The Problems and Needs of Self-Management Among Indonesian Older Adults With Hypertension: A Qualitative Study.

IF 2 Q2 NURSING
SAGE Open Nursing Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI:10.1177/23779608241282915
Uswatun Khasanah, Budi Anna Kelliat, Yati Afiyanti, Besral Besral, Dianis Wulan Sari
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Abstract

Introduction: Hypertension is the most common older adults' health problem in Indonesia. Older adults experience various changes in their life that often contribute to their ability to manage health problems, especially in chronic diseases.

Objectives: This study aimed to understand the problems and needs of self-management of older adults with hypertension.

Methods: This was a qualitative exploratory descriptive design. Data collection was conducted among 62 participants. Participants were 15 older adults with hypertension and 11 older adults' families, 12 primary care nurses, seven medical doctors, 11 health volunteers, three heads of primary care, and three district health officials selected by purposeful sampling. Data were collected using semistructured, face-to-face interviews (older adults and their families) and focus group discussion (healthcare workers). Data analysis was carried out qualitatively descriptively using an inductive thinking process; Colaizzi's measures were used for analysis.

Results: This study identified eight main themes: (1) complaints related to aging and hypertension, (2) knowledge and beliefs about hypertension, (3) behavior changes after hypertension, (4) disease management support; access to health services for older adults, (5) the need to manage hypertension for older adults, (6) disease management support, (7) hypertension self-management behavior, and (8) compliance with medication.

Conclusion: This study provided evidence regarding older adults' problems and needs in managing hypertension. These findings should be considered while providing nursing care at the community level to initiate the self-management of hypertension in older adults.

印度尼西亚老年高血压患者自我管理的问题和需求:定性研究。
简介高血压是印度尼西亚老年人最常见的健康问题。老年人在生活中经历的各种变化往往会影响他们管理健康问题的能力,尤其是慢性疾病:本研究旨在了解患有高血压的老年人在自我管理方面的问题和需求:方法:这是一项定性探索性描述设计。数据收集对象为 62 名参与者。参与者包括 15 名高血压老年人和 11 名老年人家属、12 名初级保健护士、7 名医生、11 名卫生志愿者、3 名初级保健负责人和 3 名地区卫生官员。采用半结构化、面对面访谈(老年人及其家属)和焦点小组讨论(医护人员)的方式收集数据。数据分析采用归纳式思维过程,以描述性的方式进行定性分析:本研究确定了八大主题:(1)与老龄化和高血压有关的抱怨;(2)对高血压的认识和信念;(3)高血压后的行为改变;(4)疾病管理支持;老年人获得医疗服务的途径;(5)老年人管理高血压的必要性;(6)疾病管理支持;(7)高血压自我管理行为;(8)遵医服药:本研究提供了有关老年人在管理高血压方面的问题和需求的证据。结论:本研究提供了有关老年人在管理高血压方面的问题和需求的证据,在社区层面提供护理服务以启动老年人高血压自我管理时,应考虑这些研究结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
5.00%
发文量
106
审稿时长
15 weeks
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