Patient perspectives on family participation in the treatment of hypertension

Abstract

This study aimed to understand how patients with hypertension perceive their family's influence on adherence and/or non-adherence to treatment. This descriptive, qualitative research was carried out in the city of Maringá, in the Brazilian state of Paraná. Data were collected at the homes of 18 respondents through semi-structured interviews, during January and February 2012. The respondents' statements were submitted to thematic content analysis. The findings showed that for some patients, the family was a facilitating agent of adherence to treatment by encouraging self-care practices. When families were not perceived as such, it was because the patients felt responsible for self-control of the disease. It was observed that stressful situations reduced self-care practices, and many patients did not receive family support to the degree that they wanted. The study concludes that some participants regarded the family to be a facilitator of adherence to the treatment of hypertension; however, others lacked family support.

Life experiences of patients before having hypertension: a qualitative study

“…The underlying structure of families is significantly associated with health-related behaviors of individuals (31). Research results have shown that, in chronic diseases such as hypertension, families play important roles (19, 25, 31).…”

“…All participants in our study believe that families through one or more of the factors such as poor nutrition styles, family complications, and inheritance have contributed to the development of hypertension. The underlying structure of families is significantly associated with health-related behaviors of individuals ( 31 ). Research results have shown that, in chronic diseases such as hypertension, families play important roles ( 19 , 25 , 31 ).…”

“…The underlying structure of families is significantly associated with health-related behaviors of individuals ( 31 ). Research results have shown that, in chronic diseases such as hypertension, families play important roles ( 19 , 25 , 31 ). Participants in the qualitative study conducted by Barreto et al mentioned the role of families in development of hypertension as a complication in the familial relationships and lack of awareness about the prevention of disease among the members of the family ( 31 ).…”

“…Research results have shown that, in chronic diseases such as hypertension, families play important roles ( 19 , 25 , 31 ). Participants in the qualitative study conducted by Barreto et al mentioned the role of families in development of hypertension as a complication in the familial relationships and lack of awareness about the prevention of disease among the members of the family ( 31 ). Khatib et al showed in systematic reviews of several qualitative researches that lack of family support (especially psychological) and their improper lifestyle are the reasons for participants being hypertensive ( 19 ).…”

Factors associated to adherence to hypertensive medicinal treatment for african descent people resident in quilombola community: a cross-sectional study

“…Regarding marital and family situation, the results of this research converge with other studies, showing that the motivation offered by cohabiting with a partner 26 or other relatives 33 favors drug adherence, and that there may be a significant positive association between these two variables (living with a partner and drug adherence) 23 . In this way, the family can act as an agent facilitating drug adherence by encouraging self-care practices 45 . The relationship of drug adherence to previous diseases such as type 2 diabetes 34 and family history of cardiovascular disease 29 , has also been documented in other researches.…”