Factors Associated with Self-Management Ability among Older Adults with Hypertension in Asia A Systematic Review of Qualitative Studies
Article Sidebar
Main Article Content
Abstract
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.
Article Details
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
2. You Y, Teng W, Wang J, Ma G, Ma A, Wang J, et al. Hypertension and physical activity in middle-aged and older adults in China. Sci Rep. 2018;8(1):16098.
3. Rashid A, Azizah A. Prevalence of hypertension among the elderly Malays living in rural Malaysia. Australas Med J. 2011;4(6):283-90.
4. Chiang CE, Wang TD, Lin TH, Yeh HI, Liu PY, Cheng HM, et al. The 2017 focused update of the guidelines of the Taiwan Society of Cardiology (TSOC) and the Taiwan Hypertension Society (THS) for the management of hypertension. Acta Cardiol Sin. 2017;33(3):213-25.
5. Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. Facilitators and barriers to hypertension self-management in urban African Americans: perspective of patients and family members. Patient Prefer Adherence. 2013;7:41-9.
6. Zinat Motlagh SF, Chaman R, Sadeghi E, Eslami AA. Self-care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J. 2016 May 10;18(6):e35805. doi:10.5812/ircmj.35805. PubMed PMID: 27621938; PubMed Central PMCID: PMC5004506.
7. Thongtang P, Seesawang J. Taking care of myself: role of self-care in management of hypertension among Thai older adults with hypertension. Science International (Lahore). 2018;30(2):143-7.
8. Tu Q, Xiao LD, Ullah S, Fuller J, Du H. Hypertension management for community-dwelling older people with diabetes in Nanchang China: study protocol for a cluster randomized controlled trial. Trials. 2018;19(1):385.
9. Irwan AM, Kato M, Kitaoka K, Kido T, Taniguchi Y, Shogenji M. Self-care practices and health-seeking behavior among older persons in a developing country: theories-based research. Int J Nurs Sci. 2016;3(1):11-23.
10. Butler A, Hall H, Copnell B. A guide to writing a qualitative systematic review protocol to enhance evidence-based practice in nursing and health care. Worldviews Evid Based Nurs. 2016;13(3):241-9.
11. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.
12. Udompittayason W, Boonyasopun U, Songwathana P. Perspectives on hypertension among Thai-Melayu elderly in a province of Southern Thailand: an ethnographic study. Songklanagarind Journal of Nursing. 2015;35(2):45-60.
13. Suthipan P, Intarakamhang U. Healthy lifestyle behavioral needs among the elderly with hypertension in Chiang Mai, Thailand. International Journal of Behavioral Science. 2017;12(1):1-12.
14. Woodham NS, Taneepanichskul S, Samrongthong R, Auamkul N. Self-care management among elderly patients with hypertension and poor adherence to treatment, living in rural Thailand: a qualitative study. Pakistan Journal of Public Health. 2018;8(2):84-9.
15. Kitreerawutiwo N, Mekrungrongwong S. Health behavior and health need assessment among elderly in rural community of Thailand: a sequential explanatory mixed methods study. International Journal of Health and Life-Science. 2015;1(2):62-9.
16. Zhang H, Shan W, Jiang A. The meaning of life and health experience for the Chinese elderly with chronic illness: a qualitative study from positive health philosophy. Int J Nurs Pract. 2014;20(5):530-9.
17. Long Y, Li LW. “How would we deserve better?” Rural-urban dichotomy in health seeking for the chronically ill elderly in China. Qual Health Res. 2016;26(12):1689-704.
18. Nayeri ND, Dehghan M, Iranmanesh S. Being as an iceberg: hypertensive treatment adherence experiences in Southeast of Iran. Glob Health Action. 2015;8:28814.
19. Khezri R, Ravanipour M, Jahanpour F, Barekat M, Hosseiny S. Empowerment in the self-management of hypertension: challenges from the perspective of Iranian elderly patients. J Research Health. 2017;7(1):603-13.
20. Kang M, Kim J, Bae SS, Choi YJ, Shin DS. Older adults’ perception of chronic illness management in South Korea. J Prev Med Public Health. 2014;47(4):236-43.
21. Kmet LM, Lee RC, Cook LS. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Edmonton: Alberta Heritage Foundation for Medical Research; 2004.
22. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.
23. Disler RT, Gallagher RD, Davidson PM. Factors influencing self-management in chronic obstructive pulmonary disease: an integrative review. Int J Nurs Stud. 2012;49(2):230-42.
24. Wilkinson A, Whitehead L, Ritchie L. Factors influencing the ability to self-manage diabetes for adults living with type 1 or 2 diabetes. Int J Nurs Stud. 2014;51(1):111-22.
25. Luo X, Liu T, Yuan X, Ge S, Yang J, Li C, et al. Factors influencing self-management in Chinese adults with type 2 diabetes: a systematic review and meta-analysis. Int J Environ Res Public Health. 2015;12(9):11304-27.
26. Reyes J, Tripp-Reimer T, Parker E, Muller B, Laroche H. Factors influencing diabetes self-management among medically underserved patients with type II diabetes. Glob Qual Nurs Res. 2017 Jun 14;4:2333393617713097. doi: 10.1177/2333393617713097. PubMed PMID: 28660239; PubMed Central PMCID: PMC5476324.
27. Korpershoek Y, Vervoort S, Nijssen L, Trappenburg J, Schuurmans MJ. Factors influencing exacerbation-related self-management in patients with COPD: a qualitative study. Int J Chron Obstruct Pulmon Dis. 2016;11:2977-90.