A Qualitative Study on Barriers to Treatment and Control of Hypertension Among Patients at Dessie Referral Hospital, Northeast Ethiopia, Ethiopia: Healthcare Workers' Perspective.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2021-12-03 eCollection Date: 2021-01-01 DOI:10.2147/IBPC.S339773
Yeshewas Abaynew, Mohammed Hussien
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Abstract

Introduction: Hypertension is the leading cause of morbidity and mortality and accounts for 13% of all deaths and 7% of the disease burden in the world. Although the importance of controlling hypertension has been recognized for many years, the majority of patients with hypertension remain uncontrolled. Studies indicate a very low adherence to lifestyle modifications among patients in the study area. Hypertensive patients face set of problems associated with adherence to antihypertensive drugs and healthy lifestyle modifications.

Objective: The objective of the study was to explore barriers to hypertension treatment and control from healthcare workers' perspective and experiences at Dessie Referral Hospital, Ethiopia.

Methods: Seven healthcare workers actively involved in managing hypertensive individuals at Dessie Referral Hospital were recruited for the study. Participants were purposively selected from outpatient, inpatient, and pharmacy departments. The required data were collected by the principal investigator on exit interviews. An interview guide was developed by reviewing previous literature. Interviews were semi-structured, 8-20 minutes in duration, and designed to elicit healthcare workers'experiences and perceptions and conducted until data saturation was reached. All interviews were recorded, transcribed verbatim, and thematically analyzed. Each theme was supported by using the participants' quotes.

Results: Three themes emerged. The major barriers impacted patients' medication adherence and healthy lifestyle modifications were common use of diets during social settings, low level of awareness, lack of resources, misconceptions about hypertension, use of traditional medicines, inadequate physical activities, and high cost of drugs.

Conclusion: Patients' misconceptions about hypertension, common use of diets during festivals, and inadequate physical activities were factors associated with inadequate blood pressure control. Healthcare workers should better understand the problems that hypertensive patients' face, thus achieving better control.

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关于埃塞俄比亚东北部 Dessie 转诊医院患者治疗和控制高血压障碍的定性研究:医护人员的观点。
导言:高血压是发病和死亡的主要原因,占全球死亡总数的 13%,占疾病负担的 7%。尽管控制高血压的重要性已被认识多年,但大多数高血压患者仍未得到控制。研究表明,研究地区的患者对生活方式调整的依从性非常低。高血压患者面临着一系列与坚持服用降压药和改变健康生活方式相关的问题:本研究旨在从埃塞俄比亚德西转诊医院医护人员的角度和经验出发,探讨高血压治疗和控制的障碍:研究招募了七名在德西转诊医院积极从事高血压患者管理工作的医护人员。研究人员从门诊部、住院部和药房有目的性地挑选出来。主要研究人员通过离职访谈收集所需数据。通过查阅以前的文献,制定了访谈指南。访谈采用半结构式,时间为 8-20 分钟,旨在了解医护人员的经验和看法,访谈进行到数据饱和为止。所有访谈都进行了录音、逐字记录和主题分析。每个主题都有参与者的引述作为支持:结果:出现了三个主题。影响患者坚持服药和改变健康生活方式的主要障碍包括:在社交场合普遍使用饮食、认知水平低、缺乏资源、对高血压的误解、使用传统药物、体育活动不足以及药物价格昂贵:结论:患者对高血压的误解、逢年过节时的饮食习惯和体育锻炼不足是导致血压控制不佳的相关因素。医护人员应更好地了解高血压患者面临的问题,从而更好地控制血压。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
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