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Minimizing and/or Avoiding Disease Progression Risk in Patients With the Three Highs: A Grounded Theory Study.

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Patients with hypertension, diabetes, and dyslipidemia (the "three highs") fear disease progression. They manage concerns through perception, decision-making, and control strategies, aiding comprehensive disease management.

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Area of Science:

  • Clinical Medicine
  • Public Health
  • Health Psychology

Background:

  • Hypertension, diabetes, and dyslipidemia (
  • the three highs
  • ) are significant global health challenges.
  • Limited research exists on the primary concerns of patients managing all three conditions concurrently.
  • Understanding patient perspectives is crucial for effective chronic disease management.

Purpose of the Study:

  • To identify the primary concerns of patients diagnosed with hypertension, diabetes, and dyslipidemia.
  • To explore the strategies patients employ to address these concerns.
  • To develop a theoretical framework for managing patients with the
  • three highs
  • .

Main Methods:

  • Classic grounded theory approach.
  • Purposive and theoretical sampling involving 20 participants.
  • Simultaneous data collection and analysis using semi-structured interviews.

Main Results:

  • Patients' primary concern is the risk of disease progression.
  • Patients address concerns via perception, assessment, decision-making, control measures, and evaluation.
  • A core category related to managing the
  • three highs
  • emerged and was refined.

Conclusions:

  • The study provides a theoretical framework for understanding patients with the
  • three highs
  • .
  • Findings can inform interventions to improve self-management and patient well-being.
  • Addresses a gap in research concerning the holistic needs of patients with multiple chronic conditions.