Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Leslie L. Hussey

Abstract

AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. Fifteen participants were found to have low HL and were interviewed by phone for 30 to 45 minutes. The participants’ responses were transcribed and coded for categories and themes that indicated that a majority of adults with HTN and low HL recognize they need to perform SM activities but find SM requirements difficult to follow. Responses from the majority of participants indicated that stresses related to work, family life, and the COVID-19 pandemic have affected their ability to self-manage. Several participants expressed understanding the requirements of SM and reported following those requirements. In future research, HL skills, including cognitive skills (i.e., reading, writing, listening, speaking, numeracy), critical analysis, and interpersonal skills (i.e., communication and interaction abilities) should be studied to determine which are most associated with low HL. Positive social change may result when individuals who have HTN and low HL perceive that having their blood pressure under control is dependent on their being in charge and control of their health.

Download

Included in

Nursing Commons

Share

 
COinS