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Aspects of hypertension - a multi-perspective approach on the way towards adherence and self-management

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Ulrika Bengtsson
Karin I Kjellgren
Inger Hallberg
Publicerad i Fifth Geneva conference on person-centerd medicine
Publiceringsår 2012
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Språk en
Länkar www.personcenteredmedicine.org/docs...
Ämnesord Hypertension, adherence, self-management, person-centred care
Ämneskategorier Omvårdnad

Sammanfattning

Hypertension is a long lasting condition for which a poor adherence to therapy becomes a substantial threat to the individual and public health. Major efforts have been made to explore reasons for poor adherence but few successful interventions have been designed. There is a need for effective strategies tailored for the unique needs of persons with hypertension. We set out to explore and describe relevant aspects of hypertension and hypertension treatment, from the perspective of persons with hypertension and health care providers. Focus group interviews were performed with 12 persons with hypertension and 15 health care providers and analysed according to thematic analysis. Persons with hypertension perceived trust, relationship to providers, well-being and prevention of complications as important aspects of hypertension care. Further they sought to understand the interplay between symptoms and variation of blood pressure. The providers emphasised accessibility, clear and consistent counselling, prevention of complications and educational efforts but doubted patients’ ability to be participating partners in care. The study presents aspects that persons with hypertension and health care providers deem important in hypertension self-management. Our findings provide input for future outcome measures and may increase the understanding of hypertension and treatment from a person-centred perspective.

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