Barriers to self-care in elderly people with hypertension: a qualitative study
Purpose Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly p...
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| Veröffentlicht in: | Working with older people (Brighton, England) England), 2018-11, Vol.22 (4), p.243-251 |
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| creator | Gholamnejad, Hanieh Darvishpoor Kakhki, Ali Ahmadi, Fazlollah Rohani, Camelia |
| description | Purpose
Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors.
Design/methodology/approach
This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation.
Findings
Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension.
Originality/value
Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors. |
| doi_str_mv | 10.1108/WWOP-08-2018-0016 |
| format | Article |
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Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors.
Design/methodology/approach
This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation.
Findings
Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension.
Originality/value
Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.</description><identifier>ISSN: 1366-3666</identifier><identifier>EISSN: 2042-8790</identifier><identifier>DOI: 10.1108/WWOP-08-2018-0016</identifier><language>eng</language><publisher>Brighton: Emerald Publishing Limited</publisher><subject>Activities of daily living ; Barriers ; Behavior ; Blood pressure ; Cardiologists ; Caregivers ; Chronic illnesses ; Community support ; Content analysis ; Developing countries ; Disease management ; Family conflict ; Geriatrics ; Health behavior ; Health literacy ; Hypertension ; Knowledge ; LDCs ; Nurses ; Older people ; Patient compliance ; Physicians ; Qualitative research ; Sampling ; Self care</subject><ispartof>Working with older people (Brighton, England), 2018-11, Vol.22 (4), p.243-251</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited 2018</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c229t-e301fdc6f4062bf4e2e73b87dbd64850323bc489cce3bdc302591ea9e7042a063</citedby><cites>FETCH-LOGICAL-c229t-e301fdc6f4062bf4e2e73b87dbd64850323bc489cce3bdc302591ea9e7042a063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/WWOP-08-2018-0016/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,780,784,967,11635,12846,21695,27924,27925,30999,52689,53244</link.rule.ids></links><search><creatorcontrib>Gholamnejad, Hanieh</creatorcontrib><creatorcontrib>Darvishpoor Kakhki, Ali</creatorcontrib><creatorcontrib>Ahmadi, Fazlollah</creatorcontrib><creatorcontrib>Rohani, Camelia</creatorcontrib><title>Barriers to self-care in elderly people with hypertension: a qualitative study</title><title>Working with older people (Brighton, England)</title><description>Purpose
Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors.
Design/methodology/approach
This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation.
Findings
Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension.
Originality/value
Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.</description><subject>Activities of daily living</subject><subject>Barriers</subject><subject>Behavior</subject><subject>Blood pressure</subject><subject>Cardiologists</subject><subject>Caregivers</subject><subject>Chronic illnesses</subject><subject>Community support</subject><subject>Content analysis</subject><subject>Developing countries</subject><subject>Disease management</subject><subject>Family conflict</subject><subject>Geriatrics</subject><subject>Health behavior</subject><subject>Health literacy</subject><subject>Hypertension</subject><subject>Knowledge</subject><subject>LDCs</subject><subject>Nurses</subject><subject>Older people</subject><subject>Patient compliance</subject><subject>Physicians</subject><subject>Qualitative research</subject><subject>Sampling</subject><subject>Self care</subject><issn>1366-3666</issn><issn>2042-8790</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkEtPwzAQhC0EEuXxA7hZ4mxY24mTcIOKl1RRDqAeLcfZqKnSJrUdUP49jsoFicNqLjM7mo-QKw43nEN-u1ot3xnkTADPGQBXR2QmIBEszwo4JjMulWLx1Ck5834DIIEX6Yy8PRjnGnSeho56bGtmjUPa7Ci2Fbp2pD12fYv0uwlruh57dAF3vul2d9TQ_WDaJpjQfCH1YajGC3JSm9bj5a-ek8-nx4_5C1ssn1_n9wtmhSgCw9heV1bVCShR1gkKzGSZZ1VZqSRPQQpZ2iQvrEVZVlaCSAuOpsAsTjKg5Dm5PvztXbcf0Ae96Qa3i5VaxKlpGqfK6OIHl3Wd9w5r3btma9yoOegJm56w6agTNj1hixk4ZHCLzrTVv5E_pOUPrI1vFQ</recordid><startdate>20181122</startdate><enddate>20181122</enddate><creator>Gholamnejad, Hanieh</creator><creator>Darvishpoor Kakhki, Ali</creator><creator>Ahmadi, Fazlollah</creator><creator>Rohani, Camelia</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RQ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>M0R</scope><scope>M0T</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20181122</creationdate><title>Barriers to self-care in elderly people with hypertension: a qualitative study</title><author>Gholamnejad, Hanieh ; Darvishpoor Kakhki, Ali ; Ahmadi, Fazlollah ; Rohani, Camelia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c229t-e301fdc6f4062bf4e2e73b87dbd64850323bc489cce3bdc302591ea9e7042a063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activities of daily living</topic><topic>Barriers</topic><topic>Behavior</topic><topic>Blood pressure</topic><topic>Cardiologists</topic><topic>Caregivers</topic><topic>Chronic illnesses</topic><topic>Community support</topic><topic>Content analysis</topic><topic>Developing countries</topic><topic>Disease management</topic><topic>Family conflict</topic><topic>Geriatrics</topic><topic>Health behavior</topic><topic>Health literacy</topic><topic>Hypertension</topic><topic>Knowledge</topic><topic>LDCs</topic><topic>Nurses</topic><topic>Older people</topic><topic>Patient compliance</topic><topic>Physicians</topic><topic>Qualitative research</topic><topic>Sampling</topic><topic>Self care</topic><toplevel>online_resources</toplevel><creatorcontrib>Gholamnejad, Hanieh</creatorcontrib><creatorcontrib>Darvishpoor Kakhki, Ali</creatorcontrib><creatorcontrib>Ahmadi, Fazlollah</creatorcontrib><creatorcontrib>Rohani, Camelia</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Working with older people (Brighton, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gholamnejad, Hanieh</au><au>Darvishpoor Kakhki, Ali</au><au>Ahmadi, Fazlollah</au><au>Rohani, Camelia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to self-care in elderly people with hypertension: a qualitative study</atitle><jtitle>Working with older people (Brighton, England)</jtitle><date>2018-11-22</date><risdate>2018</risdate><volume>22</volume><issue>4</issue><spage>243</spage><epage>251</epage><pages>243-251</pages><issn>1366-3666</issn><eissn>2042-8790</eissn><abstract>Purpose
Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors.
Design/methodology/approach
This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation.
Findings
Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension.
Originality/value
Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.</abstract><cop>Brighton</cop><pub>Emerald Publishing Limited</pub><doi>10.1108/WWOP-08-2018-0016</doi><tpages>9</tpages></addata></record> |
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| source | Emerald A-Z Current Journals; Applied Social Sciences Index & Abstracts (ASSIA); Standard: Emerald eJournal Premier Collection |
| subjects | Activities of daily living Barriers Behavior Blood pressure Cardiologists Caregivers Chronic illnesses Community support Content analysis Developing countries Disease management Family conflict Geriatrics Health behavior Health literacy Hypertension Knowledge LDCs Nurses Older people Patient compliance Physicians Qualitative research Sampling Self care |
| title | Barriers to self-care in elderly people with hypertension: a qualitative study |
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