Research Article

A Qualitative Study of Patient Perspectives about Hypertension

Table 3

Quotes of patients with respect to knowledge regarding blood pressure management.

ThemeQuotes

KnowledgeWell it is definitely not a good thing for the body. I mean it can cause a lot of problems to kidneys and strokes and you know make your heart work faster and therefore weaken it. You know, it is great when you exercise and you get your heart going faster, but when your heart has to pump faster just to, kind of you know, deal with your everyday life I mean it is not, it is not very clever at all. It is not very beneficial to you to have high blood pressure. (female, on target)

Knowledge and HCPP: Yeah I suppose I do not ask them because [—] I, I they will take the readings and they will vary. I assume that if, if they had concerns they would ask me, and I do not want to be a hypochondriac or be a [chuckles] asking rhetorical questions that do not really have an answer to them, so. And I sort of respect their time so [—] and, and they might seem like silly questions so.
I: Do you get that feeling from something that they did or is that more?
P: No, just respect their time and know that [—] I just maybe think they are [—] dumb questions perhaps or taking up the doctor’s time asking so. (male, on target)

Knowledge and HCPI: Do you have a good understanding about what high blood pressure is? So if your doctor was in the room right now would you have questions for him that you still do not really understand?
P: What causes high blood pressure? Right. Why do they put you on medication, things like that.
I: Right.
P: They should answer that and talk about it.
P: The only person who will do that [—] is a pharmacist. They will explain it more than the doctors. ‘Cause the doctors are in and out, they’re so busy. (male, not on target)

Knowledge: BP medicationI: Do you have any idea of what it does for you? Or how it works or?
P: No. I do not. (male, not on target)

Knowledge: BP medicationI can’t say as I do [know what each pill does], I know it’s supposed to lower my blood pressure. So I know that the water pill is very helpful. Um other than that, I do not know technically what mine does. (female, on target)

Side effectsUm, no I mean [—] if the side effects, if the sexual thing was a proven side effect [—] I would have to make a decision because [—] I might go off it just to see if it changed much. (male, on target)

Side effectsYeah. No the other ones I was on were nasty. Like within, within four hours of taking it, I would be head over the toilet bowl, sick, migraine [—] nasty. but my hair was falling out and the pharmacist said, yeah the diuretic can do that. So I asked my doctor, please change. And he went through this whole mess of all these other ones that we were trying that just made me deathly ill. (female, not on target)

Knowledge-lifestyleP: Yeah, well every time I go to the doctor [—] he always goes over it and you know tells me what I should be doing. And I guess, if I did exactly what he said, more than likely I would not have high blood pressure. (male, not on target)

Knowledge-lifestyleP: No I mean cognitively I know that stop smoking and lose weight and get active is the best thing you can do for blood pressure. I am sure eating well and cutting out is probably another good thing too but I like salt so, I mean I know what I should be doing it’s just that I am not doing it.
I: Is that what it is or what is getting in the way?
P: Nothing, but sheer apathy.
P: Or [—] laziness. I sit at work all day.
P: Maybe something happening? You’d think that two hundred over whatever it was blood pressure would make me pick up and notice and start doing things but, I do not know, I really don’t know.
P: It is stupid, it is really stupid.
I: Not to do anything or?
P: Yes! I am sixty for God’s sake. I mean life is not getting any shorter or any longer. Do I need to be taking care of this now. (female, on target)

Knowledge-lifestyleP: Yeah. I think, I do not know, maybe somebody would have to tell me, if you do not stop eating so much salt, you’re going to be dead in five years.
I: Okay.
P: And then I’d be like oh crap,
I: So that would be your motivation?
P: Yeah. (female, not on target)