EXPERIENCE OF MANAGEMENT AMONG HYPERTENSIVE PATIENTS ATTENDING PUBLIC SECTOR PRIMARY HEALTH CARE SERVICES

Abstract

This review deals with the management of hypertension . Hypertension is largely managed in primary care and is an important public health problem in terms of associated stroke and cardiovascular events. Hypertension constitutes a significant and growing burden of disease in South Africa.

OBJECTIVE: To explore patients current experiences of chronic care, as well as their motivation and capacity for self-management and lifestyle changes identify and synthesize research literature regarding care and motivation for effective self- management among hypertensive patients.

METHOD: This narrative review was intended to explore, describe, and interpret the experience of hypertensive patients. The initial workout starts with the qualitative review literature. A literature review was searched from PubMed, EBSCO, DELNET etc., using key words such as experience, management, hypertensive patients, public sector, primary health care services. Articles from the year are 2003-2015 included in this narrative review.

RESULT: Patients experience multiple impediments to effective self-management and behavior change, including poor health literacy, a lack of self-efficacy and perceived social support. With some exceptions, the majority of patients reported not having received adequate information; counseling or autonomy support from their healthcare providers. An extensive literature search was conducted; generating a variety of sources with some of the potential links has also been included.

CONCLUSION: The review concludes that health care providers have a vital role in assisting and motivate patients to become effective partners in their care, training, resources and tools are needed.