ArticleChronic illness2014
The role of comorbidities in patients' hypertension self-management.
Article in Chronic illness, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Medication adherence in the older adults with chronic multimorbidity: a systematic review of qualitative studies on patient's experience.European geriatric medicine · 2020Pooled it
- Pooled it
- Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis.Journal of cancer survivorship : research and practice · 2019Pooled it
- Home Blood Pressure Monitoring in a Community Mental Health Clinic with Integrated Primary Care: A Quality Improvement Project.Community mental health journal · 2026Article
- Predictors of time to blood pressure control among hypertensive patients in pastoral communities of the Afar region, Northeastern Ethiopia.Global epidemiology · 2026Article
- Prevalence of Comorbidity and Associated Factors Among Patients With Hypertension in Health Facilities of Southern Ethiopia.BioMed research international · 2026Article
- Home medication review and drug-related problems in patients with chronic diseases at primary health centers in Yogyakarta, Indonesia: A cross-sectional multicenter study.Belitung nursing journal · 2026Article
- Association between Pain-Related Quality of Life and Uncontrolled Blood Pressure in Older Hypertensive Patients: Mediating Factors.Annals of geriatric medicine and research · 2025Article
- Trends and Predictors of Antihypertensive Medication Adherence in Commercially Insured Adults under 65 (2018-2023).Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- The complex relationship between treatment burden of multimorbidity and self-care in multimorbid patients with hypertension.BMC primary care · 2025Article
- The relationship between comorbidities, physical inactivity, kinesiophobia and physical performance in hypertensive individuals: a cross-sectional study.BMC cardiovascular disorders · 2025Article
- Self-Care Practices and Knowledge of Hypertension Management Among Patients Attending Clinics in Tanzania: A Multi Centre Analytical Cross-sectional Study.The East African health research journal · 2025Article
- Illness perception and self-care in hypertension treatment: a scoping review of current literature.BMC health services research · 2024Article
- Treatment burden in multimorbidity: an integrative review.BMC primary care · 2024Review
- Self-care adherence and associated factors among hypertensive patients at Guraghe Zone, 2023.Heliyon · 2024Article
- Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial.BMJ open · 2024Article
- Prioritizing chronic pain self-management amid coexisting chronic illnesses: An exploratory qualitative study.International journal of nursing studies advances · 2024Article
- Challenges to dietary hypertension self-management as described by a sample of African American older adults.Worldviews on evidence-based nursing · 2022Article
- Effects of sociodemographic and health factors on the self-management of non-communicable diseases among Chilean adults during the Covid-19 pandemic.PLOS global public health · 2022Article
- Preferences Regarding Self-Management Intervention Outcomes of Dutch Chronically Ill Patients With Limited Health Literacy.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveWe sought to understand barriers to hypertension self-management in patients with hypertension and comorbidities.
methodsWe conducted semi-structured, qualitative interviews with 48 patients with uncontrolled hypertension and at least one comorbidity to learn about beliefs and behaviors that might affect hypertension self-management. Using a grounded theory strategy, we analyzed interview transcripts detailing patients' hypertension self-management behaviors vis-à-vis a framework including Explanatory Models-a patient's understanding of the pathophysiology, cause, course, treatment, and severity of an illness, such as hypertension.
resultsWe identified four factors that interfered with hypertension self-management. (1) Interdependence: Participants saw hypertension as interconnected to their comorbidities and subsequently had difficulty separating information about their illnesses. (2) Low priority: Compared to other conditions, participants assigned hypertension a lower priority. (3) Conflicts: Participants struggled with conflicts between hypertension self-management practices and those for comorbidities. (4) Managing multiple medications: Polypharmacy led to patients' confusion and concern about taking medications as prescribed. DISCUSSION: Participants did not experience hypertension as a discreet clinical condition; rather, they self-managed hypertension concurrently with other conditions, leading to a breakdown in hypertension self-management. We provide strategies to address each of the four barriers to better equip providers in addressing their clinically salient concerns.
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