Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors.
This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation.
Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension.
Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.
This paper is based on the first author’s PhD thesis in nursing. The authors would like to thank Shahid Beheshti University of Medical Sciences for funding the research. The authors thank all the older people and experts who participated in this study.
Gholamnejad, H., Darvishpoor Kakhki, A., Ahmadi, F. and Rohani, C. (2018), "Barriers to self-care in elderly people with hypertension: a qualitative study", Working with Older People, Vol. 22 No. 4, pp. 243-251. https://doi.org/10.1108/WWOP-08-2018-0016Download as .RIS
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