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关于高血压疾病的信念与误解:加纳一个城郊社区患者的定性研究

Beliefs and misconceptions about hypertension disease: A qualitative study among patients in a peri-urban community in Ghana.

作者信息

Otemah Jemima, Ohene Lillian Akorfa, Kyei Josephine, Owusu-Darkwa Irene

机构信息

Department of Public Health Nursing, School of Nursing and Midwifery, University of Ghana College of Health Sciences, Accra, Ghana.

出版信息

Chronic Illn. 2025 Mar;21(1):56-67. doi: 10.1177/17423953231199525. Epub 2023 Sep 6.

Abstract

ObjectiveThis study aims to explore beliefs and perceptions about hypertension among patients living with hypertension in a local district in the Eastern region of Ghana.MethodsA descriptive qualitative approach was adopted, and the Health Belief Model was used to guide the data collection, analysis, and organization of the study findings. Overall, seventeen participants were interviewed. In-depth interviews were conducted using a semistructured interview guide. Participants were conveniently selected from a district local Government Hospital. Data gathered were transcribed verbatim and analyzed using thematic analysis.ResultsAlmost all the participants acknowledged hypertension as a severe but chronic illness that can cause sudden death. They also identified that lifestyle practices and individual attitudes were associated with the hypertension condition's causes, management, and control. The findings revealed several unscientific misconceptions and beliefs about hypertension, which could influence their disease management and control decisions.DiscussionPatients' decisions on alternative treatment for hypertension are primarily based on beliefs and misconceptions based on the information they receive from unregulated media and peers. The prevention and control of hypertension should focus on behavior and lifestyle modification which needs reinforcement through health education and promotion.

摘要

目的

本研究旨在探讨加纳东部某地区高血压患者对高血压的看法和认知。

方法

采用描述性定性研究方法,并运用健康信念模型指导研究数据的收集、分析和组织。总共采访了17名参与者。使用半结构化访谈指南进行深入访谈。参与者是从当地一家地区政府医院方便选取的。收集到的数据逐字转录,并采用主题分析法进行分析。

结果

几乎所有参与者都承认高血压是一种严重的慢性病,可能导致猝死。他们还指出生活方式和个人态度与高血压病情的成因、管理和控制有关。研究结果揭示了一些关于高血压的不科学误解和看法,这可能会影响他们对疾病的管理和控制决策。

讨论

患者对高血压替代治疗的决策主要基于他们从不受监管的媒体和同龄人那里获得的信息所形成的信念和误解。高血压的预防和控制应侧重于行为和生活方式的改变,这需要通过健康教育和促进来加强。

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