Biomedical subjects

H J Krecke

Publications and source records attributed to H J Krecke.

At least 19 recordsLinked to original sources

PubMed1996

Patient assessment of self-measurement of blood pressure: results of a telephone survey in Germany.

OBJECTIVE: To obtain information on the adoption of self-measurement of blood pressure by hypertensives and their attending physicians. METHODS: Callers to the Cardiovascular Hotline Heidelberg revealing themselves to have high blood pressure were interviewed about self-recording of blood pressure. RESULTS: Among the callers about 70% practised self-measurement. Half of them bought a device on their own initiative, one-third on recommendation or prescription by their physician. A quarter of those practising the technique were introduced to it by experienced personnel and a comparable number were adequately informed about the aims and objectives. Nevertheless, more than half of those practising self-measurement claimed to be coping better with the disease. CONCLUSIONS: The data indicate that self-monitoring is widely practised by hypertensives in Germany. In contrast to this finding, too few physicians have adopted home-recording as a useful tool in the treatment of hypertension.

Adult↗

PubMed1994

[Self-measurement of blood pressure in hypertensive subjects in Germany. Results of a questionnaire in Spring/early Summer 1993].

The 'cardiovascular hotline' in Heidelberg, established in April 1992, provides data concerning the self-measurement of blood pressure. For this purpose 277 hypertensives were asked from 15 April to 15 July 1993. 195 (70%) of those questioned (47% men, 53% women) practised home-recording, but only 17% on recommendation of their physician. Only 22% were introduced to the technique by experienced personnel; just 50% were adequately controlled. At least 35% of hypertensives used an oscillometric device and not more than 10% an auscultation device. 5 to 14% of the patients reported to have difficulties in handling their device. Approximately 60% of the patients practicing home-recording stated that this method enabled them to cope better with their disease. Compared with the 1987 pilot study in the Hamburg area, this percentage did not increase; however, it could be confirmed that only approximately 10% of the patients are unsuited for home-recording. 75% of the hypertensives measuring their own blood pressure documented their values, but in only 47% of all cases physicians drew conclusions from the data. 31% of the patients were unable to say whether their medication was adjusted on the basis of self-measured blood pressure values. In conclusion, many hypertensives practice self-measurement of blood pressure. Despite this fact, home-readings are not yet sufficiently accepted by physicians as a possible and desirable method to optimize high blood pressure treatment. This situation should be improved since compliance of physicians is the basis for a better education of hypertensive patients, thus optimizing patient compliance.

Adult↗

PubMed1989

[Distribution and acceptance of self measurement of blood pressure in the Hamburg area].

According to a pilot study in the Hamburg area 17% of the hypertensives practised home measurement of blood pressure. 2/3 of the remaining 83% were informed about the method, but not sufficiently. Half of the patients on home recording bought the device of their own accord. They were not trained by qualified personnel and their technique was not reviewed. Nearly 2/3 of the patients on home recording were mildly hypertensive. 3/4 of those with severe hypertension received a prescription for the device from their doctors. 3/5 controlled their blood pressure daily, 3/4 additionally if necessary. Those registering elevated values reacted on the whole reasonably. Dosages could be reduced in 1/4 of the cases, 2/5 of the patients consulted their doctors less, more than half came to a positive attitude towards their disease. There were mostly good reasons for buying a home device. 90% of the hypertensives accepted the method of self measurement. Only 10% were unable to practise home recording and felt a certain uneasiness.

Aged↗

PubMed1985