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Knowledge, Attitude, and Practices Toward Blood Pressure Measurement at Home Among Japanese Nurses
Mami Ishikuro1, Sergio Ramón Gutiérrez Ubeda, Taku Obara
1Mami Ishikuro, PhD, is an Assistant Professor, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. Sergio Ramón Gutiérrez Ubeda, PhD, is a Professor, Center of Investigation and Study of Health, National Autonomous University of Nicaragua, Managua, Nicaragua. Taku Obara, PhD, is a Lecturer, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. Ikue Watanabe, PhD, is a Lecturer, Tohoku Fukushi University, Sendai, Japan. Hirohito Metoki, PhD, is a Lecturer, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. Masahiro Kikuya, PhD, is an Associate Professor, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. Shinichi Kuriyama, PhD, is a Professor, Division of Disaster Public Health, International Research Institute of Disaster Science, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan. Ryoko Maruyama, PhD, is a Professor, Department of Science of Nursing Practice, Tohoku University School of Medicine, Sendai, Japan. Takayoshi Ohkubo, PhD, is a Professor, Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan. Yutaka Imai, PhD, is a Professor, Department of Planning for Drug Development and Clinical Evaluation, Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Japan.
Abstract:
The self-measurement of blood pressure (BP) at home is useful in predicting the level of target organ damage and in managing hypertension. Nurses are essential practitioners for managing hypertension; however, it is unclear whether they have adequate knowledge of home BP management. This study assessed the knowledge, attitudes, and practices of home BP measurement among Japanese nurses. A questionnaire regarding home BP measurement was distributed among nurses and collected by mail. A total of 6,002 (61.8%) responses were eligible for the study. The proportion of participants who correctly recognized the reference values for clinic BP and home BP was 9.9% and 2.8%. Midwives and those working for the government had the highest proportion of correct responses of reference values among all nursing subgroups. Participants who thought that home BP gave the most important BP information were 62.7%. About 60% of the participants who recommended home BP measurement to hypertensive patients preferred to recommend an upper-arm cuff device. Our findings suggested that more knowledge of home BP measurement among nurses is warranted.
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