Cargando…

Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives

BACKGROUND: Personal hypertension management is a cornerstone in the prevention of hypertension complications. In Eritrea, the increase in the national life expectancy rate has been accompanied by an increase in hypertension complications such as stroke. Hence, this study was designed to identify ba...

Descripción completa

Detalles Bibliográficos
Autores principales: Gebrezgi, Merhawi Teklezgi, Trepka, Mary Jo, Kidane, Eyob Azaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390439/
https://www.ncbi.nlm.nih.gov/pubmed/28407794
http://dx.doi.org/10.1186/s41043-017-0090-4
_version_ 1782521461001420800
author Gebrezgi, Merhawi Teklezgi
Trepka, Mary Jo
Kidane, Eyob Azaria
author_facet Gebrezgi, Merhawi Teklezgi
Trepka, Mary Jo
Kidane, Eyob Azaria
author_sort Gebrezgi, Merhawi Teklezgi
collection PubMed
description BACKGROUND: Personal hypertension management is a cornerstone in the prevention of hypertension complications. In Eritrea, the increase in the national life expectancy rate has been accompanied by an increase in hypertension complications such as stroke. Hence, this study was designed to identify barriers and facilitates to hypertension management from the perspective of the patients. METHODS: This was a qualitative study of a total of 48 individual in-depth interviews and two focus group discussions. It was conducted among hypertensive patients who were attending outpatient services at two hospitals in Asmara, Eritrea. RESULTS: This study identified barriers and facilitators of hypertension management related to the individual patient, family and community, and healthcare system. With respect to individual factors, economic barriers, stress, non-adherence to medications due to the use of traditional remedies, and difficulties and misconceptions about following physical activity guidelines were mentioned as barriers to hypertension management. Related to the community and healthcare system, low community awareness, community stigma, and inadequate health promotion materials were stated as barriers. Individual knowledge, family, and government support were reported as very important factors to the patient’s success in the personal hypertension management. CONCLUSIONS: Counseling patients about adherence to medication, strengthening family and government support, and empowering families and the community with appropriate knowledge of hypertension management could potentially help in an individual’s adherence.
format Online
Article
Text
id pubmed-5390439
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-53904392017-04-14 Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives Gebrezgi, Merhawi Teklezgi Trepka, Mary Jo Kidane, Eyob Azaria J Health Popul Nutr Research Article BACKGROUND: Personal hypertension management is a cornerstone in the prevention of hypertension complications. In Eritrea, the increase in the national life expectancy rate has been accompanied by an increase in hypertension complications such as stroke. Hence, this study was designed to identify barriers and facilitates to hypertension management from the perspective of the patients. METHODS: This was a qualitative study of a total of 48 individual in-depth interviews and two focus group discussions. It was conducted among hypertensive patients who were attending outpatient services at two hospitals in Asmara, Eritrea. RESULTS: This study identified barriers and facilitators of hypertension management related to the individual patient, family and community, and healthcare system. With respect to individual factors, economic barriers, stress, non-adherence to medications due to the use of traditional remedies, and difficulties and misconceptions about following physical activity guidelines were mentioned as barriers to hypertension management. Related to the community and healthcare system, low community awareness, community stigma, and inadequate health promotion materials were stated as barriers. Individual knowledge, family, and government support were reported as very important factors to the patient’s success in the personal hypertension management. CONCLUSIONS: Counseling patients about adherence to medication, strengthening family and government support, and empowering families and the community with appropriate knowledge of hypertension management could potentially help in an individual’s adherence. BioMed Central 2017-04-13 /pmc/articles/PMC5390439/ /pubmed/28407794 http://dx.doi.org/10.1186/s41043-017-0090-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gebrezgi, Merhawi Teklezgi
Trepka, Mary Jo
Kidane, Eyob Azaria
Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title_full Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title_fullStr Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title_full_unstemmed Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title_short Barriers to and facilitators of hypertension management in Asmara, Eritrea: patients’ perspectives
title_sort barriers to and facilitators of hypertension management in asmara, eritrea: patients’ perspectives
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390439/
https://www.ncbi.nlm.nih.gov/pubmed/28407794
http://dx.doi.org/10.1186/s41043-017-0090-4
work_keys_str_mv AT gebrezgimerhawiteklezgi barrierstoandfacilitatorsofhypertensionmanagementinasmaraeritreapatientsperspectives
AT trepkamaryjo barrierstoandfacilitatorsofhypertensionmanagementinasmaraeritreapatientsperspectives
AT kidaneeyobazaria barrierstoandfacilitatorsofhypertensionmanagementinasmaraeritreapatientsperspectives