Construction of a model on influencing factors of home blood pressure monitoring behavior in hypertensive patients based on the grounded theory
Objective To explore the influencing factors of Home Blood Pressure Monitoring(HBPM)behavior in hypertensive pa-tients,in order to provide a reference for developing targeted intervention.Methods A total of 18 hypertensive patients were selec-ted using purposive sampling,theoretical sampling and snowball sampling methods to conduct semi-structured interviews,then a model on influencing factors of HBPM in hypertensive patients was constructed through open coding,axial coding and selective coding.Results Patient-related factors directly affected their HBPM behavior,disease and treatment-related factors were internal situational factors,medical service system factors and socioeconomic factors were external situational factors,which played a regu-latory role in HBPM behavior.Conclusion Medical staff should evaluate the barriers and enablers affecting patients'HBPM behavior in time,strengthen physician-client communication and improve the follow-up system,formulate individualized intervention mea-sures to improve patients'HBPM behavior,and optimize blood pressure management.
hypertensionhome blood pressure monitoringinfluencing factorsmodel constructionsituational factorsgrounded theoryqualitative research