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Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh

BACKGROUND: Hypertension, as one of the main predisposing factors of many non-communicable diseases, is generally underdiagnosed among women with a significant uncontrolled rate. This study explores the understanding, management practice and challenges related to hypertension among hypertensive wome...

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Autores principales: Boitchi, Anika Bushra, Naher, Shabnam, Pervez, Sabbir, Anam, Md. Mujibul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353286/
https://www.ncbi.nlm.nih.gov/pubmed/34401563
http://dx.doi.org/10.1016/j.heliyon.2021.e07679
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author Boitchi, Anika Bushra
Naher, Shabnam
Pervez, Sabbir
Anam, Md. Mujibul
author_facet Boitchi, Anika Bushra
Naher, Shabnam
Pervez, Sabbir
Anam, Md. Mujibul
author_sort Boitchi, Anika Bushra
collection PubMed
description BACKGROUND: Hypertension, as one of the main predisposing factors of many non-communicable diseases, is generally underdiagnosed among women with a significant uncontrolled rate. This study explores the understanding, management practice and challenges related to hypertension among hypertensive women in rural Bangladesh. METHODS: A qualitative study was conducted among hypertensive rural women at Kumarkhali Upazilla, Kushtia, Bangladesh, using purposive and snowball sampling technique. Data was collected through in-depth interviews among twenty-three hypertensive women until they reached saturation. Data were analyzed thematically. RESULTS: Findings of the study found that a small number of participants perceived the symptoms, risk factors, management and treatment of hypertension based on biomedical understanding. Also, their awareness level and adherence to preventive practices reflected a significant gap between biomedical preventive practices and local practices. A substantial number of participants preferred home management and alternative treatment for hypertension over the medication adherence and hospital treatment. This investigation revealed that poor socio-economic conditions, such as financial insufficiency, and, gender-based negligence impacted women's perception of and practice for hypertension and resulted in risky hypertension management behaviors. CONCLUSION: Based on the study, formulation of a comprehensive health education program for creating awareness, provisioning of significant interventions services related to hypertensive care are needed. Further intensive research is needed at the community-level to manage this chronic disease.
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spelling pubmed-83532862021-08-15 Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh Boitchi, Anika Bushra Naher, Shabnam Pervez, Sabbir Anam, Md. Mujibul Heliyon Research Article BACKGROUND: Hypertension, as one of the main predisposing factors of many non-communicable diseases, is generally underdiagnosed among women with a significant uncontrolled rate. This study explores the understanding, management practice and challenges related to hypertension among hypertensive women in rural Bangladesh. METHODS: A qualitative study was conducted among hypertensive rural women at Kumarkhali Upazilla, Kushtia, Bangladesh, using purposive and snowball sampling technique. Data was collected through in-depth interviews among twenty-three hypertensive women until they reached saturation. Data were analyzed thematically. RESULTS: Findings of the study found that a small number of participants perceived the symptoms, risk factors, management and treatment of hypertension based on biomedical understanding. Also, their awareness level and adherence to preventive practices reflected a significant gap between biomedical preventive practices and local practices. A substantial number of participants preferred home management and alternative treatment for hypertension over the medication adherence and hospital treatment. This investigation revealed that poor socio-economic conditions, such as financial insufficiency, and, gender-based negligence impacted women's perception of and practice for hypertension and resulted in risky hypertension management behaviors. CONCLUSION: Based on the study, formulation of a comprehensive health education program for creating awareness, provisioning of significant interventions services related to hypertensive care are needed. Further intensive research is needed at the community-level to manage this chronic disease. Elsevier 2021-07-30 /pmc/articles/PMC8353286/ /pubmed/34401563 http://dx.doi.org/10.1016/j.heliyon.2021.e07679 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Boitchi, Anika Bushra
Naher, Shabnam
Pervez, Sabbir
Anam, Md. Mujibul
Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title_full Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title_fullStr Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title_full_unstemmed Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title_short Patients’ understanding, management practices, and challenges regarding hypertension: A qualitative study among hypertensive women in a rural Bangladesh
title_sort patients’ understanding, management practices, and challenges regarding hypertension: a qualitative study among hypertensive women in a rural bangladesh
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353286/
https://www.ncbi.nlm.nih.gov/pubmed/34401563
http://dx.doi.org/10.1016/j.heliyon.2021.e07679
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