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A qualitative study on hypertensive care behavior in primary health care settings in Malaysia

机译：马来西亚初级保健环境中高血压护理行为的定性研究

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Purpose: The aim of this study was to explore patients’ experiences with their illnesses and the reasons which influenced them in not following hypertensive care recommendations (antihypertensive medication intake, physical activity, and diet changes) in primary health clinic settings. Patients and methods: A qualitative methodology was applied. The data were gathered from in-depth interviews with 25 hypertensive patients attending follow-up in nine government primary health clinics in two districts (Hulu Langat and Klang) in the state of Selangor, Malaysia. The transcribed data were analyzed using thematic analysis.Results: There was evidence of lack of patient self-empowerment and community support in Malaysian society. Most of the participants did not take their antihypertensive medication or change their physical activity and diet after diagnosis. There was an agreement between the patients and the health care professionals before starting the treatment recommendation, but there lacked further counseling and monitoring. Most of the reasons given for not taking antihypertensive medication, not doing physical activity and not following diet recommendations were due to side effects or fear of the side effects of antihypertensive medication, patients’ attitudes, lack of information from health care professionals and insufficient social support from their surrounding environment. We also observed the differences on these reasons for nonadherence among the three ethnic groups.Conclusion: Health care professionals should move toward supporting adherence in the management of hypertensive patients by maintaining a dialogue. Patients need to be given time to enable them to overcome their inhibition of asking questions and to accept the recommendations. A self-management approach must be responsive to the needs of individuals, ethnicities, and communities.
机译：目的：本研究的目的是探讨患者的疾病经验以及影响他们在原发性健康诊所环境中的高血压护理建议（抗高血压药物摄入，身体活动和饮食变化）的原因。患者和方法：应用了定性方法。这些数据从深入访谈中收集了25名高血压患者，其中在马来西亚雪兰莪州的两个地区（Hulu Langat和Klang）中九个政府初级健康诊所进行后续行动。通过专题分析分析转录的数据。结果：马来西亚社会还有证据表明患者自我赋权和社区支持。大多数参与者都没有服用抗高血压药物或在诊断后改变身体活动和饮食。在开始治疗建议之前，患者与医疗保健专业人员之间存在协议，但缺乏进一步的咨询和监测。由于没有服用抗高血压药物，而不是饮食建议的大多数原因是由于副作用或担心抗高血压药物的副作用，患者的态度，缺乏医疗保健专业人员和社会支持不足的信息从他们的周围环境。我们还观察到三个族裔群体中非关系原因的差异。结论：保健专业人员应通过维持对话来支持高血压患者管理的依从性。患者需要提供时间让他们克服他们对提问和接受建议的抑制。自我管理方法必须响应个人，种族和社区的需求。

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