Self‑Actualization: Self‑Care Outcomes among Elderly Patients with Hypertension

Hanieh Gholamnejad, Ali Darvishpoor‑Kakhki, Fazlollah Ahmadi, Camelia Rohani

Abstract


Background: This study aims to analyze the experiences of older patients with hypertension to realize the outcomes of their self‑care behaviors for controlling hypertension.

Materials and Methods: This is a qualitative research with a conventional content analysis approach. The participants consisting of 23 people were selected through purposive sampling. Data were collected through semi‑structured interviews until data were saturated. Granheim and Lundman’s conventional content analysis was applied to analyze the data.

Results: After data analysis, four main categories including self‑efficacy, active lifestyle, spirituality, and stress management were obtained. These categories show the experience and outcomes of self‑care behaviors among elderly patients with hypertension.

Conclusions: Awareness of the elderly of their potentials and role in disease control in addition to relying on the power of spirituality provides positive results in hypertension management. Self‑actualization of the elderly resulted in resisting against the destructive effects of internal and external stress and moving in the direction of growth. Health professionals should be vigilant to encourage and promote education about the importance and advantages of self‑care for elderlies.

 


Keywords


Achievement, aged, hypertension, Iran, self‑care

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References


World Health Organization [Internet]. Number of People over 60 Years Set to Double by 2050; Major Societal Changes Required. Website 2015. Available from: http://www.who.int/ world‑health‑day/2012/toolkit/background/en/index3.html. [Last cited on 2015 Sep 30].

Amar.org [Internet]. Tehran: Statistical Center of Iran. Website 2016. Available from: http://www.amar.org.ir/Portals/0/Files/ abstract/1390/n. [Last cited on 2016 April 19].

Lozano R, Murry CH, Lopez A. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;13:2095‑128.

Chinnakali P, Mohan B, Ravi PU, Arvind KS, Rahul S, Kapil Y. Hypertension in the elderly: Prevalence and health seeking behavior. N Am J Med Sci2012;4:558‑62.

Gunes ARIK, Burcu Balam Y. Hypertension in older adults‑geriatrician point of view. J Gerontol Geriate Res 2014;3:100‑82.

Bromfield SG, Bowling CB, Tanner RM, Peralta CA, Odden MC. Trends in hypertension prevalence, awareness, treatment, and control among US adults 80 years and older, 1988‑2010. J Clin Hypertens (Greenwich) 2014;16:270‑6.

Briasoulis A, Agrawal V, Tousoulis D, Stefanadis C. Effects of antihypertensive treatment in patients over 65 years of age: A meta‑analysis of randomised controlled studies. Heart 2014;100:317‑23.

Darvishpoor Kakhki A, Abed Saeedi J, Delavar A. Diseases of old people referring to elderly centers of Tehran. Payavard Salamat 2013;7:14‑20. [In Persian].

Chatziefstratiou A, Giakoumidakis K, Brokalaki H. Cardiac rehabilitation outcomes: Modifiable risk factors. Br J Nurs 2013;22:200‑7.

Lee CS, Moser DK, Lennie TA, Riegel B. Event‑free survival in adults with heart failure who engage in self‑care management. Heart Lung 2011;40:12‑20.

Hemmatimaslak M, Hashemloo L. Effect of implementing Orem’s self‑care program on the self‑ esteem of elderlies based in residents of Nursing home in Urmia. IJMSN 2012;1:11‑15. [In Persian].

Minac ME, Feng MC. Assessment of activities of daily living, self‑care, and independence. Arch Clin Neuropsychol 2016;31:506‑16.

Star KL. The Relationship Between Self‑Care Practices, Burnout, Compassion Fatigue, and Compassion Satisfaction among Professional Counselors and Counselor‑in‑Training [Dissertation]. Kent State University; 2013.

Hinkel JC, Cheever KH. Brunner & Suddarth’s Textbook of Medical‑Surgical Nursing. 13th ed. Philadelphia, PA: Lippincott; 2014.

Schacter L, Gilbert T Wegner M. Human Needs and Self‑Actualization. 2th ed. New York: Worth, Incorporated; 2011.

Dsouza J, Gurin M. The universal significance of Maslow’s concept of self‑actualization. J Humanist Psychol 2016;44:210‑4.

Taormina RJ, Gao JH. Maslow and the motivation hierarchy: Measuring satisfaction of the needs. Am J Psychol 2013;126:155‑77.

Polit DF, Beck CT. Nursing Research: Principle and Methods. 9th ed. Philadelphia, PA: Lippincott; 2012.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105‑12.

Polit DF, Beck CT. Essentials of Nursing Research: Appraising Evidence for Nursing Practice. Philadelphia, PA: Lippincott; 2014.

SaeedniaY. Generating a scale measuring hierarchy of basic needs. Sciences 2011;15:3084‑94.

Bagheri‑Nesami M, Goudarzian AH, Mirani H, Jouybari SS, Nasiri D. Association between self‑care behaviors and self‑esteem of rural elderlies; necessity of health promotion. Mater Sociomed 2016;28:41‑5.

Chedraui P, Pérez‑López FR, Mendoza M, Leimberg ML, Martinez, MA, Vallarino V, et al. Assessment of self‑esteem in mid‑aged women. Maturitas 2010;66:77‑82.

Klainin P, Qunnapiruk L. A meta‑analysis of self‑care behavior research on elders in thailand: An update. Nurs Sci Q 2010;23:156‑63.

