Date of Award

1-2025

Degree Type

Thesis

Degree Name

Master of Science in Advanced Practice Nurs​ing (MSc-APN)​

First Advisor

Prof. Wesley Too

Second Advisor

Dr. Gladys Mbuthia

Department

School of Nursing and Midwifery, East Africa

Abstract

Hypertension is a global public health challenge and a leading cause of morbidity and mortality, particularly in low- and middle-income countries, where it accounts for 86% of deaths from non-communicable diseases. With over 1.5 billion cases projected by 2025, hypertension significantly increases the risk of heart disease and stroke. Despite this, little is known about the experiences and self-care practices of pastoralist communities living with hypertension.

This study employed a descriptive, exploratory, cross-sectional design to investigate the experiences and self-care practices of individuals managing hypertension among the pastoralist of Marsabit County. Twelve participants receiving follow-up care at Uran and Sololo Ramata health centres were recruited through purposive sampling. Data were collected through, semi-structured interviews which lasted 30 minutes to one hour, conducted in private rooms within the health facilities. Using Colaizzi’s method of open coding, 18 codes were identified, which were further grouped into 14 sub-themes and five overarching themes.

The themes were 1) Experiences with the diagnosis of hypertension which included the journey to diagnosis, reactions to the condition, and their understanding and interpretation of the disease. 2) Experiences living with hypertension was characterized by acceptance and adjustment, reliance on social support and coping strategies, and functional and emotional challenges. 3) Medication management and adherence emerged as a significant theme, highlighting participants' struggles with medication regimens and scheduling, their perceptions of medication effectiveness, and the integration of traditional healing practices. 4) Dietary and lifestyle modifications also featured prominently, encompassing typical meals and dietary restrictions, fruit and vegetable intake, engagement in physical activity, substance use such as alcohol and tobacco, and efforts in weight management. Lastly, the study uncovered 5) Challenges related to accessing healthcare services, including limited drug availability and barriers to healthcare accessibility.

Most participants demonstrated poor knowledge of the causes and effects of hypertension. Adherence to prescribed medications and lifestyle modifications was often hindered by side effects and economic challenges. These findings enhance the understanding of the experiences of pastoralists living with hypertension and the factors affecting their self-care practices. The study recommends research on healthcare strategies and policies to support improved self-care among pastoralist populations managing hypertension.

First Page

1

Last Page

120

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