FACILITATORS AND BARRIES FOR THE IMPLEMENTATION OF A SELF-MANAGMENT MODEL IN A PROGRAM OF CHRONIC PATIENTS WITH HIGH BLOOD PRESSURE

Introduction: High blood pressure is currently one of the problems in public health more relevant , with a high burden on quality of life, mortality and economic impact. Education programs based on self-management are more effective than traditional education, since they improve the quality of life, reduce health care costs and prevent the progression of chronic non-communicable diseases Objective: To identify facilitators and barriers that are perceived for the participants of the traditional program, for implement a self-management model in the program of attention of noncommunicable chronic diseases. Method: It was made a participatory action research where patients who attend the traditional program of chronic noncommunicable diseases were included. The information was collected through observation and focal groups. Triangulation was performed for researchers and data. The credibility was given confirming the findings with the participants after the collection and analysis of data Results: There were barriers that emerged of each one of the 5 elements of self-management model. These were: difficulties in the definition of the disease, inadequate control of blood pressure, economic difficulties and negative social influence. As well as facilitators like: good practices, identification of a network support, remember the treatment properly. From these categories some strategies emerged to overcome barriers and thus implement a model of self-management in the chronic hypertension program. Conclusions: The participatory-action research allowed knowing the facilities and the barriers that has the program of arterial hypertension. As well as the possibles strategies to eliminate the limitations to implement a model based on self-management program.