We conducted a survey to examine the gaps between Japanese physician and patient perspectives on hypertension management and to investigate important factors that may help solve the “hypertension paradox” in Japan. Web-based surveys of patients and physicians were conducted in Japan between October 19 and 31, 2017. The data collected included physician and patient perspectives on hypertension education, adherence to lifestyle modifications and antihypertensive medication, and reasons for treatment adherence/nonadherence. Factors relating to specific patient behaviors (e.g., monitoring their home blood pressure [BP] daily) were analyzed by multivariate logistic regression analysis. Of the 541 physicians and 881 patients included in the analyses, both groups recognized that the extent of lifestyle changes was insufficient. Approximately 80% of physicians reported that they fully or sufficiently provided education to patients about reasons for hypertension treatment and its associated risks, target BP levels, and lifestyle modifications. Only 40–50% of patients considered those topics having been fully or sufficiently discussed. Logistic regression analyses revealed that positive lifestyle modifications (daily home BP monitoring, salt intake <6 g/day, and daily aerobic exercise for ≥30 min) were positively associated with receiving feedback from physicians about specific lifestyle modifications and patient motivation for maintaining their target BP. In conclusion, perception of the amount of education provided by physicians on hypertension management was lower in patients than in physicians. In addition to effective regular follow-up regarding lifestyle modifications, patient motivation by physicians is an important factor for improving lifestyle modifications and achieving effective hypertension management in Japan.

中文翻译：

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日本医生和患者对高血压管理和生活方式改变相关因素的看法：在线调查结果

我们进行了一项调查，以检查日本医生和患者对高血压管理的看法之间的差距，并调查可能有助于解决日本“高血压悖论”的重要因素。2017 年 10 月 19 日至 31 日在日本对患者和医生进行了基于网络的调查。收集的数据包括医生和患者对高血压教育的看法、生活方式改变和抗高血压药物的依从性，以及治疗依从性/不依从性的原因。与特定患者行为（例如，每天监测他们的家庭血压 [BP]）相关的因素通过多变量逻辑回归分析进行分析。在纳入分析的 541 名医生和 881 名患者中，两组都认为生活方式改变的程度不够。大约 80% 的医生报告说，他们充分或充分地向患者提供了有关高血压治疗原因及其相关风险、目标血压水平和生活方式改变的教育。只有 40-50% 的患者认为这些话题已经得到充分或充分的讨论。Logistic 回归分析显示，积极的生活方式改变（每日家庭血压监测、盐摄入量 <6 g/天和每日有氧运动≥30 分钟）与从医生那里获得关于特定生活方式改变的反馈和患者维持目标的动机呈正相关BP。总之，患者对医生提供的高血压管理教育程度的看法低于医生。