고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천 : 질적연구

이석구; 전소연

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자료유형: 학술저널

저자정보: 이석구 전소연

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제41권 제4호

발행연도: 2008.1

수록면: 255 - 264 (10page)

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Objectives : This study adopted a qualitative method to explore the layman:s beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods : Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-;). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results : Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions : For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

Objectives : This study adopted a qualitative method to explore the layman:s beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods : Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-;). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results : Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions : For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

#Hypertension management #Patient:s viewpoint #Qualitative study

참고문헌 (23)

참고문헌 신청

Bae, S.S. / 1994 / Factors affecting patients compliance with antihypertensive medication in a rural area / Korean J Health Policy Admin 4 (1) : 25 ~ 48

Chobanian, A.V. / 2003 / The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report / JA

Goh, U.Y. / 1996 / Prevalence and epidemiologic characteristics of hypertension in a rural adult population / Korean J Epidermiol 18 (1) : 55 ~ 63

Ha, Y.C. / 2000 / The prevalence, awareness, treatment, and control of hypertension, and related factors in rural Korea / Korean J Prev Med 33 (4) : 513 ~ 520

Jones, D.W. / 1996 / Hypertension awareness, treatment and control rates for an Asian population: Results from a national survey in Korea / Ethn Health 1 (3) : 269 ~ 273

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