Home Blood Pressure Monitoring in a Rural Chronic Kidney Disease Population

2017 ◽  
Vol 69 (4) ◽  
pp. A56
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Chronic Kidney Disease Population

scholarly journals Development and Psychometrics Test of Home Blood Pressure Monitoring Perception Scale for Patients With Chronic Kidney Disease

2021 ◽  
Author(s):  
Jing Zheng ◽  
Yamin Wang ◽  
Wenbo Zhao ◽  
Huiqun Li ◽  
Hongli Shang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Factor Analysis ◽  
Kidney Disease ◽  
Content Validity ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Test Retest Reliability

Abstract Background: Home blood pressure monitoring (HBPM) has been proved to be beneficial to blood pressure control for both patients with hypertension and patients with chronic kidney disease (CKD). However, what are the psychodynamic predictors like perception for the establishment and persistence of HBPM have not been deeply explored, and there is a lack of instruments for assessing psychodynamic characteristics on HBPM from patients’ perspectives, which has limited the in-depth understanding of HBPM behavior. The study aimed to develop an instrument for evaluating HBPM perception in patients with CKD, and to test the reliability and validity of the instrument. Methods: The original item pool of the HBPM perception scale was developed according to the framework of the health promotion model and literature review. The psychometric characteristics of the instrument were examined with a sample of 436 CKD patients in China. Internal consistency reliability, split-half reliability, test-retest reliability and construct reliability were used to verify the reliability of the scale. And content validity, construct validity and criterion-related validity were used to test the validity of the scale.Results: The expert consultation showed satisfactory content validity of the HBPM perception scale and produced a first draft of the survey with 43 items. By exploratory factor analysis and confirmatory factor analysis (CFA), we found evidence for the construct validity of the following factors: perceived benefits of HBPM, perceived barriers of HBPM, perceived self-efficacy of HBPM, situational influences and commitment to a plan of HBPM, and immediate competing demands and preferences. The finalized five-component HBPM perception scale has 27 items. CFA suggested the model fit the data well (ꭓ2=679.649, df=310, ꭓ2/df=2.192, root mean square error of approximation =0.074, confirmatory fit index=0.902). The HBPM perception scale was positively associated with the Self-Efficacy for Managing Chronic Disease 6-item Scale ( r= 0.256, p＜0.001). The Cronbach’s α coefficient of all dimensions was above 0.750, the split-half reliability was above 0.624, and the test-retest reliability was above 0.749. The construct reliability of dimensions ranged from 0.749 to 0.951. Conclusion Given reasonable psychometric properties, the HBPM perception scale is a valid and reliable instrument that can be used to assess the perception of HBPM.

Home blood pressure monitoring in hypertensive patients with chronic kidney disease

2015 ◽  
Vol 9 (4) ◽  
pp. e48
Author(s):  
Xiaojing Ye ◽  
Alejandro Negrete ◽  
William N. Davis ◽  
Salman T. Shafi ◽  
Andi M. Negrete ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Hypertensive Patients

scholarly journals The Relationship between Subtypes of Health Literacy and Self-Care Behavior in Chronic Kidney Disease

2021 ◽  
Vol 11 (6) ◽  
pp. 447
Author(s):  
Ping-Shaou Yu ◽  
Yi-Chun Tsai ◽  
Yi-Wen Chiu ◽  
Pei-Ni Hsiao ◽  
Ming-Yen Lin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Health Literacy ◽  
Blood Pressure Monitoring ◽  
Self Care ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Excellent Health ◽  
Care Behavior

Chronic kidney disease (CKD) is a global public health issue that is associated with high rates of morbidity and mortality. Self-care behavior has been associated with clinical outcomes in chronic diseases, and adequate self-care behavior may mitigate adverse outcomes. Health literacy may be an important factor associated with self-care. The aim of this study was to examine the relationships between different domains of self-care behavior and health literacy in patients with CKD. This study enrolled 208 patients with CKD stages 1–5 who were not undergoing renal replacement therapy at Kaohsiung Medical University Hospital from April 2019 to January 2020. Health literacy was measured using a multidimensional health literacy questionnaire covering the following five dimensions: accessing, understanding, appraising, and applying health information, and communication/interaction. The CKD Self-Care scale, which is a 16-item questionnaire with five domains including medication adherence, diet control, exercise, smoking behavior, and home blood pressure monitoring was used to assess self-care behavior. Among the 208 patients, 97 had sufficient or excellent health literacy, and 111 had inadequate or limited/problematic health literacy. A higher health literacy score was significantly correlated with greater self-care behavior. Among the five domains of self-care behavior, the patients who had sufficient or excellent health literacy had higher diet, exercise, and home blood pressure monitoring scores than those who had inadequate or limited/problematic health literacy. This study demonstrated that health literacy was significantly and positively correlated with self-care behavior in patients with CKD.

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