Hypertension Control and Self-Monitoring of Blood Pressure in Adult Patients at a Federally Qualified Health Center
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Hypertension is a widespread issue in primary care practice, particularly with patients affected by social determinants of health such as racial, ethnic, and income disparities. Home blood pressure monitoring is recommended as part of the care plan for patients with hypertension. This quasi-experimental evidence-based quality improvement project aimed to achieve control of hypertension and improve the Self-care of Hypertension Inventory scores in adults with uncontrolled hypertension. The number of participants included in this evidence-based quality improvement project was 21. Participants were adult primary care patients with uncontrolled hypertension who were patients at a federally qualified health center in rural Missouri. An automatic blood pressure cuff for home monitoring was provided to each participant free of charge. Patients were provided education on the disease of hypertension, the risks of uncontrolled hypertension, and the use of the monitor. The Self-care of Hypertension Inventory was administered both pre- and post-intervention. Follow-up was done every four to eight weeks over six months or until hypertension was controlled. A paired t-test was used to evaluate the differences in systolic and diastolic blood pressures pre- and post-intervention. It was found to show statistically significant improvement in hypertension control. The literature supports these interventions, demonstrating evidence of a positive impact on hypertension control and cardiovascular disease risk reduction.
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Open Access (fully available)