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Exploring perceived challenges of self-management in low-income older people with hypertension: A qualitative study
Meng Zhang1, Yu Liu1, Wen-Yan Zhang1
1Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China.
Background:
Hypertension is a public health problem globally. Understanding the perceived challenges of low-income older people populations with chronic disease is an obstacle the world is facing today.
Aim:
To explore perceived challenges of self-management in low-income older people with hypertension.
Methods:
Data were collected in three communities from September 2019 to October 2019 by semi-structured interviews. Interviews were audio-taped by digital voice recorder and analysed according to Colaizzi's seven steps.
Results:
Participants demonstrated perceived challenges concerning hypertension self-management. Six themes were identified: hypertension belief bias, family dysfunction, deep-rooted habit, elder self-neglect, medical informatization and supportive health policy. Each theme was identified with several subthemes.
Conclusions:
Findings implied that most of the low-income older people lacked self-management behaviours. Future research is needed to address perceived challenges related to self-management behaviour for patients with hypertension worldwide.
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