Factors Associated with Self-Management Ability among Older Adults with Hypertension in Asia A Systematic Review of Qualitative Studies

Main Article Content

Junjira Seesawang
Pulawit Thongtang


Purpose: To identify and summarize factors associated with self-management ability among older adults with hypertension in Asia from a systematic review.

Design: A qualitative systematic review was performed. A search for qualitative studies published in English from 2008 to 2018 was conducted using CINAHL, PsycInfo, PubMed, Medline, and Google Scholar databases. Ten qualitative studies were included in this review. Conventional content analysis was used to analyze and synthesize findings from qualitative studies.

Main findings: Findings covered the factors found to influence self-management among older adults with hypertension in Asia including: 1) patient-level factors including personal beliefs, attitudes, individual experiences of symptoms, perceptions of physical health, sense of responsibility, sense of control, family responsibility and financial concern, 2) organizational-level factors including time management and communication, and 3) community-level factors including community resources and social support.  

Conclusion and recommendations: The findings suggest that self-management ability among older adults with hypertension in Asia are associated with a diverse range of patient-, organizational-, and community-level factors. To assess a person suffering from hypertension the associated factors should be included so that more appropriate strategies and nursing interventions would be developed and adjusted to enhance hypertension self-management behaviors. A conceptual model used for improving hypertension self-management practices should be developed and tested in future research. How factors influencing self-management ability vary between subgroups of patients such as gender and ethnicity should also be explored using qualitative research.


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Seesawang, J., & Thongtang, P. (2019). Factors Associated with Self-Management Ability among Older Adults with Hypertension in Asia: A Systematic Review of Qualitative Studies. Nursing Science Journal of Thailand, 37(1), 86-107. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/183645
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