2024年南非医疗保健提供者和受益人对高血压自我管理患者教育的可接受性:一项定性研究

IF 1.7 Q4 PRIMARY HEALTH CARE
Xoliswa Simelane, Juliana Kagura, Athini Nyatela, Samanta T Lalla-Edward
{"title":"2024年南非医疗保健提供者和受益人对高血压自我管理患者教育的可接受性:一项定性研究","authors":"Xoliswa Simelane, Juliana Kagura, Athini Nyatela, Samanta T Lalla-Edward","doi":"10.4102/phcfm.v17i1.4801","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> The prevalence of hypertension (HTN) is increasing among people living with human immunodeficiency virus (HIV). Self-management is vital for improving health outcomes and preventing disease progression. While education for HTN self-management has been implemented in South Africa, little is known about its acceptability.</p><p><strong>Aim: </strong> The study aims to explore the acceptability of patient education for self-management of HTN among people living with HIV (PLWH) and HTN, and healthcare providers in Integrating HIV and hEART health in South Africa (iHEART-SA) intervention clinics.</p><p><strong>Setting: </strong> The study was conducted in six primary health care facilities in Johannesburg.</p><p><strong>Methods: </strong> A qualitative study design using in-depth interviews (IDIs) was conducted with 18 healthcare providers and 13 PLWH and HTN. Data were gathered using a semi-structured interview guide. Interviews were conducted in English and audio recorded for transcription and analysis. MAXQDA was used for analysis.</p><p><strong>Results: </strong> The use of simple language, empowerment through knowledge and perceived health improvements were identified as facilitators of acceptability. Emotional discomfort attributable to booklet colours, diagnosis denial and staff shortages, were barriers. Ongoing training was the preferred strategy to enhance acceptability.</p><p><strong>Conclusion: </strong> Acceptability of patient education among participants was high and can be enhanced via continuous trainings. Future research should further explore these aspects to refine and tailor interventions for diverse populations.Contribution: The study contributes to the body of literature about the acceptability of patient education for HTN self-management among healthcare providers and people with HIV and HTN. Findings can be used in improving education interventions using innovative approaches.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223999/pdf/","citationCount":"0","resultStr":"{\"title\":\"Acceptability of patient education for hypertension self-management among healthcare providers and beneficiaries in South Africa, 2024: A qualitative study.\",\"authors\":\"Xoliswa Simelane, Juliana Kagura, Athini Nyatela, Samanta T Lalla-Edward\",\"doi\":\"10.4102/phcfm.v17i1.4801\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong> The prevalence of hypertension (HTN) is increasing among people living with human immunodeficiency virus (HIV). Self-management is vital for improving health outcomes and preventing disease progression. While education for HTN self-management has been implemented in South Africa, little is known about its acceptability.</p><p><strong>Aim: </strong> The study aims to explore the acceptability of patient education for self-management of HTN among people living with HIV (PLWH) and HTN, and healthcare providers in Integrating HIV and hEART health in South Africa (iHEART-SA) intervention clinics.</p><p><strong>Setting: </strong> The study was conducted in six primary health care facilities in Johannesburg.</p><p><strong>Methods: </strong> A qualitative study design using in-depth interviews (IDIs) was conducted with 18 healthcare providers and 13 PLWH and HTN. Data were gathered using a semi-structured interview guide. Interviews were conducted in English and audio recorded for transcription and analysis. MAXQDA was used for analysis.</p><p><strong>Results: </strong> The use of simple language, empowerment through knowledge and perceived health improvements were identified as facilitators of acceptability. Emotional discomfort attributable to booklet colours, diagnosis denial and staff shortages, were barriers. Ongoing training was the preferred strategy to enhance acceptability.</p><p><strong>Conclusion: </strong> Acceptability of patient education among participants was high and can be enhanced via continuous trainings. Future research should further explore these aspects to refine and tailor interventions for diverse populations.Contribution: The study contributes to the body of literature about the acceptability of patient education for HTN self-management among healthcare providers and people with HIV and HTN. Findings can be used in improving education interventions using innovative approaches.</p>\",\"PeriodicalId\":47037,\"journal\":{\"name\":\"African Journal of Primary Health Care & Family Medicine\",\"volume\":\"17 1\",\"pages\":\"e1-e10\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-06-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223999/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"African Journal of Primary Health Care & Family Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/phcfm.v17i1.4801\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"African Journal of Primary Health Care & Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/phcfm.v17i1.4801","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

摘要

背景:人类免疫缺陷病毒(HIV)感染者中高血压(HTN)的患病率正在上升。自我管理对于改善健康结果和预防疾病进展至关重要。虽然南非已经实施了HTN自我管理教育,但人们对其可接受性知之甚少。目的:本研究旨在探讨艾滋病病毒感染者(PLWH)和艾滋病病毒感染者(HTN)以及南非艾滋病病毒和心脏健康综合干预诊所(iHEART-SA)的医疗保健提供者对HTN自我管理的患者教育的可接受性。环境:这项研究是在约翰内斯堡的六个初级卫生保健机构进行的。方法:采用深度访谈(IDIs)对18名医疗服务提供者和13名PLWH和HTN进行定性研究设计。数据是通过半结构化访谈指南收集的。访谈以英语进行,并录下录音以供抄录和分析。采用MAXQDA进行分析。结果:使用简单的语言、通过知识赋权和感知到的健康改善被确定为可接受性的促进因素。由于小册子的颜色、拒绝诊断和工作人员短缺而引起的情绪不适是障碍。持续培训是提高可接受性的首选策略。结论:参与者对患者教育的接受程度较高,可通过持续培训提高患者教育的接受程度。未来的研究应进一步探索这些方面,以完善和定制不同人群的干预措施。贡献:该研究对医疗保健提供者和艾滋病毒和HTN患者对HTN自我管理的患者教育的可接受性做出了贡献。研究结果可用于采用创新方法改进教育干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acceptability of patient education for hypertension self-management among healthcare providers and beneficiaries in South Africa, 2024: A qualitative study.

Background:  The prevalence of hypertension (HTN) is increasing among people living with human immunodeficiency virus (HIV). Self-management is vital for improving health outcomes and preventing disease progression. While education for HTN self-management has been implemented in South Africa, little is known about its acceptability.

Aim:  The study aims to explore the acceptability of patient education for self-management of HTN among people living with HIV (PLWH) and HTN, and healthcare providers in Integrating HIV and hEART health in South Africa (iHEART-SA) intervention clinics.

Setting:  The study was conducted in six primary health care facilities in Johannesburg.

Methods:  A qualitative study design using in-depth interviews (IDIs) was conducted with 18 healthcare providers and 13 PLWH and HTN. Data were gathered using a semi-structured interview guide. Interviews were conducted in English and audio recorded for transcription and analysis. MAXQDA was used for analysis.

Results:  The use of simple language, empowerment through knowledge and perceived health improvements were identified as facilitators of acceptability. Emotional discomfort attributable to booklet colours, diagnosis denial and staff shortages, were barriers. Ongoing training was the preferred strategy to enhance acceptability.

Conclusion:  Acceptability of patient education among participants was high and can be enhanced via continuous trainings. Future research should further explore these aspects to refine and tailor interventions for diverse populations.Contribution: The study contributes to the body of literature about the acceptability of patient education for HTN self-management among healthcare providers and people with HIV and HTN. Findings can be used in improving education interventions using innovative approaches.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信