Factors influencing patients' hypertension self-management and sustainable self-care practices: a qualitative study

Yatim, H. M.; Wong, Yuet Yen; Neoh, Chin Fen; Lim, Seng Hock; Hassali, M.A.; Hong, Yet Hoi

doi:10.1016/j.puhe.2019.04.020

Cited by 13 publications

(19 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 81 , 82 By sharing with others, patients have a chance to exchange information, share their problems and increase their willingness to manage their hypertension. 81 , 83 , 84 Therefore, assessing knowledge of hypertension, ensuring the availability of partner to support hypertension management, and creative program offered by community health centers are important to consider in future research.…”

Section: Discussionmentioning

confidence: 99%

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Irwan¹,

Potempa²,

Abikusno³

et al. 2022

JMDH

View full text Add to dashboard Cite

Background Self-care practices such as lifestyle modifications in diet, exercise, and stress management are effective in reducing the incidence of and enhancing better management of hypertension. However, little is known about the self-care management practices of people with hypertension in Southeast Asia (SEA) countries where the prevalence of hypertension is sharply increasing. Methods A scoping review of research and grey literature (2006–2021) was performed using Scoping Review Frameworks by Arkey and O’Malley. For the research literature, ten databases were searched followed by a manual search of the reference lists of relevant topical papers. Criteria for inclusion included both qualitative and quantitative primary data studies, focused on adult (18 years and over) hypertensive patients, self-care management methods, conducted in SEA. The study protocol has been registered at Open Science Framework ( https://osf.io/s4nvk/ ). Results Out of 1667 studies examined, there were 57 studies that met criteria and were included in this review. Results indicate a paucity of relevant literature. Moreover, most studies reviewed showed an incident rate of 50% or more incidence of behavioural risk factors in people diagnosed with hypertension, including overweight/obesity, poor physical exercise, poor/low-quality dietary intake, and not adhering to medication. Few studies indicated adequate traditional self-care practice among SEA hypertension populations. Use of a non-prescription herbal as the medication is identified in some studies. Several reviewed articles indicated that there is individual variation in the facilitators and barriers to implementing self-care practices and we put it into a working framework. The facilitators and barriers are relevant to personal choice (internal factors) or to the environment or context (external factors). Conclusion Enhancing self-care management of hypertension in SEA may require a multi-focused approach including targeting personal choice as well as external factors such as cultural relevance, environment, and resources.

show abstract

Section: Discussionmentioning

confidence: 99%

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Irwan¹,

Potempa²,

Abikusno³

et al. 2022

JMDH

View full text Add to dashboard Cite

show abstract

“…This factor (9 items) was dispersed into Understanding and Managing my CKD (originally known as Self-integration) (5 items) and Seeking Support (originally Seeking Social Support) (4 items). This is related to the local family dynamic where no individual (health) problem should be kept from the family [31,32]. Problem-solving in health problems is a family issue, and begins in personal understanding of the problem at hands.…”

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation and Validation of the Malay Chronic Kidney Disease Self-Management Instrument (MCKD-SM)

Ali

Lim

Tang

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: There is growing evidence that self‐management behaviour can improve outcomes for patients with chronic kidney disease (CKD). However, there are no measures available in Malay to effectively assess self-management of CKD. The aim of this study was to translate, culturally adapt, and validate the Malay Chronic Kidney Disease Self-Management (MCKD-SM) for Malay-speaking health professionals and patients. Methods: This study was carried out in two phases: translation and cultural adaptation, and validation. Instruments were translated from English to Malay then adapted and validated in a sample of 337 patients with CKD stages 3-4 attending a nephrology clinic in a tertiary hospital in Malaysia. Construct validity was evaluated by exploratory factor analysis. Reliability of the instrument was assessed by internal consistency and test‐retest reliability. The correlations between MCKD-SM and kidney disease knowledge, MCKD-SM and self-efficacy were hypothesised a priori and investigated. Results: The Malay version of the Chronic Kidney Disease Self-Management instrument has 29 items grouped into three factors: “Understanding and Managing my CKD”, “Seeking Support” and “Adherence to Recommended Regimen”. The three factors accounted for 56.3 % of the total variance. Each factor showed acceptable internal reliability with Cronbach’s α from 0.885-0.960. 2-week intra-rater test-retest reliability intraclass correlation coefficient values for all items ranged between 0.938 to 1.000. MCKD-SM scores significantly correlates with kidney disease knowledge (r = 0.366, p < 0.01) and self-efficacy (r = 0.212, p < 0.01).Conclusion: The Malay version of the CKD-SM was found to be a valid and reliable patient‐reported outcome measure of pre-dialysis CKD self-management behaviour in the Malay-speaking population.

