How Ghanaian, African-Surinamese and Dutch patients perceive and manage antihypertensive drug treatment: a qualitative study
How Ghanaian, African-Surinamese and Dutch patients perceive and manage antihypertensive drug treatment: a qualitative study
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DOI：
10.1097/hjh.0b013e3282f4d20b
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发表时间：
2008-04-01
影响因子：
4.9
通讯作者：
Willems, Dick L.
中科院分区：
文献类型：
--
作者：
Beune, Erik J. A. J.;Haafkens, Joke A.;Willems, Dick L.
目的探讨和比较加纳人、非洲裔喀麦隆人（拉美人），和荷兰白人患者感知和管理抗高血压药物治疗在阿姆斯特丹，Netherlands.Methods定性研究进行了详细的访谈与46例高血压患者没有合并症谁是处方降压药的目的性样本。在所有组中，对医生的信心和药物的有益效果是服用处方降压剂量的原因。特别是，少数民族患者报告减少或停止处方药物剂量。改变处方剂量的原因包括不喜欢化学药物、担心副作用和倾向于替代治疗。喀麦隆和加纳的男性也担心抗高血压药物对他们的性表现产生负面影响。一些加纳人提到害怕上瘾或缺钱是改变处方剂量的原因。喀麦隆人和加纳人在返回家园时经常停止服药。一些受访者来自所有民族的首选自然疗法，虽然治疗类型varied.Conclusion患者的解释，他们的决定，使用抗高血压药物往往是受社会文化问题和少数民族群体也由移民相关的问题。在荷兰，喀麦隆人和加纳人自行改变处方药物可能导致这些人群中报告的低血压（BP）控制率和高恶性高血压率。这项研究提供了新的信息，可以帮助临床医生了解不同种族人群的患者如何考虑管理抗高血压药物治疗，并解决药物依从性和血压控制的种族差异。
Objectives To explore and compare how Ghanaian, African-Surinamese (Surinamese), and White-Dutch patients perceive and manage antihypertensive drug treatment in Amsterdam, the Netherlands.Methods Qualitative study was conducted using detailed interviews with a purposive sample of 46 hypertensive patients without comorbidity who were prescribed antihypertensives.Results Patients in all the ethnic groups actively decided how to manage their prescribed antihypertensive regimens. In all the groups, confidence in the doctor and beneficial effects of medication were reasons for taking prescribed antihypertensive dosage. Particularly, ethnic-minority patients reported lowering or leaving off the prescribed medication dosage. Explanations for altering prescribed dosage comprised disliking chemical medications, fear of side effects and preference for alternative treatment. Surinamese and Ghanaian men also worried about the negative effects of antihypertensives on their sexual performance. Some Ghanaians mentioned fear of addiction or lack of money as explanations for altering prescribed dosage. Surinamese and Ghanaians often discontinued medication when visiting their homeland. Some respondents from all ethnic groups preferred natural treatments although treatment type varied.Conclusion Patients' explanations for their decisions regarding the use of antihypertensives are often influenced by sociocultural issues and in ethnic-minority groups also by migration-related issues. Self-alteration of prescribed medication among Surinamese and Ghanaians may contribute to the low blood pressure ( BP) control rate and high rate of malignant hypertension reported among these populations in the Netherlands. This study provides new information, which can help clinicians to understand how patients of diverse ethnic populations think about managing antihypertensive drug treatment and to address ethnic disparities in medication adherence and BP control.