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Family Involvement in the Treatment of Hypertensive Patients using Dunn's Health Grid: A Multiple Case Study

机译：使用Dunn健康网格治疗高血压患者的家庭参与：多种案例研究

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Non-communicable diseases such as hypertension have overtaken infectious diseases as the leading causes of death in the world. However, it is considered to be a preventable disease. Family has a role in preventing and controlling this disease. The study aimed to analyze the involvement of family in the treatment of hypertensive patients in the community in Terban using qualitative research method with a multiple case study design. Using purposive sampling, four families were recruited to participate in this research, each of which represented four quadrants of Dunn's Health Grid. These characteristics include: (1) Case 1 is a family that has a patient with high-level of wellness in a favourable environment, (2) Case 2, has a patient with emergent high-level of wellness in an unfavourable environment, (3) Case 3, has a patient with protected poor health in a favourable environment, and (4) Case 4, has a patient with poor health in an unfavourable environment. To gather the data, this research used audio-recorded interviews, participant observation, field notes and documentation. The participants who were interviewed were 4 hypertensive patients,4 family members (1 each family), a public health nurse and a physician. Data were analyzed using thematic analysis and case descriptions which developed 3 main points; a) family as primary support, b) self-care maintenance, and c) barrier to treatment. This study concluded that family involvement in hypertensive treatment varied from case to case. The family members' involvement includes psychological and instrumental supports which affect the patients' independence in self-care treatment of hypertension. However, there are still some barriers to treatment, especially among families living in unfavourable environment. Therefore, the role of community health nursing becomes important to examine not only the health but also environmental conditions of hypertensive patients and to find out the weak points that need attention so that the role of family in managing hypertension patient can be maximized.
机译：非传染性疾病，如高血压已超过传染病死亡的世界的主要原因。然而，它被认为是预防的疾病。家庭在预防和控制本病的作用。这项研究旨在分析家庭的高血压患者的治疗中使用Terban定性研究方法与多案例研究设计参与社区活动。使用立意抽样，四大家族被招募参与这项研究，其中的每一个代表邓恩健康网的四个象限。这些特征包括：（1）情况1是具有与在有利的环境健康的高层次的患者的家庭，（2）情况2，具有在不利的环境健康的芽高的状态的患者，（3 ）案例3，具有良好的环境，保护健康状况不佳的患者，以及（4）案例4，在不利的环境中健康状况不佳的患者。为了收集数据，这项研究使用的音频录制的访谈，参与观察，田野笔记和文档。谁是接受采访的与会者4名高血压患者中，4名家属（1每个家庭），公共卫生护士和医生。利用它开发3个要点主题分析和例描述数据进行分析;一）家族的主要支持，b）中自我护理维护，和c）屏障治疗。这项研究得出的结论在变化，从个别情况高血压的治疗，家庭参与。家庭成员的参与包括影响到患者的心理和工具支持自我保健治疗高血压的独立性。然而，仍然有一些治疗的障碍，尤其是生活在不利环境下的家庭中。因此，社区健康护理的作用变得重要检查，不仅健康，而且高血压患者的环境条件，并找出薄弱环节需要注意，这样的家庭在管理高血压病患者的作用最大化。

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