Phyllis and Harvey Sandler School of Social Work, Florida Atlantic University, Boca Raton, FL, USA.
Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
Public Health Nurs. 2021 Mar;38(2):160-166. doi: 10.1111/phn.12799. Epub 2020 Sep 6.
Heart disease, including hypertension, is a leading cause of morbidity and mortality among persons experiencing homelessness (PEH). PEH exhibit a greater number of modifiable risk factors for hypertension than the general population and are challenged to reach optimal blood pressure control despite receiving medical treatment. This descriptive qualitative study used data collected from three focus groups to explore the barriers and facilitators of self-management of hypertension while experiencing homelessness. Participants discussed co-morbidity, limited food choices, medication issues, stress, and negative health care provider experiences as the biggest barriers toward self-management of hypertension. To address the barriers described above, participants discussed strategies to manage their medications, healthy eating, exercise, social support, and reducing stress. Strategies for health care practitioners and shelter providers to reduce barriers to self-management of hypertension among PEH are discussed.
心脏病，包括高血压，是无家可归者（PEH）发病率和死亡率的主要原因。PEH 表现出比一般人群更多的高血压可改变危险因素，尽管接受了治疗，但他们仍难以达到最佳血压控制。这项描述性定性研究使用了来自三个焦点小组的数据，以探讨在无家可归时高血压自我管理的障碍和促进因素。参与者讨论了合并症、有限的食物选择、药物问题、压力和不良的医疗保健提供者体验，这些都是高血压自我管理的最大障碍。为了解决上述障碍，参与者讨论了管理药物、健康饮食、锻炼、社会支持和减轻压力的策略。讨论了医疗保健从业者和收容所提供者减少 PEH 高血压自我管理障碍的策略。
