Sambah Francis, McBain-Rigg Kristin, Seidu Abdul-Aziz, Emeto Theophilus I
Public Health and Tropical Medicine, James Cook University, Townsville, QLD 4811, Australia.
Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast P.O. Box UC 182, Ghana.
Healthcare (Basel). 2025 Feb 22;13(5):479. doi: 10.3390/healthcare13050479.
Hypertension remains a significant public health challenge in Ghana. Understanding the experiences of hypertensive patients can inform strategies to improve their management. This study explored the perceived enablers and barriers to hypertension management among patients in the Ashanti region, Ghana, using the Chronic Care Model as a framework. In-depth interviews were conducted with 20 hypertensive patients receiving care at Komfo Anokye Teaching Hospital. Inductive thematic analysis was employed to identify key themes and subthemes. Several barriers to hypertension management emerged, including economic constraints, environmental and lifestyle factors, knowledge and awareness deficits, medication-related issues, and policy and provider-level barriers. Conversely, enablers such as patient empowerment, education, healthcare access, and policy and provider support and relationships were identified. Effective hypertension management requires addressing a complex interplay of barriers and enablers. Interventions targeting economic factors, lifestyle modifications, knowledge dissemination, medication adherence, and systemic improvements are crucial. Additionally, empowering patients, enhancing education, improving healthcare access, and fostering strong provider-patient relationships can significantly contribute to better outcomes. Future research should investigate the impact of a multi-level intervention on hypertension management in Ghana.
高血压仍然是加纳面临的一项重大公共卫生挑战。了解高血压患者的经历有助于制定改善其治疗管理的策略。本研究以慢性病护理模型为框架，探讨了加纳阿散蒂地区患者在高血压管理方面的感知促进因素和障碍。对在Komfo Anokye教学医院接受治疗的20名高血压患者进行了深入访谈。采用归纳主题分析法确定关键主题和子主题。出现了几个高血压管理的障碍，包括经济限制、环境和生活方式因素、知识和意识缺陷、药物相关问题以及政策和医疗服务提供者层面的障碍。相反，也确定了一些促进因素，如患者赋权、教育、医疗服务可及性以及政策和医疗服务提供者的支持与关系。有效的高血压管理需要应对障碍和促进因素之间复杂的相互作用。针对经济因素、生活方式改变、知识传播、药物依从性和系统改进的干预措施至关重要。此外，增强患者权能、加强教育、改善医疗服务可及性以及建立牢固的医患关系可显著有助于取得更好的结果。未来的研究应调查多层次干预对加纳高血压管理的影响。