show abstract

“…Edukasi yang diberikan berupa materi teoritis seperti ceramah, diskusi, konseling, e-learning, dan juga praktik seperti workshop atau training dengan berbagai topik terkait. Topik/ materi tersebut berupa fakta-fakta seputar hipertensi seperti definisi (11,15,16) , tanda dan gejala, faktor risiko (15,16) , bagaimana mendiagnosa dan penanganannya, tekanan darah normal, pencegahan hipertensi (9,15,25) , komplikasi (16,20,26) , obat (16,18,21,28,29) , efek samping obat, pentingnya minum obat secara teratur, pentingnya pemeriksaan tekanan darah secara berkala (16) , diet (12,18,29) , aktifitas fisik (18,28,29) , teknik relaksasi seperti tarik nafas dalam (10) , relaksasi otot, guided imagery (10,12) , Roy Adaptation Model yang dibuat menjadi sebuah panduan yang berisi definisi, faktor risiko, gejala, pengukuran tekanan darah di rumah (14) , pengurangan sodium (22,30) , self management untuk hipertensi, hipertensi memungkinkan terjadinya stroke, bisakah sembuh dari hipertensi, penanganan hipertensi, pentingnya mematuhi pengobatan (27) , hidup dengan hipertensi, makanan sehat (28) , modifikasi gaya hidup, mengurangi konsumsi alkohol, DASH diet (30) , kehilangan berat badan (29,30) , pengontrolan tekanan darah, keuntungan hidup sehat, efek buruk akibat hipertensi (19) , grade hipertensi (20) , pengendalian penyakit, pencegahan komplikasi tambahan, menghentikan rokok (29), Self-Blood Pressure Monitoring (SBP...…”

Section: Hasilunclassified

“…Perubahan tekanan darah menjadi indikator yang dapat dilihat terkait berhasil atau tidaknya suatu upaya pencegahan atau pengendalian hipertensi. Upaya tersebut dapat berupa edukasi tatap muka atau kombinasi dengan media lain seperti email, video, booklet, buku panduan, email, line dan lain sebagainya (8,9,21,28) . Berbagai penelitian mengungkapkan bahwa terjadi penurunan tekanan darah baik sistol maupun diastol setelah mendapatkan intervensi edukasi (7,14,16) .…”

Section: Pembahasanunclassified

Efektifitas Edukasi dalam Pencegahan dan Pengendalian Hipertensi

Adiatman

Nursasi

2020

JPKSF

View full text Add to dashboard Cite

Hypertension is one of the most important health problems that cause death in the world so it needs to be a concern to improve hypertension management for sufferers. Prevention and hypertension control can be done in various ways one of them through education. This study aims to study the effectiveness of education on prevention and hypertension control. This study conducted a systematic literature review method with descriptive analysis. Articles obtained from online databases namely EBSCOhost, PubMed, sciencedirect, Google scholar, and published from 2016-2020. The results of studies identify that research on hypertension prevention are much smaller than the hypertension control, besides that education was effective for prevention and hypertension control associated with increased knowledge, attitude, and decrease in blood pressure, but not all result was significant effect on decreasing blood pressure. Modification or combination of education with various methods, media, and related topics may be needed and the need for more research related to hypertension. Keywords: education; hypertension; prevention and hypertension control ABSTRAK Hipertensi merupakan salah satu masalah kesehatan paling utama penyebab kematian di dunia sehingga perlu menjadi perhatian untuk pencegahan maupun pengelolaan hipertensi bagi penderita. Pencegahan dan pengendalian hipertensi dapat dilakukan dengan berbagai cara salah satunya adalah melalui media edukasi. Studi ini bertujuan untuk mengetahui efektifitas edukasi terhadapa pencegahan dan pengendalian hipertensi. Studi ini dilakukan dengan metode studi literature tersistematis dengan analisis deskriptif. Artikel diperoleh dari online database yaitu EBSCOhost, PubMed, sciencedirect, Google scholar, dan diterbitkan dari 2016-2020. Hasil studi mengidentifikasi provorsi penelitian terhadap pengahan hipertensi jauh lebih kecil dibandingkan dengan pengendalian hipertensi, selain itu edukasi efektif untuk pencegahan dan pengendalian hipertensi yang ditunjukkan dengan peningkatan pengetahuan, sikap, serta penurunan tekanan darah, namun tidak semua berpengaruh signifikan terhadap penurunan tekanan darah. Modifikasi atau kombinasi edukasi dengan berbagai metode, media, dan topic terkait mungkin diperlukan serta perlunya memperbanyak penelitian terkait pencegahan hipertensi. Kata Kunci: edukasi; hipertensi; pencegahan dan pengendalian hipertensi

show abstract

Factors influencing patients' hypertension self-management and sustainable self-care practices: a qualitative study

Cited by 13 publications

References 9 publications

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Cultural Adaptation and Validation of the Malay Chronic Kidney Disease Self-Management Instrument (MCKD-SM)

Efektifitas Edukasi dalam Pencegahan dan Pengendalian Hipertensi

Contact Info

Product

Resources

About