Schlomann Pam, Schmitke Joan
Department of Baccalaureate and Graduate Nursing, Eastern Kentucky University, Richmond, Kentucky 40475-3102, USA.
J Am Acad Nurse Pract. 2007 Jul;19(7):358-67. doi: 10.1111/j.1745-7599.2007.00238.x.
The purpose of this interpretive synthesis was to explore lay beliefs about high blood pressure and its treatment in order to develop a foundation for better partnering with clients.
Meta-interpretation was used to analyze 11 qualitative research studies published in the United States between 2000 and 2005.
Professional and lay beliefs about hypertension are not congruent. Historical factors, lack of congruence between belief systems, and poor relationships with providers lead many clients, especially African Americans, to distrust providers and impede the effectiveness of treatment plans. The most problematic discrepancies were related to beliefs about (a) the presence of symptoms, (b) the need to take medications for the rest of life, and (c) race-specific treatment plans. The interactions between nurse practitioners and hypertensive clients have not been explored.
Professional-client interactions based on partnership models, with specific consideration for the above-stated discrepancies in beliefs, are necessary to improve hypertension control.
本解释性综合研究的目的是探究公众对高血压及其治疗的看法，以便为更好地与患者合作奠定基础。
采用元解释法分析了2000年至2005年间在美国发表的11项定性研究。
专业人士和公众对高血压的看法不一致。历史因素、信念体系之间缺乏一致性以及与医疗服务提供者的关系不佳，导致许多患者，尤其是非裔美国人，不信任医疗服务提供者，并阻碍了治疗计划的有效性。最成问题的差异与以下方面的看法有关：（a）症状的存在，（b）终身服药的必要性，以及（c）针对特定种族的治疗计划。执业护士与高血压患者之间的互动尚未得到探讨。
基于伙伴关系模式的专业人员与患者互动，特别考虑到上述信念差异，对于改善高血压控制是必要的。
