Home Blood Pressure Monitoring: Nurses’ Role for Hypertension Control Management in Patients’ Receiving Antihypertensive Medication
Keywords:home blood pressure monitoring, role of nurses, hypertension, hypertensive control, hypertensive management
This academic paper aims to review the available literature and guidelines regarding role of nurses in home blood pressure monitoring (HBPM) for the management of hypertension. HBPM plays an important role in the control and management of hypertension by offering more convenient means than an ambulatory blood pressure monitoring and being cost-effective. HBPM can aid in the diagnosis of white-coat hypertension and masked hypertension, as well as prediction of risks for cardiovascular diseases, stroke, and end stage renal disease. Generally, the measurement of home blood pressure will take place twice daily, ideally in the morning and evening. For each blood pressure recording, two consecutive measurements with at least 1-minute interval are recommended. It has been found that an upper-arm blood pressure measurement is the most widely used and have produced more accurate readings. The HBPM average of the SBP ≥ 135 mm Hg and/or DBP ≥ 85 mm Hg, is considered abnormal. Nurses play a critical role in educating patients about hypertension and its consequences, the importance of HBPM, and the necessary self-monitoring skills that include selecting an appropriate home blood pressure monitor, preparing and monitoring blood pressure, recording the results, and caring for a monitor. Therefore, it is imperative for nurses to possess a holistic and comprehensive knowledge in order to give advice and effectively care for patients. This demonstrates the quality of nursing care and affects the quality of life of patients, contributing to the reduction of disability rates and death associated with high blood pressure.
Himmelfarb CRD, Commodore-Mensah Y, Hill MN. Expanding the role of nurses to improve hypertension care and control globally. Annals of Global Health. 2016; 82(2): 243-253.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010:
a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380: 2224–2260.
Bureau of Non Communicable Disease, Ministry of Public Health. 2018 annual report. Bangkok: Aksorn Graphic and Designs Publisher; 2018. (in Thai)
Thai Hypertension Society. 2019 Thai guidelines on the treatment of hypertension. 1st ed. Chiangmai: Trick Think publisher; 2019. (in Thai)
Akaratanapol P, Deenan A, & Srisuriyawate R. The effectiveness of the integrated home-based program on blood pressure, body fat percentage and eating behavior among uncontrolled hypertensive patients. Journal of The Royal Thai Army Nurses 2018; 19:39-49. (in Thai)
George J, & MacDonald T. Home blood pressure monitoring. European Cardiology Review. 2015; 10(2): 95-101
Sebo P, Pechère-Bertschi A, Herrmann FR, Haller DM, Bovier P. Blood pressure measurements are unreliable to diagnose hypertension in primary care. Journal of Hypertension. 2014; 32: 509–517.
Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal. 2018; 39(33): 3021–104.
Padfield PL. The case for home monitoring in hypertension. BMC Medicine. 2010; 8: 55.
Imai Y, Obara T, Asamaya K, & Ohkubu T. The reason why home blood pressure measurements are preferred over clinic or ambulatory blood pressure in Japan. Hypertension Research. 2013; 36: 661–72.
Arrieta A, Woods JR, & Qiao N, Jay SJ. Cost-benefit analysis of home blood pressure monitoring in hypertension diagnosis and treatment: an insurer perspective. Hypertension. 2014; 64: 891–896.
Ntineri A, Nasothimiou E, Kollias A, Roussias L, Achimastos A, & Stergiou G. Diagnostic agreement of the European Society of Hypertension Home Blood Monitoring Schedule with ambulatory blood pressure monitoring
in untreated and treated subjects. Journal of Hypertension. 2015; 33 Suppl 1: e38.
Umemura S, Arima H, Arima S, Asayama K, Dohi Y, Hirooka K, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertension Research. 2019; 42: 1235-1481.
Mancia G, Bombelli M, Facchetti R, Madotto F, Quarti-Trevano F, Polo FH, et al. Long-term of sustained hypertension in white-coat or masked hypertension. Hypertension 2009; 54(2):226-232.
Obara T, Ohkubo T, Fukunaga H, Kobayashi M, Satoh M, Metoki H, et al. Practice and awareness of physicians regarding home blood pressure measurement in Japan. Hypertension Research. 2010; 33: 428–34.
Noda A, Obara T, Abe S, Yoshimachi S, Satoh M, Ishikuro M, et al. The present situation of home blood pressure measurement among outpatients in Japan. Clinical and Experimental Hypertension. 2019 October 1. [Epub ahead of print]
Bureau of Non-communicable Disease. Service model of prevention and control of diabetes and hypertension. 1st ed. Nonthaburi: Chumnum Kankaset and Sahakorn Thailand publisher; 2017. (in Thai)
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the eighth joint national committee (JNC 8). Journal of the American Medical Association. 2014; 311:507-520.
Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension. 2018; 71(6): 1269-1324.
Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal. 2018; 39: 3021-104.
Imai Y, Kario K, Shimada K, Kawano Y, Hasebe N, Matsuura H, et al. The Japanese Society of Hypertension guidelines for self-monitoring of blood pressure at home (second edition).Hypertension Research. 2012; 35(8): 777-795
Hoontrakul S, Somboontanont W. Developing self-care competency to prevent complication in hypertensive clients in the community. Journal of The Royal Thai Army Nurses 2012; 13(3):38-46. (in Thai)
Tepsuriyanont S. Medication adherence behavior among hypertensive adult patients. Journal of The Royal Thai Army Nurses 2017; 18(3):115-122. (in Thai)
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