Marylen Rimando1. 1. Georgia Southern University, Rural Health Research Institute, P.O. Box 8028, Statesboro, CA 30460, USA. mrimando@georgiasouthern.edu
Abstract
OBJECTIVE: The purpose was to gain an indepth understanding of the factors influencing hypertension medication compliance among hypertensive older African Americans. DESIGN: Qualitative descriptive. In depth semistructured interviews were conducted with 28 patients. Interviews were recorded, transcribed, and analyzed by the Colaizzi-style method. SETTING: Patients at a cardiovascular clinic in the Southeast. PATIENTS: 28 African American males and females aged > or = 55 with controlled and uncontrolled hypertension were recruited and interviewed. RESULTS: Stroke Heart Attack and Prevention Program (SHAPP) patients reported self-efficacy, patient-provider communication, and social support contributed to their hypertension regimen compliance. Patients reported higher self-efficacy contributed to their hypertension control. Patients also reported that open communication with the SHAPP nurses and social support from their family, friends, and coworkers provided emotional support, information and guidance to assist them in being compliant with their hypertension management regimen. CONCLUSIONS: Our results can inform SHAPP providers and staff about patients' hypertension medication compliance, can improve patient-provider communication in other SHAPP clinics, and can aid in future patient hypertension management. Our results also suggest the importance of self-efficacy, patient-provider communication, and social support in hypertension regimen compliance.
OBJECTIVE: The purpose was to gain an indepth understanding of the factors influencing hypertension medication compliance among hypertensive older African Americans. DESIGN: Qualitative descriptive. In depth semistructured interviews were conducted with 28 patients. Interviews were recorded, transcribed, and analyzed by the Colaizzi-style method. SETTING:Patients at a cardiovascular clinic in the Southeast. PATIENTS: 28 African American males and females aged > or = 55 with controlled and uncontrolled hypertension were recruited and interviewed. RESULTS:Stroke Heart Attack and Prevention Program (SHAPP) patients reported self-efficacy, patient-provider communication, and social support contributed to their hypertension regimen compliance. Patients reported higher self-efficacy contributed to their hypertension control. Patients also reported that open communication with the SHAPP nurses and social support from their family, friends, and coworkers provided emotional support, information and guidance to assist them in being compliant with their hypertension management regimen. CONCLUSIONS: Our results can inform SHAPP providers and staff about patients' hypertension medication compliance, can improve patient-provider communication in other SHAPP clinics, and can aid in future patienthypertension management. Our results also suggest the importance of self-efficacy, patient-provider communication, and social support in hypertension regimen compliance.
Authors: Thi-Phuong-Lan Nguyen; Catharina C M Schuiling-Veninga; Thi Bach Yen Nguyen; Thu-Hang Vu; E Pamela Wright; Maarten J Postma Journal: PLoS One Date: 2017-02-01 Impact factor: 3.240
Authors: Barbara Riegel; Debra K Moser; Harleah G Buck; Victoria Vaughan Dickson; Sandra B Dunbar; Christopher S Lee; Terry A Lennie; JoAnn Lindenfeld; Judith E Mitchell; Diane J Treat-Jacobson; David E Webber Journal: J Am Heart Assoc Date: 2017-08-31 Impact factor: 5.501