Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Branch, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Penang Branch, Bertam Campus, 13200 Kepala Batas, Pulau Pinang, Malaysia.
Public Health. 2019 Aug;173:5-8. doi: 10.1016/j.puhe.2019.04.020. Epub 2019 Jun 14.
The objective of this study was to explore factors influencing patients with hypertension to participating in a hypertension self-management education (HSME) programme and challenges of sustaining the learnt self-care practices.
This was a qualitative study with focus group discussions.
Focus group discussions using a semistructured moderator guide were conducted among participants who had attended the HSME programme. Data were audio recorded, transcribed verbatim and analysed using a thematic analysis approach.
Three focus groups involving 19 participants were conducted. Four major themes emerged from the data collected. Most participants enjoyed the group-based HSME sessions because sharing experiences with those having similar health problems can reduce their sense of isolation. However, the participants highlighted the difficulty in sustaining self-care practices in the presence of friends and family influences.
A number of patient-, family- and community-level motivators and barriers to patients' hypertension self-management have been identified. Efforts to tailor behavioural interventions to sustain daily self-care activities during social and cultural events are imperative.
本研究旨在探讨影响高血压患者参与高血压自我管理教育（HSME）计划的因素，以及维持所学自我护理实践的挑战。
这是一项使用焦点小组讨论的定性研究。
对参加 HSME 计划的参与者进行了使用半结构化主持人指南的焦点小组讨论。使用主题分析方法对音频记录、逐字转录的数据进行了分析。
进行了 3 个焦点小组，共 19 名参与者。从收集的数据中得出了 4 个主要主题。大多数参与者喜欢基于小组的 HSME 课程，因为与有类似健康问题的人分享经验可以减少他们的孤立感。然而，参与者强调了在朋友和家人的影响下维持自我护理实践的困难。
已经确定了一些患者、家庭和社区层面的促进因素和障碍，这些因素会影响患者的高血压自我管理。努力调整行为干预措施，以维持社交和文化活动期间的日常自我护理活动是至关重要的。
