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Master Thesis

Observance non médicamenteuse des patients atteints d'hypertension artérielle et influence de la relation qu'ils entretiennent avec leur médecin traitant

Abstract : Context: One of the main causes of insufficient blood pressure control is poor compliance with dietary health measures (DHM) by hypertensive patients. However, the majority of hypertensive patients are followed by general practitioners (GPs). Objective: To explore and understand the relationship between adherence to DHMs by patients with controlled and uncontrolled arterial hypertension (AHT) and their relationship to their GP. Method: Qualitative exploratory study using a phenomenological approach, based on 10 semi-structured interviews with patients followed for AHT by GPs in a health center in the Île-de-France region. Coding and thematic analysis were performed by 3 researchers. Results: AHT is perceived as a benign disease, the cause of which is not related to poor health behaviors. There is a good relationship between the patient and their GPs in the context of AHT. Patients describe their need for patient-centered medicine, with more transparency about the disease and personalized support to promote better compliance with DHM. The patient must be considered as a whole in order to obtain adherence to DHM. Tobacco appears to be ignored and medication takes a center place at the expense of DHM. A time of exchange with the GP and a motivational approach seem to be useful levers to induce a change in behavior. Conclusion: Improving adherence to DHD in the context of AHT requires taking into account the patient as a whole.
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https://dumas.ccsd.cnrs.fr/dumas-03435546
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Submitted on : Thursday, November 18, 2021 - 5:49:47 PM
Last modification on : Friday, March 18, 2022 - 3:14:38 AM

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Hatim Abdoulaly. Observance non médicamenteuse des patients atteints d'hypertension artérielle et influence de la relation qu'ils entretiennent avec leur médecin traitant. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03435546⟩

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