Simelane Xoliswa, Kagura Juliana, Nyatela Athini, Lalla-Edward Samanta T
Division of Epidemiology and Biostatistics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2025 Jun 23;17(1):e1-e10. doi: 10.4102/phcfm.v17i1.4801.
The prevalence of hypertension (HTN) is increasing among people living with human immunodeficiency virus (HIV). Self-management is vital for improving health outcomes and preventing disease progression. While education for HTN self-management has been implemented in South Africa, little is known about its acceptability.
The study aims to explore the acceptability of patient education for self-management of HTN among people living with HIV (PLWH) and HTN, and healthcare providers in Integrating HIV and hEART health in South Africa (iHEART-SA) intervention clinics.
The study was conducted in six primary health care facilities in Johannesburg.
A qualitative study design using in-depth interviews (IDIs) was conducted with 18 healthcare providers and 13 PLWH and HTN. Data were gathered using a semi-structured interview guide. Interviews were conducted in English and audio recorded for transcription and analysis. MAXQDA was used for analysis.
The use of simple language, empowerment through knowledge and perceived health improvements were identified as facilitators of acceptability. Emotional discomfort attributable to booklet colours, diagnosis denial and staff shortages, were barriers. Ongoing training was the preferred strategy to enhance acceptability.
Acceptability of patient education among participants was high and can be enhanced via continuous trainings. Future research should further explore these aspects to refine and tailor interventions for diverse populations.Contribution: The study contributes to the body of literature about the acceptability of patient education for HTN self-management among healthcare providers and people with HIV and HTN. Findings can be used in improving education interventions using innovative approaches.
高血压（HTN）在人类免疫缺陷病毒（HIV）感染者中的患病率正在上升。自我管理对于改善健康状况和预防疾病进展至关重要。虽然南非已经开展了高血压自我管理教育，但对其可接受性知之甚少。
本研究旨在探讨南非“整合HIV与心脏健康”（iHEART-SA）干预诊所中，HIV感染者兼高血压患者（PLWH）以及医疗服务提供者对高血压自我管理患者教育的可接受性。
该研究在约翰内斯堡的六个初级卫生保健机构进行。
采用定性研究设计，对18名医疗服务提供者以及13名HIV感染者兼高血压患者进行了深入访谈（IDI）。使用半结构化访谈指南收集数据。访谈以英语进行，并进行录音以便转录和分析。使用MAXQDA进行分析。
使用简单语言、通过知识增强权能以及感知到的健康改善被确定为可接受性的促进因素。手册颜色、否认诊断以及人员短缺导致的情绪不适是障碍。持续培训是提高可接受性的首选策略。
参与者对患者教育的可接受性较高，并且可以通过持续培训来提高。未来的研究应进一步探索这些方面，以完善和调整针对不同人群的干预措施。贡献：该研究为关于医疗服务提供者以及HIV感染者兼高血压患者对高血压自我管理患者教育可接受性的文献做出了贡献。研究结果可用于采用创新方法改进教育干预措施。
