Main Article Content
Background: Hypertension has prominently been the health issue. The investigation of health management based on concepts of individual, family, and community approach has been taken to construct the proper health management patterns.
Objectives: To investigate the context of health management for hypertensive patients in the community, to study behavioral change process at individual level based on ADKAR model and to study hypertensive patient’s health behaviors.
Methods: This descriptive qualitative research included ten health management staffs, sixteen hypertensive patients, and sixteen caregivers as informants. A series of focus groups, interviews, and semi structured questionnaires were used as data collection methods. Content analysis, and descriptive analysis were used for analyzing data. In addition, the methodological triangulation process was conducted as well.
Results: Health management context for hypertensive patients in the community comprised of the processes of planning, administration, action, monitoring and evaluation. Awareness, desire, knowledge, ability, and reinforcement of behavioral changes in caregivers and patients illustrated a great level. Heath behaviors of hypertensive patients in terms of nutrition, physical exercises, emotions, smoking, alcohol consumption and medication adherence were in moderate level (M= 3.31).
Conclusion: The results revealed optimal health management context for hypertensive patients in the community and the level of health behavioral adjustment from individual, family, and community approach which can be adopted to construct more efficient health management patterns.
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