alwoKA-h3QyadNuNzXZtvS_N6X11HtQCISQ3wzzzfcVxQsOUw68ebOcbginFfBqCvlw-aiYcNWKUnJRPy4m0ApViq7jF8VlSksAaJqaPy0uqqqWXSPaSbH_YkZPw8hWQ9j3ZOfEgmOzPgTLNpFS2kZio4lzGplPzKQU0JuRLNv7ccH8ehPDLr8eVGAYxhh65geGixgGj2zl7UAHZn0ik-hZ8cSZPtHz831VfL99_-3mY3n3-cOnm3d3JcqmG0tyrlJZa0uOTFO1gDhzdYO2tYI7MLJG6lCCbRtSBqTtnFOdUxYkKi6luCquT30329maLGap0fR6E_3axIMOxuu_fwa_0POw06KGmneQG7w-N4jhx5bSqNc-IfW9GShsk-aiFbXq2rzy_6IgQEINSmSUn1CMIaVI7n4iDvrorV7q7K0-eqshH36U8vJPKfcVv8zMwKszYBKa3kUzoE-_OaVUJxuVubcnjvLid56iTpgzgGR9JBy1Df6fY1w_qMbeZ4NNv6IDpWXYxiE7qrlOuUB_PYbwmEFe5fwpVYmf1TjaCg</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Wright-Nunes, Julie A</creator><creator>Luther, James Matthew</creator><creator>Ikizler, Talat Alp</creator><creator>Cavanaugh, Kerri L</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>20120801</creationdate><title>Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease</title><author>Wright-Nunes, Julie A ; Luther, James Matthew ; Ikizler, Talat Alp ; Cavanaugh, Kerri L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c569t-eff281017efea6270ccbf46cd7d31f0a54ce9c50d76e8a05d9ff89f8d05c81553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Determination</topic><topic>Chronic kidney failure</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Goals</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Literacy</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - etiology</topic><topic>Hypertension - prevention & control</topic><topic>Internal Medicine</topic><topic>Kidney disease</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nursing</topic><topic>Patient knowledge</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Severity of Illness Index</topic><topic>Socioeconomic Factors</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wright-Nunes, Julie A</creatorcontrib><creatorcontrib>Luther, James Matthew</creatorcontrib><creatorcontrib>Ikizler, Talat Alp</creatorcontrib><creatorcontrib>Cavanaugh, Kerri L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wright-Nunes, Julie A</au><au>Luther, James Matthew</au><au>Ikizler, Talat Alp</au><au>Cavanaugh, Kerri L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>88</volume><issue>2</issue><spage>184</spage><epage>188</epage><pages>184-188</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Abstract 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.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>22459637</pmid><doi>10.1016/j.pec.2012.02.015</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Patient education and counseling, 2012-08, Vol.88 (2), p.184-188 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Biological and medical sciences Blood pressure Blood Pressure - physiology Blood Pressure Determination Chronic kidney failure Cross-Sectional Studies Female Goals Health Knowledge, Attitudes, Practice Health Literacy Humans Hypertension Hypertension - etiology Hypertension - prevention & control Internal Medicine Kidney disease Kidney Failure, Chronic - complications Kidney Failure, Chronic - physiopathology Kidneys Male Medical sciences Middle Aged Miscellaneous Nursing Patient knowledge Public health. Hygiene Public health. Hygiene-occupational medicine Severity of Illness Index Socioeconomic Factors Women |
| title | Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease |
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