a Department of Kinesiology and Community Health , University of Illinois Urbana-Champaign , Champaign , IL , USA.
b Department of Physiology , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.
Ethn Health. 2019 Apr;24(3):257-270. doi: 10.1080/13557858.2017.1346178. Epub 2017 Jul 4.
Currently in Ghana, there is an on-going task-shifting strategy in which nurses are trained in hypertension management. While this study will provide useful information on the viability of this approach, it is not clear how patients in the intervention perceive hypertension, the task-shifting strategy, and its effects on blood pressure management. The objective of this paper is to examine patients' perceptions of hypertension and hypertension management in the context of an on-going task-shifting intervention to manage blood pressure control in Ghana.
Forty-two patients participating in the Task Shifting Strategy for Hypertension program (23 males, 19 females, and mean age 61. 7 years) completed in-depth, qualitative interviews. Interviews were transcribed, and key words and phrases were extracted and coded using the PEN-3 Cultural Model as a guide through open and axial coding techniques, thus allowing rich exploration of the data.
Emergent themes included patients' perceptions of hypertension, which encompassed misperceptions of hypertension and blood pressure control. Additional themes included enablers and barriers to hypertension management, and how the intervention nurtured lifestyle change associated with blood pressure control. Primary enabling factors included the supportive nature of TASSH nurses, while notable barriers were financial constraints and difficulty accessing medication. Nurturing factors included the motivational interviewing and patient counseling which instilled confidence in the patients that they could make lasting behavior changes.
This study offers a unique perspective of blood pressure control by examining how patients view an on-going task-shifting initiative for hypertension management. The results of this study shed light on factors that can help and hinder individuals in low-resource settings with long-term blood pressure management.
目前在加纳，正在进行一项护士接受高血压管理培训的任务转移策略。虽然这项研究将提供有关这种方法可行性的有用信息，但尚不清楚干预组中的患者如何看待高血压、任务转移策略及其对血压管理的影响。本文的目的是考察患者在加纳正在进行的任务转移干预措施背景下对高血压和高血压管理的看法，以控制血压。
42 名参与高血压任务转移策略计划的患者（23 名男性，19 名女性，平均年龄 61.7 岁）完成了深入的定性访谈。访谈记录被转录，使用 PEN-3 文化模型作为指导，通过开放式和轴向编码技术提取和编码关键词和短语，从而对数据进行了深入探讨。
出现的主题包括患者对高血压的看法，包括对高血压和血压控制的误解。其他主题包括高血压管理的促进因素和障碍，以及干预措施如何培养与血压控制相关的生活方式改变。主要促进因素包括 TASSH 护士的支持性质，而显著障碍是财务限制和难以获得药物。促进因素包括动机性访谈和患者咨询，这增强了患者的信心，使他们能够进行持久的行为改变。
本研究通过考察患者如何看待正在进行的高血压管理任务转移计划，提供了对血压控制的独特视角。这项研究的结果阐明了在资源有限的环境中，哪些因素可以帮助和阻碍个人进行长期的血压管理。
