Critical influences on the management and home self monitoring of blood pressure among middle-aged hypertensive Americans : a grounded theory approach

Material Information

Title:
Critical influences on the management and home self monitoring of blood pressure among middle-aged hypertensive Americans : a grounded theory approach
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
McCurdy, Rosalee E.
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
v, 163 leaves : ill. ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Hypertension -- Prevention ( lcsh )
Hypertension -- Age factors ( lcsh )
Blood pressure -- Regulation ( lcsh )
Disease management ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Background: Within the last two decades high blood pressure has become endemic worldwide, affecting populations of developed, undeveloped, and developing countries equally (International Society of Hypertension [ISH, 2008]) at an estimated global economic cost in the billions of dollars. In the United States (US) approximately 75 million people suffer from high blood pressure and 75% of people with high blood pressure do not have their blood pressure under control (CDC, 2010). Recent studies have shown that management which includes self-monitoring may hold the key to sustainable blood pressure control in all populations regardless of race or ethnicity. Purpose: This qualitative study aims to discover critical influences that lead hypertensive middle-aged Americans to manage and self-monitor their blood pressure at home. Philosophical Underpinnings: The philosophical underpinnings used to guide this study are based on the qualitative research paradigm, symbolic interactionism and pragmatism. Methods: A grounded theory methodology was used in this study of English-speaking adults age 40-65 with high blood pressure, who manage and self-monitor their blood pressure at home at least once a month. Audio-taped, semi-structured interviews with open-ended questions were utilized to collect data. Categories are formed to capture all major themes. Results: The following three dominant categories emerged from the data: accepting the diagnosis, establishing support and tending to health. A core category of daring to live under pressure was constructed and reflected the participants’ critical influence in management and self-monitoring of their blood pressure. A conceptual model of the dominant categories was developed to guide future intervention studies. Conclusion: Accepting the diagnosis, establishing support, and tending to health for individuals with high blood pressure are crucial to abating this chronic disease in middle-aged adults.
Thesis:
Thesis (Ph.D.)--Barry University, 2013.
Bibliography:
Includes bibliographical references (leaves 130-146).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Rosalee E. McCurdy. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RA645.H9 M33 2013_MccurdyRosalee ( BU-Local )
Classification:
RA645.H9 M33 2013 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations