Arterial hypertension in older age: qualitative study

Abstract

Background

Arterial hypertension a.k.a silent killer is one of the most important cardiovascular, yet preventable risk factors. Although there are more than 7000 clinical studies in 2019 there is still slow progress in global control of arterial hypertension. The aim of this study is to present the results from the qualitative study of the quality of treatment and care of arterial hypertension in older persons in the city of Rijeka, Croatia.

Participants and Methods

In two focus groups with older persons (65+) who had diagnosis of arterial hypertension for more than one year, attitudes toward positive and negative experiences in health and social care system were discussed, as well as their values regarding living with arterial hypertension. In focus groups 15 participants were involved. The focus groups were recorded; transcripts were made followed by analysis of the data reduction.

Results

The specific challenges in the participants' groups were identified such as lack of knowledge about the hypertension and concerns on pharmaceutical industries and lobbies interests which can result in lower adherence to medications. Some of the participants use Internet as a health information source including invalidated websites which can represent threat in adequate care especially in older people with multimorbidities. Self-reliance is most valued among the participants, while financial stability and support in the community are also highly appreciated in the urban population with arterial hypertension.

Conclusions

This research gives a framework for additional research in the population of older people that are living with arterial hypertension. Positive health and social care experiences must be preserved, yet negative experiences such as long waiting lists, additional health care costs, ageism and others must be improved.

Key messages

• Although arterial hypertension is a well-known risk factor, more effort should be made in preventive interventions and health education.

• Adherence to medicines.