Rocha A, Ciosak A. Chronic disease in the elderly: Spirituality and coping. Rev Esc Enferm USP 2014;48:78‑93.

Baker L, Gringart E. Body image and self‑esteem in older adulthood. J Gerontol 2009;29:977‑95.

Fekrizadeh Z, Khorsandi M, Roozbahani N. Self‑efficacy of self‑care behaviors of elderly patients with hypertension. J Sabzevar Univ Med Sci 2014;21:753‑60. [In Persian].

Fukawa T. Dependency of the elderly and expectation of independent living at birth in Japan. Health Prim Care 2017;1:1‑6.

Doba N, Tokuda Y, Saiki K, Kushiro T, Hirano M. Assessment of self‑efficacy and its relationship with frailty in the elderly. Intern Med 2016;55:2785‑92.

Darvishpoor Kakhki A, Abed Saeedi J, Delavar A, Saeed‑O‑Zakerin M. Autonomy in the elderly: A phenomenological study. Hakim 2009;12:1‑10. [In Persian].

Tavares D, Matias TH, Ferreira P, Pegorar M, Nascimento J, Pavia M. Quality of life and self‑esteem among the elderly in the community. Cien Saude Colet 2016;21:3557‑64.

Bhawana Singh, Kiran UV. Recreational activities for senior citizens. J Humanit Soc Sci 2014;19:24‑30.

Maddah SB. The status of social and leisure time activity in the elderly residing in Iran and Sweden. Salmand 2009;3:597‑606. [In Persian].

Jalalvand SH, Farahani A. Study of relationship between physical activity and self‑ esteem, body appreciation and social physique anxiety among high school male and female students. SSRJB2011;2:27‑37.

Findlow J, Seymour RB. Prevalence rates of hypertension self‑care activities among African Americans. J Natl Med Assoc 2011;103:503‑12.

Sadeghi M, Shiri M, Roohafza H, Rakhshani F, Sepanloo S, Sarrafrazadegan N. Developing an appropriate model for self‑care of hypertensive patients: First experience from EMRO. ARYA Ather 2013;9:232‑40.

Zinat Motlagh R, Sadeghi E, Eslami AA.Self‑care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J 2016;18:350‑8.

Roberts SB, Dunbar R. The costs of family and friends: An 18‑month longitudinal study of relationship maintenance and decay. Evol Hum Behav 2011;32:186‑97.

Gilmour H. Social participation and the health and well‑being of Canadian seniors. Health Rep 2012;23:2‑12.

Rashedi V, Gharib M, Rezaei M, Yazdani AA. Social support and anxiety in the elderly of Hamedan. Iran Rehabil 2013;14:110‑5.

Habibi M, Mazaheri MA, Dehghani S, Ashori A. Measurement model and psychometric properties of family communication scale (FCS) and family satisfaction scale (FSS) in Iranian families. J Fam Res 2014;10:313‑29.

Bastani F, Pourmohammadi A, Haghani H. Relationship between perceived stress with spiritual health among older adults with diabetes registered to the association of diabetes prevention and control in Babol, 2013. Hayat 2014;20:6‑18. [In Persian].

Lenze E, Hickman S, Hershey T. Mindfulness‑based stress reduction for older adults with worry symptoms and co‑ occurring cognitive dysfunction. Int J Geriatr Psychiatry 2014;29:991‑1000.

Bussing A, Recchia D, Baumann K. Reliance on god’s help scale as a measure of religious trust – A summary of findings. Religions 2015;6:1358‑67.

Chehregosha M, Bastaminia A, Vahidian F, Mohammadi A, Aghaeinejad A. Life satisfaction index among elderly people residing in Gorgan and its correlation with certain demographic factors in 2013. Glob J Health Sci 2016;8:41‑50.

Beyaztas FY, Kurt G, Bolayir E. Life satisfaction level of elderly people: A field study in sivas, Turkey. J Pak Med Assoc 2012;62:221‑5.

Amin A, Kumar S, Rajagopalan A, Rajan S, Mishra F, Kumar U. Beneficial effects of OM chanting on depression, anxiety, stress and cognition in elderly women with hypertension. Indian J Clin Anat Physiol 2016;3;253‑5.

Gheibizadeh M, Parand Pourghane P, Mosaffakhomami H, Heidari F, Atrkar Roushan Z. Identifying determinants of stress among retired elderly. Geriatr Nurs2016;3:50‑63.

Izadirad H, Masoudi G, Zareban I. Evaluation of efficacy of education program based on BASNEFF model on self‑care behavoirs of women with hypertension. J Zabol Univ Med Sci Health 2014;6:42‑51. [In Persian].

Papageorgiou F, Varvogli L, Oikonomidi T, Chrousos GP, Darviri C. An 8‑week stress management program for older women: A pilot randomized controlled trial. Psychology 2016;7:829‑35.

Wetherell JL, Hershey T, Hickman S. Mindfulness‑based stress reduction for older adults with stress disorders and neurocognitive difficulties: A randomized controlled trial. J Clin Psychiatry 2017;78:734‑43.

Fetherston CM, Wei L. The benefits of tai chi as a self‑management strategy to improve health in people with chronic conditions. J Nurse Health Care 2011;3:155‑64.

Barati M, Moghimbeigi A, Afsar A. Self‑regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci 2011;1:116‑22. [In Persian].


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