Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 533
10.7454/jki.v24i2.1308
Submitted: 2023-03-06
Published: 2021-07-30

Hypertension Self-Care Management During COVID-19 Pandemic Crisis in the Meranao Tribe: A Phenomenological Inquiry

1. College of Health Sciences, Mindanao State University, Marawi City 9700 2. College of Nursing – Doctor of Science in Nursing, Cebu Normal University, Cebu City 6000
College of Nursing, Mindanao Institute of Healthcare Professionals, Marawi City 9700
College of Nursing, Mindanao Institute of Healthcare Professionals, Marawi City 9700
College of Nursing, Mindanao Institute of Healthcare Professionals, Marawi City 9700
College of Health Sciences, Mindanao State University, Marawi City 9700
hypertension Meranao tribe Philippines self-care management practices qualitative research

Abstract

The COVID-19 crisis has been a challenging and stressful event for individuals with known underlying health problems, not to mention their higher risk of contracting the disease. This phenomenological inquiry was conducted to explore the common self-care practices of the Meranao tribe in the Province of Lanao del Sur, Philippines, concerning their management of hypertension amidst the ongoing pandemic health crisis. This study employed a descriptive-phenomenological approach. Ten known hypertensive adults participated in the study selected using purposive sampling. Data collection employed focus group discussion (FGD) and then analyzed using Colaizzi's approach. Four themes were derived which explained the common practices of the tribe in the self-care management of hypertension amidst the crisis: 1) the use of herbal remedies; 2) compliance with prescribed medications; 3) dietary control; and 4) remaining physically active. Patients’ strict compliance with known scientific self-care practices in managing hypertension forms a multidimensional strategy in controlling, managing, and preventing hypertension and its related complications.

Abstrak

Studi Fenomenologi tentang Praktik Manajemen Perawatan Diri pada Pasien Hipertensi Saat Pandemi COVID-19. Krisis COVID-19 telah menjadi periode yang menantang dan menegangkan bagi individu dengan riwayat masalah kesehatan, belum lagi risiko yang lebih tinggi untuk menderita penyakit tersebut. Studi fenomenologi ini bertujuan untuk mengeksplorasi praktik perawatan diri Suku Meranao di Provinsi Lanao del Sur, Filipina yang berhubungan dengan manajemen hipertensi di tengah krisis kesehatan yang sedang berlangsung. Melalui pendekatan fenomenologi deskriptif, sebanyak 10 orang dewasa penderita hipertensi bersedia untuk menjadi partisipan penelitian ini dengan menggunakan metode purposive sampling. Data diperoleh melalui focus group discussion (FGD), dan dianalisis menggunakan pendekatan Collaizi. Empat tema diperoleh untuk menjelaskan praktik mereka dalam manajemen perawatan diri hipertensi di tengah krisis: 1) penggunaan obat herbal; 2) kepatuhan terhadap obat yang diresepkan; 3) kontrol makanan, dan 4) tetap aktif secara fisik. Kepatuhan ketat pasien pada praktik perawatan diri secara ilmiah dalam manajemen hipertensi memainkan strategi multidimensi dalam kontrol, manajemen, dan pencegahan hipertensi serta komplikasi yang terkait.

Kata Kunci: Filipina, hipertensi, praktik manajemen perawatan diri, riset kualitatif, suku Meranao

