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Background <p>Hypertensive disorders of pregnancy (HDP) is a significant contributing factor to maternal morbidity and mortality. Self-management plays a crucial role in women with HDP to delay disease progression and improve delivery outcomes. However, the lived experiences of self-management among women with HDP during pregnancy remain poorly understood. Therefore, the perspectives and experiences of managing HDP in women require special attention and exploration.</p> Methods <p>The qualitative study with a descriptive phenomenological design was conducted. Purposive sampling was used, and face-to-face interviews were conducted with 19 women who had experienced HDP self-management. Data were analyzed following the 7 steps of Colaizzi. MAXQDA software (version 2020) was used for data management.</p> Results <p>Four themes were identified: (1) the beginning of transformation, (2) the thorny path, (3) striving to overcome, and (4) external forces. The participants were found to be at different stages of HDP management and undergoing a process of adaptation.</p> Conclusion <p>This study revealed that women go through a process of adjustment following a diagnosis of HDP as they learn to self-manage. This process is influenced not only by their personal efforts but also by the external environment and support systems.</p>

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Women’s experiences with the self-management of hypertensive disorders of pregnancy: a descriptive phenomenological study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月11日

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  • Shuang Hu,
  • Danni Song,
  • Yu Wang,
  • Congshan Pu,
  • Jiaai Xia,
  • Chunjian Shan

摘要

Background

Hypertensive disorders of pregnancy (HDP) is a significant contributing factor to maternal morbidity and mortality. Self-management plays a crucial role in women with HDP to delay disease progression and improve delivery outcomes. However, the lived experiences of self-management among women with HDP during pregnancy remain poorly understood. Therefore, the perspectives and experiences of managing HDP in women require special attention and exploration.

Methods

The qualitative study with a descriptive phenomenological design was conducted. Purposive sampling was used, and face-to-face interviews were conducted with 19 women who had experienced HDP self-management. Data were analyzed following the 7 steps of Colaizzi. MAXQDA software (version 2020) was used for data management.

Results

Four themes were identified: (1) the beginning of transformation, (2) the thorny path, (3) striving to overcome, and (4) external forces. The participants were found to be at different stages of HDP management and undergoing a process of adaptation.

Conclusion

This study revealed that women go through a process of adjustment following a diagnosis of HDP as they learn to self-manage. This process is influenced not only by their personal efforts but also by the external environment and support systems.