Department of Nursing, Gandaki Medical College, Pokhara, Nepal.
Department of Medicine, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal.
J Nepal Health Res Counc. 2023 Mar 9;20(3):677-682. doi: 10.33314/jnhrc.v20i3.3795.
Many facets of a patient's life are affected by hypertension. Also, attitudes, values, and experiences, as well as patients' social and cultural circumstances, all play an essential role in the treatment of hypertension. The study's primary objective was to explore hypertensive women's perceptions of their illnesses.
The study was conducted using a qualitative phenomenological research approach from March 2021 to August 2021. A total of twelve hypertensive women were purposefully selected from the medical OPD of Gandaki Medical College Teaching Hospital and Research Centre (GMCTHRC). The necessary data were gathered using a semi-structured interview guide. In addition, the thematic analysis method was used to analyze the transcribed material. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used when drafting this paper.
Four major themes were generated; i) Perceptions towards hypertension, ii) Diagnosis, treatment, and management of hypertension, iii) Adherence to medications, and iv) Experiences with health care and recommendations. The majority of hypertensive women considered hypertension to be a treatable non-communicable illness. Family members greatly aided drug adherence. There were, however, certain financial hurdles to medication compliance. For half of the patients, the healthcare systems were unsatisfactory.
The findings suggest that hypertensive women's non-adherence to medication is a common occurrence that reflects a conscious decision based on her knowledge and views of the medical illness and its treatment. The way women think about hypertension needs to alter. There were knowledge gaps discovered, emphasizing the need for more patient education.
高血压会影响患者生活的多个方面。此外，态度、价值观和经验，以及患者的社会和文化环境，都在高血压的治疗中起着至关重要的作用。本研究的主要目的是探讨高血压女性对自身疾病的认知。
本研究采用质性现象学研究方法，于 2021 年 3 月至 2021 年 8 月进行。共从加德满都医学院教学医院和研究中心（GMCTHRC）的医疗 OPD 中选择了 12 名高血压女性，采用半结构式访谈指南收集必要数据。此外，还采用主题分析法对转录材料进行分析。在撰写本文时，使用了定性研究报告的统一标准（COREQ）检查表。
共生成了四个主要主题；i）对高血压的认知，ii）高血压的诊断、治疗和管理，iii）药物依从性，以及 iv）对医疗保健的体验和建议。大多数高血压女性认为高血压是一种可治疗的非传染性疾病。家庭成员在药物依从性方面给予了很大帮助。然而，在药物依从性方面存在一些经济障碍。对于一半的患者来说，医疗保健系统不尽如人意。
研究结果表明，高血压女性不遵医嘱服药是一种常见现象，反映了她基于对医疗疾病及其治疗的了解和看法做出的有意识的决定。需要改变女性对高血压的看法。发现了知识差距，强调需要对患者进行更多的教育。
