在尼泊尔高血压的老年人中寻求健康的挑战:一个现象学研究
Prabha Shrestha1,2,3, Biraj Man Karmacharya4,5, Yunika Acharya5
1Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. prabha.shrestha@gbhi.org.
BMC geriatrics
|December 4, 2025
概括
尼泊尔的老年人面临着管理高血压的重大障碍,包括个人健康下降,有限的家庭支持和系统性问题. 解决这些多层次的挑战对于改善护理和实现包括年龄在内的医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压在尼泊尔是一个越来越大的健康挑战,特别影响低血压控制率的老年人群.
- 尼泊尔关于寻求医疗保健行为的现有研究尚未充分探讨高血压老年人面临的具体挑战.
- 老年人,他们的家庭照顾者和医疗保健提供者的观点至关重要,但在当前关于高血压护理的研究中代表性不足.
研究的目的:
- 调查尼泊尔高血压老年人在寻求医疗保健时遇到的多层次挑战.
- 从老年人,家庭照顾者和医疗保健提供者的角度收集有关这些挑战的见解.
- 为改善尼泊尔老龄化人口高血压管理的有针对性的干预措施的制定提供信息.
主要方法:
- 采用了定性研究设计,使用了24个深度访谈 (IDI) 和2个焦点小组讨论 (FGD).
- 参与者包括患有高血压的老年人,医疗保健提供者和家庭护理人员.
- 数据采集使用基于社会生态模型的半结构指南,录音,转录,翻译,并使用归纳和演编码进行主题分析.
主要成果:
- 个人层面的挑战包括感知到的身体/认知衰退和竞争的优先事项,阻碍寻求护理.
- 确定了人际关系因素,如家庭支持有限和沟通不良.
- 社区层面的障碍包括基础设施和交通不足;组织问题涉及缺乏老年医疗服务和人员短缺.
- 政策层面的挑战包括医疗保险的排除和药物供应效率低下.
结论:
- 改善高血压管理需要采取协调方法,重点关注老年人友好的服务和患者赋权.
- 加强家庭和社区支持系统对于更好的健康结果至关重要.
- 弥合政策与实践之间的差距对于尼泊尔公平,包容年龄的医疗保健至关重要.
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