Barriers to self-care in elderly people with hypertension: a qualitative study

Gholamnejad, Hanieh; Kakhki, Ali Darvishpoor; Ahmadi, Fazlollah; Rohani, Camelia

doi:10.1108/wwop-08-2018-0016

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…3 The reasons for this may be a combination of factors, including limited awareness or inattention by healthcare providers, lack of resources (funding, staff and infrastructure), cultural attitudes and religious beliefs, fragmentation of care and a limited patient-or person-centred approach in which patients are active partners. [4][5][6][7] Chronic noncommunicable diseases CNDs last longer than 1 year, require long-term treatment and may affect patients' independence, including behavioural and other problems. 8 In the European Union, 59.8% of people aged 65 and over had a long-term illness or health problem in 2021.…”

Section: Introductionmentioning

confidence: 99%

A self-care process model for patients with chronic noncommunicable diseases

Milavec Kapun,

Rajkovič,

Šušteršič

et al. 2023

Health Serv Manage Res

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Self-care of patients with chronic noncommunicable diseases is an essential component of contemporary healthcare. The purpose of this paper is to present a novel self-care process model and place it in the broader context of professional care. The extended Event-driven Process Chain approach to process modelling was used, focusing on a detailed overview of sequences of events, connections and activities and other elements/building blocks. A self-care process model was designed. The model is divided into two parts. The first part represents the self-care process when patients are able to manage their symptoms and be independent. The second part includes the process when patients are unable to perform self-care and/or need professional support. By identifying the essential elements of this process and incorporating them into the patients' care process, we can ensure that professional support for self-care creates a dynamic balance in the patients’ ecosystems. Patients with chronic noncommunicable diseases need to make timely decisions about individual aspects of their health and seek professional help. In this way, an optimal level of health and well-being of patients can be achieved. Focusing on the patients’ self-care process could also reduce treatment costs and improve the quality of life of patients. The novel designed model of the process of self-care, with all its essential elements, can be supported by digital technology, especially in the decision-making process and needs to become an important part of healthcare and long-term care systems.

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Section: Introductionmentioning

confidence: 99%

A self-care process model for patients with chronic noncommunicable diseases

Milavec Kapun,

Rajkovič,

Šušteršič

et al. 2023

Health Serv Manage Res

View full text Add to dashboard Cite

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The association between health literacy and self-care of hypertension among older adults in five regions in Jordan

Kawafha,

Alsaqer,

Al-Maghaireh

et al. 2024

WWOP

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Purpose This study aims to determine the relationship between health literacy and the self-care of hypertension in older adults in five regions in Jordan. Design/methodology/approach A cross-sectional study was conducted with 1,100 older adult patients with hypertension who had follow-ups in cardiac clinics of the five biggest hospitals in five regions of Jordan. The research instruments included a Health Literacy Questionnaire (CHEWQ) and the self-care of hypertension inventory. Findings The average health literacy score was 8.52 ± 1.6, indicating inadequate health literacy, while their self-care of hypertension score was 42.33 ± 10.9, indicating low self-care. Inadequate health literacy and factors such as marital status, education level, income and overall health status were linked to poor self-care of hypertension (p < 0.05). Practical implications This study suggests that there is a need to assess the effectiveness of various health literacy interventions, such as educational programs and customized communication strategies, in enhancing self-care behaviors across diverse populations, particularly among the elderly. Originality/value The study findings highlight the need for nursing interventions aimed at improving health literacy to enhance the ability of older adults in Jordan to manage their hypertension.

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A qualitative study on illness perceptions and self-mastery among Chinese elderly with hypertension

Yao,

Zhang,

Qie

2024

Asian Journal of Medical Humanities

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Objectives Hypertension stands as the most prevalent chronic disease globally, making self-care a crucial determinant in the trajectory of the illness. Yet, a significant challenge faced by many elderly individuals with hypertension is the accurate perception of the condition as an embodied symptom. The aim of this paper is to delve into the illness perceptions of older adults with hypertension and further gain insights into their self-management efforts. Methods This qualitative study involved 20 older adults living in community settings, all clinically diagnosed with hypertension. Data collection was conducted using semi-structured interviews from May to August 2022, and the data was subsequently analyzed through thematic analysis. Results Based on data analysis, two primary themes emerged: Illness Ambiguity regarding Hypertension and Self-Mastery of Holistic Health. Illness ambiguity regarding hypertension was manifested by incidental discovery and elusive triggers of recurrence, hypertension management approaches and emotional complexities associated with aging. The participants demonstrated self-mastery as an effective strategy in coping with hypertension as well as other health problems, including psychological flexibility, active body ownership, and meaning-making for illness acceptance. Conclusions Older adults with hypertension faced illness ambiguity regarding their condition; however, they effectively coped by exercising self-mastery and adopting holistic health strategies to maintain their overall well-being. Future interventions in hypertension therapy and psychosocial care should be customized, taking into account these embodied experiences and the sociocultural contexts of the patients.

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Barriers to self-care in elderly people with hypertension: a qualitative study

Cited by 3 publications

References 25 publications

A self-care process model for patients with chronic noncommunicable diseases

A self-care process model for patients with chronic noncommunicable diseases

The association between health literacy and self-care of hypertension among older adults in five regions in Jordan

A qualitative study on illness perceptions and self-mastery among Chinese elderly with hypertension

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