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[Evaluation of quality of life of hypertensive patients]
Ying Chen1, Sheng-yong Wang, Gui-bo Chi
1Department of Cardiology, First People's Hospital of Yuexiu District, Guangzhou 510120, China. chenyinghy@126.com
Insights
Hypertension significantly lowers quality of life (QOL) across physical, psychological, and social domains. Effective blood pressure control and QOL improvement are crucial for hypertension management.
Area of Science:
- Cardiology
- Public Health
- Psychology
Context:
- Hypertension is a prevalent global health issue.
- Quality of life (QOL) is an important outcome measure in chronic disease management.
Purpose:
- To evaluate the QOL of patients diagnosed with hypertension.
- To compare the QOL of hypertensive patients with that of healthy individuals.
Summary:
- A study involving 319 hypertensive patients and 319 healthy controls utilized the WHOQOL-100 instrument.
- Hypertensive patients reported significantly lower QOL scores in physical, psychological, social, and environmental domains compared to controls.
- Multivariate analysis confirmed significant QOL decrements in hypertensive individuals, even after adjusting for confounding factors.
Impact:
- Findings underscore the substantial impact of hypertension on patients' overall well-being.
- Highlights the necessity of integrating QOL assessment and improvement strategies into hypertension treatment protocols.
- Emphasizes that managing hypertension involves not only blood pressure control but also enhancing patient's quality of life.
Objective:
To evaluate the quality of life (QOL) of patients with hypertension.
Methods:
Totally 319 patients with hypertension were investigated for their QOL in comparison with 319 healthy controls using the World Health Organization Quality of Life assessment instrument (WHOQOL-100).
Results:
The scores of physical functions, psychological condition, independent ability, social relation, living environment, and personal faith and the total score of QOL-100 were significantly lower in the hypertensive patients than in the normal subjects (P<0.01). After adjusting the confounding factors of other diseases, the scores of all the items with the exception of personal faith and the total score of QOL-100 were all lower in the patients than in the controls (P<0.01). Hostelling T2 test and multivariate analysis of variance showed significant differences in the QOL between the hypertensive patients and the controls in the 6 domains synthesized (P<0.01), further demonstrating lowered QOL of hypertensive patients in comparison with the healthy population.
Conclusion:
Improvement of the hypertensive patients' QOL in addition to effective blood pressure control is a basic target in clinical therapy of hypertension.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Errors occurring during blood pressure monitoring
Several factors...
Hypertension I: Introduction