References

  1. Abbott. (2019). New relief for chronic diseases. Retrieved from https://www.abbott.com/corpnewsroom/sustainability/new-relief-for-chronic-diseases.html
  2. Ademe, S., & Aga, F. (2019). Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Services Research, 19, 51. doi: 10.1186/s12913-019-3880-0.
  3. Christensen, M., Welch, A., & Barr, J. (2017). Husserlian descriptive phenomenology: A review of intentionality, reduction, and the natural attitude. Journal of Nursing Education and Practice, 7 (8), 113–118. doi: 10.5430/jnep.v7n8p113.
  4. Chrysant, S.G., & Chrysant, G.S. (2017). Herbs used for the treatment of hypertension and their mechanism of action. Current Hypertension Reports, 19, 77. doi: 10.1007/s11906-017-0775-5.
  5. Eugene, V., & Bourne, P.A. (2013). Hypertensive patients: Knowledge, self-care management practices and challenges. Journal of Behavioral Health, 2 (3), 259–268. doi: 10.5455/jbh.20130217103511.
  6. Gao, C., Cai, Y., Zhang, K., Zhou, L., Zhang, Y., Zhang, X., Li, Q., Li, W., Yang, S., Zhao, X., Zhao, Y., Wang, H., Liu, Y., Yin, Z., Zhang, R., Wang, R., Yang, M., Hui, C., Wijns, W. ... Li, F. (2020). Association of hypertension and antihypertensive treatment with COVID-19 mortality: A retrospective observational study. European Heart Journal, 41 (27), 2058–2066. doi: 10.1093/eurheartj/ehaa433.
  7. Himmelfarb, C.R.D., Commodore-mensah, Y., & Hill, M.N. (2016). Expanding the role of nurses to improve hypertension care and control globally. Annals of Global Health, 82 (2), 243–253. doi: 10.1016/j.aogh.2016.02.003.
  8. Hu, H., Li, G., & Arao, T. (2013). Prevalence rates of self-care behaviors and related factors in a rural hypertension population: A questionnaire survey. International Journal of Hypertension, 2013, 526949. doi: 10.1155/2013/526949.
  9. Kanwal, A., Agarwala, A., Martin, L.W., Handberg, E.M., & Yang, E. (2020). COVID-19 and hypertension: What we know and don't know. Retrieved from American College of Cardiology website: https://www.acc.org/latest-in-cardiology/articles/2020/07/06/08/15/covid-19-and-hypertension
  10. Kassahun, C.W., Asasahegn, A., Hagos, D., Ashenafi, E., Tamene, F., Addis, G., & Endalkachew, K. (2020). Knowledge on hypertension and self-care practice among adult hypertensive patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia. International Journal of Hypertension, 2020, 5649165. doi: 10.1155/2020/5649165.
  11. Khresheh, R., & Mohammed, N. (2016). Self-Care Behaviors among women with hypertension in Saudi Arabia. IOSR Journal of Nursing Health Science, 5 (3), 52–56. doi: 10.9790/1959-0503035256.
  12. Liwa, A., Roediger, R., Jaka, H., Bougaila, A., Smart, L., Langwick, S., & Peck, R. (2017). Herbal and alternative medicine use in Tanzanian adults admitted with hypertension-related diseases: A mixed-methods study. International Journal of Hypertension, 2017, 5692572. doi: 10.1155/2017/5692572.
  13. Mejia, P.C.G., Feliciano, E.E., Feliciano, A.Z., Sadang, J.M., Pangandaman, H.K., Garcia, L.L., Al-Noaemi, M.C., Abdelhafiz, I.M., Breboneria, B.L., ElRazkey, J.Y.E., Albougami, A., & Lorica, J.D. (2019). The effectiveness of health education and lifestyle program in improving the blood pressure in hypertensive patients. International Journal of Advanced and Applied Sciences, 6 (11), 21–29. doi: 10.21833/ijaas.2019.11.004.
  14. Mendes, C.R.S., de Souza, T.L.V, Felipe, G.F., Lima, F.E.T, Miranda, M.D.C. (2015). Self-care comparison of hypertensive patients in primary and secondary health care services. Acta Paulista de Enfermagem, 28 (6), 580–586. doi: 10.1590/1982-0194201500095.
