Getting to Normal

Franklin, Marilyn; Harden, Janet; Peters, Rosalind M.

doi:10.1097/jcn.0000000000000223

Cited by 4 publications

(11 citation statements)

References 16 publications

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“…Jahan et al [46] noted that participants understood HTN only in terms of their symptoms and were particularly fearful of severe symptoms which may lead to detrimental consequences. This finding was echoed in other studies where participants described heart attacks, strokes, paralysis, and death as possible consequences of not controlling their symptoms and thus their HTN [32,40,46,58,69].…”

Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 80%

“…Most studies reported a mixed sample that included men and women. Nine studies reported all-female samples [31,33,35,40,[44][45][46]48,63]. One study did not report sex [56].…”

Section: General Characteristics Of Studiesmentioning

confidence: 99%

“…Nine studies were included in the qualitative synthesis [31,32,37,40,46,58,59,67,69]. Data collection methods used in the studies were semistructured interviews and focus groups.…”

Section: Qualitative Synthesismentioning

confidence: 99%

“…For example, all studies included in this review reported headaches and dizziness as part of participants' symptom experiences. Other symptoms included visual changes [37,40,46], flushing [32,40], neck pain [31,46], nausea, fatigue, heart palpitations, and sleep disturbances [37,40,46,58]. In two studies, participants described psychological symptoms such as anxiety [37,58] and stress [59].…”

Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 99%

“…Other studies describe this symptom as malaise [59] or feeling uneasy [32]. The subtheme 'I can tell' in Franklin et al's [40] study discussed how participants could 'feel' when their BP was elevated. This innate sense of knowing when their BP had increased was also reflected in the accounts of participants in three other studies [32,37,46].…”

Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 99%

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Symptom experiences in hypertension: a mixed methods systematic review

Horne

Stayt

Schutz

et al. 2022

Journal of Hypertension

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Aim:Understanding patients’ hypertension (HTN) symptoms can assist healthcare professionals’ awareness of individual, cultural, and behavioral responses and improve diagnostic accuracy to optimize treatment. The purpose of this review was to evaluate and synthesize current literature exploring HTN symptoms.Methods:Databases searched included MEDLINE (PubMed), CINAHL (EBSCO), Scopus, and Web of Science from January 2010 to January 2022. The search followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The McMaster critical review forms were used to determine the quality of both qualitative and quantitative articles. Synthesis of the data was guided by the Joanna Briggs Institute Convergent Integrated Approach to Mixed Study Systematic Reviews.Results:In total, 41 articles were included, nine qualitative studies and 32 quantitative. The quality of the articles varied. Symptoms included commonly reported symptoms and some less prevalent, including some reporting absence of symptoms. Factors that affected symptoms included culture, beliefs, psychosocial factors, and knowledge. We also found that there may be a bidirectional relationship between symptoms and behaviors that may lead to self-management.Conclusion:HTN is common and symptoms are frequently reported. HTN management is related to multiple factors. Symptoms continue in a number of individuals after initial diagnosis. Evaluating symptoms after initial diagnosis may help to optimally manage and meet blood pressure guidelines.

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Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 80%

“…Most studies reported a mixed sample that included men and women. Nine studies reported all-female samples [31,33,35,40,[44][45][46]48,63]. One study did not report sex [56].…”

Section: General Characteristics Of Studiesmentioning

confidence: 99%

“…Nine studies were included in the qualitative synthesis [31,32,37,40,46,58,59,67,69]. Data collection methods used in the studies were semistructured interviews and focus groups.…”

Section: Qualitative Synthesismentioning

confidence: 99%

Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 99%

Section: Theme 1: Range Of Symptom Experiencesmentioning

confidence: 99%

See 3 more Smart Citations

Symptom experiences in hypertension: a mixed methods systematic review

Horne

Stayt

Schutz

et al. 2022

Journal of Hypertension

View full text Add to dashboard Cite

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Making Sense of Hypertension Guidelines

2018

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Hypertension is a leading risk factor for heart disease, stroke, kidney failure, and diabetes and is a predisposing risk factor for most cardiovascular chronic illnesses. The risk for major cardiovascular events drops significantly when guideline-based blood pressure targets are achieved. Several different societies and organizations have released guidelines during the past 6 years, and significant clinical trial data have been recently released. Here, we summarize existing guidelines and recent pertinent clinical trial data to assist practitioners in identifying optimal treatment strategies for the successful management of hypertension.

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Neighborhood perceptions and hypertension among low-income black women: a qualitative study

et al. 2016

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BackgroundThe majority of studies examining the role of neighborhoods and hypertension-related outcomes have been quantitative in nature and very few studies have examined specific disadvantaged populations, including low-income housing residents. The objective of this study was to use qualitative interviews to explore low-income Black women’s perceptions of their neighborhoods and to understand how those perceptions may affect their health, especially as it relates to blood pressure.MethodsSeventeen Black female participants, living in public housing communities in New York City, completed one semi-structured, audiotaped interview in July of 2014. All interviews were transcribed, coded, and analyzed for emerging themes using N’Vivo 10 software.ResultsThree major themes emerged: (1) social connectedness, (2) stress factors, and (3) availability of food options. For example, factors that caused stress varied throughout the study population. Sources of stress included family members, employment, and uncleanliness within the neighborhood. Many participants attributed their stress to personal issues, such as lack of employment and relationships. In addition, the general consensus among many participants was that there should be a greater density of healthy food options in their neighborhoods. Some believed that the pricing of fresh foods in the neighborhoods should better reflect the financial status of the residents in the community.ConclusionsVarious neighborhood influences, including neighborhood disorder and lack of healthy food options, are factors that appear to increase Black women’s risk of developing high blood pressure. Implications of this research include the need to develop interventions that promote good neighborhood infrastructure (e.g. healthy food stores to encourage good nutrition habits and well-lit walking paths to encourage daily exercise), in addition to interventions that increase hypertension awareness in low-income neighborhoods.

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Getting to Normal

Cited by 4 publications

References 16 publications

Symptom experiences in hypertension: a mixed methods systematic review

Symptom experiences in hypertension: a mixed methods systematic review

Making Sense of Hypertension Guidelines

Neighborhood perceptions and hypertension among low-income black women: a qualitative study

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