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Living with Hypertension: A Qualitative Research
Afzal Shamsi1, Nahid Dehghan Nayeri2, Maryam Esmaeili2
1Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Summary
Patients with hypertension experience physical, psychological, and social challenges. Adapting to hypertension, considering cultural context, leads to positive patient experiences and improved management.
Area of Science:
- Medical Sociology
- Qualitative Health Research
Background:
- Hypertension significantly impacts patients' lives, influenced by personal beliefs, experiences, and socio-cultural factors.
- Effective hypertension management requires understanding the patient's holistic experience.
Purpose of the Study:
- To explore the perspectives and lived experiences of patients managing hypertension.
- To identify key factors influencing the hypertension treatment process from the patient's viewpoint.
Main Methods:
- Qualitative content analysis of semi-structured interviews with 27 hypertensive patients.
- Purposive sampling and adherence to Lincoln and Guba's criteria for trustworthiness.
Main Results:
- Patient experiences categorized into 'disease shadow,' 'dual understanding of drug therapy' (benefits vs. negative consequences), and 'facing the disease' (compatibility vs. denial).
- Identified physical, psychological, social, familial, and spiritual challenges associated with hypertension.
Conclusions:
- Compatibility with hypertension yields positive patient experiences.
- Culturally sensitive, comprehensive planning is essential for addressing patient challenges and improving hypertension care.
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