  15. McNamara, K.P., Versace, V.L., Marriott, J.L., & Dunbar, J.A. (2014). Patient engagement strategies used for hypertension and their influence on self-management attributes. Family Practices, 31 (4), 437–444. doi: 10.1093/fampra/cmu026.
  16. Morrow, R., Rodriguez, A. & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist, 28 (8), 643–644.
  17. Nuwaha, F., & Musinguzi, G. (2013). Use of alternative medicine for hypertension in Buikwe and Mukono districts of Uganda: A cross-sectional study. BMC Complementary and Alternative Medicine, 13, 301. doi: 10.1186/1472-6882-13-301.
  18. Organia, E.G., Pangandaman, H.K., Adap Jr., D.M., Lambayong, J.H.C., Mukattil, N.P., Macarambon, R.D., Macalnas, D.A., Alauya-Dica, A.A., Sadang, J.M., & Mejia, P.C.G. (2019). A systematic review on the effectiveness of lifestyle modifications in the management of hypertension. International Journal of Health Medicine and Current Research, 4 (4), 1550–1564. doi: 10.22301/IJHMCR.2528-3189.1550.
  19. Philippine Statistics Authority. (2017). Philippines statistics authority-Autonomous region in Muslim Mindanao fact sheet (Reference Number: FS-ARMM-17-007). Retrieved from http://rssoarmm.psa.gov.ph/release/54739/factsheet/muslim-population-in-mindanao-%28based-on-popcen-2015%29
  20. Polit, D., & Beck, C. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th Ed.). Wolters Kluwer Health, Lippincott Williams & Wilkins.
  21. Qu, Z., Parry, M., Liu, F., Wen, X., Li, J., Zhang, Y., Wang, D., & Li, X. (2019). Self-management and blood pressure control in China: A community-based multicentre cross-sectional study. BMJ Open, 9, e025819. doi: 10.1136/bmjopen-2018-025819.
  22. Ravelo, J.L. (2020). To contain the spread of coronavirus, Manila grapples with lockdown. Devex. Retrieved from https://www.devex.
  23. com/news/to-contain-the-spread-of-coronavirus-manila-grapples-with-lockdown-96823
  24. Sadang, J.M., Macaronsing, S.I.P., Alawi, N.M., Taib, N.M., Pangandaman, H.K., Arnorol, N.A, Noor, I.N., Mejia, P.C.G., Mala, M.D., & Bangcola, A.A. (2020). Hypertensive adults typology and self-care behaviors in the management of hypertension in Lanao del Sur, Philippines. International Journal of Health Medicine and Current Research, 5 (3), 1865–1879. doi: 10.22301/IJHMCR.2528-3189.1865.
  25. Salim, H., Lee, P.Y., Sazlina, S.G., Ching, S.M., Mawardi, M., Shamsuddin, N.H., Ali, H., Adibah, H.I., & Tan, N.C. (2019). The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia. PLoS One, 14 (11), e0224649. doi: 10.1371/journal.pone.0224649.
  26. Simces, Z.L., Ross, S.E., & Rabkin, S.W. (2012). Diagnosis of hypertension and lifestyle modification for its management. BMC Medical Journal, 54 (8), 392–398.
  27. Shosha, G.A. (2012). Employment of Colaizzi's strategy in descriptive phenomenology: A reflection of a researcher. European Scientific Journal, 8 (27), 31–43.
  28. Straubert, H.J., & Carpenter, D.R. (2011). Qualitative research in nursing advancing the humanistic imperative (5th Ed.). Wolters Kluwer Health, Lippincott Williams & Wilkins.
  29. World Health Organization. (2020). COVID-19: Vulnerable and high-risk groups. Retrieved from https://www.who.int/westernpacific/emergencies/covid-19/information/high-risk-groups#:~:text=COVID%2d19%20is%20often,their%20immune%20system.%E2%80%8B

How to Cite

Sadang, J. M., Macaronsing, S. I. P., Alawi, N. M., Taib, N. M., & Pangandaman, H. K. (2021). Hypertension Self-Care Management During COVID-19 Pandemic Crisis in the Meranao Tribe: A Phenomenological Inquiry. Jurnal Keperawatan Indonesia, 24(2), 74–81. https://doi.org/10.7454/jki.v24i2.1308