Pattern and predictive factors of health-related quality of life of patients with hypertension, diabetes and concomitant hypertension with diabetes in Ilorin, Nigeria (original) (raw)
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2018
To respond to growing prevalence of hypertension in Nigeria, it is critical to have an in-depth understanding about health related quality of life (HRQOL) among people living with hypertension and related factors. This study assessed HRQOL and its relationship with socio-demographic characteristics among hypertensive patients in a State University Teaching Hospital Makurdi, north-central Nigeria. A cross-sectional survey was conducted on 97 hypertensive patients aged 50 years and above using self-administered SF-36 questionnaire. Data were analysed using statistical package for social sciences (SPSS) version 20. Descriptive statistics were used to examine mean scores of health related quality of life. Chi-square was used to measure the relationship between HRQOL and socio-demographic characteristics of the patients. The study revealed that the mean age of the respondents was 58.2 ± 11.99, majority of the respondents (91.7%) were males, and more than half of the respondents (94.8%) h...
BMC Cardiovascular Disorders, 2009
The health-related quality of life (HRQOL) of hypertensives may be influenced by blood pressure, adverse effects of drugs used to treat hypertension, or other factors, such as the labelling effect, or beliefs and attitudes about illness and treatment. There is paucity of information on the determinants of HRQOL among black hypertensives especially in the developing countries such as Nigeria. This study describes the HRQOL and its determinants among black patients diagnosed and treated for Hypertension in Nigeria.
Quality of life of persons living with diabetes measures their health status with a look at multiple aspects of their life, including: emotional reactions to life occurrences, disposition, sense of life fulfilment and satisfaction in life. This study compares Health related quality of life of persons living with diabetes and those without Diabetes in University of Calabar Teaching Hospital, Calabar. This is a facility based cross sectional descriptive study. Participants were given the World Health Organization quality of life (WHOQOL-BREF) to assess their quality of life. Data were analyzed using Statistical Packages for the Social Sciences (SPSS), version 24. The results were presented in Means, standard deviations, and statistical analyses were performed to compare between QOL between diabetic and non-diabetics. A total 400 respondents (200 people living with Diabetes and 200 people without diabetes) participated in this study. Clinical data of diabetic respondents showed that 70.5 percent (n=141) were living with other disease while 29.5 percent n= 59) of diabetic responds were not living with other diseases. Diseases mostly exhibited by diabetic patients were hypertension 40 percent (n=80) and arthritis 15 percent (n=30). Patients with diabetes had a significant lower mean score than the non-diabetics in their overall quality of life (P = 0.000). Findings from this study also indicate that diabetics had a mean score of 23.17, 20.06, 10.20, 28.0 in their physical, psychological, social and environmental domain respectively compare with those without diabetes that reported a mean score of 24.17, 21.53, 11.43, 28.68 in their physical, psychological, social and environmental domain respectively. There is need for comprehensive management plan to minimize the daunting outcomes of DM and improve the QOL of the diabetics.
An Assessment of Quality of Life of Hypertensive Patients Visiting a Hospital in Warri, Nigeria
Acta Scientific Pharmaceutical Sciences, 2020
Health related quality of life is a multi-dimensional concept that includes domains related to the physical, mental, emotional and social functioning. It appraises both the positive and negative aspect of life. This can be evaluated using various instruments so as to know areas to improve therapy. This study was done to assess the quality of life of a group of hypertensive patients, and to determine predictors of their quality of life. Method: This was a descriptive cross-sectional study designed to assess the quality of life of hypertensive patients. The sf-12 questionnaire was used to assess Quality of Life in ambulatory patients. Data was obtained from patients visiting two facilities in Delta state, Nigeria. Results: The total sample size used was 122 respondents of which 72 were males (58.5%). The mean Physical Component Summary (PCS) of quality of life was 47 ± 7.5; while the mean Mental Component Summary (MCS) of quality of life was 46.7 ± 9.2. The mean systolic blood pressure was 139.6mmHg ± 19.1 while the mean diastolic blood pressure was 82.8mmHg ± 13.3. The Beta value obtained from all the analysis were > 0.05, hence there were no significant predictors of quality of life. Conclusion: Quality of life was generally low and below the Norm of 50% according to the US standard. The physical component scale however was the most affected. Neither the clinical status nor the socio-demographics of the patients were predictors of their quality of life.
African health sciences, 2009
We present data comparing the quality of life effects of type 2 diabetes determined by the Bradley well-being questionnaire and the WHOQOL-BREF, a generic instrument. We also present data on the reliability and validity of these instruments. The Well-being and the WHO-bref were administered on fifty-three consecutive type 2 diabetics. The internal consistency of the quality of life scales was assessed using Cronbach's alpha. Convergent, discriminant, and known groups validity were determined and compared. Our patients had a mean age of 55.8+/-13 years. 31(58.5%) were males and all patients had been diabetic for 7.9+/-7.1 years. 13(24.5%) were being treated with oral agents, 14(26.4%) were on insulin and 26(49.1%) were on combined therapy. The Cronbach alpha coefficients ranged from 0.31 to 0.72 on the Well-being subscales and from 0.47 to 0.78 on the WHOQOL-BREF subscales. Both scales were modestly related to one another. In general the quality of life measures were not influenc...
Scientific Reports, 2023
Assessing the health-related quality of life (HRQoL) of people with diabetes is important to evaluate treatment effectiveness and identify interventions that would be beneficial to the patients. This descriptive cross-sectional study aimed to assess the HRQoL of people with diabetes visiting 15 community pharmacies in Akwa Ibom State, Nigeria, and to identify its determinants. The English (Nigeria) version of the EQ-5D-5L was administered to 420 eligible patients between August and September 2021. Data were analyzed with SPSS (IBM version 25.0) and presented descriptively; differences in HRQoL scores were examined using inferential statistics. Statistical significance was set at p < 0.05. Most participants (56.8%) were female; 193 (49.6%) were between the ages of 30 and 49. The median (interquartile range, IQR) for the EQ VAS and EQ-5D-5L index scores, respectively, were 80.0 (65.0-85.0) and 0.77 (0.62-0.90). Most participants reported problems with usual activities (52.7%), pain/discomfort (60.2%), and anxiety/depression (57.6%). The EQ VAS score and EQ-5D-5L utility index were significantly (p < 0.05) associated with respondents' age, marital status, work status, and personal monthly income. The HRQoL of participants was relatively high. Nevertheless, implementing strategies aimed at pain management and providing psychological support for people with diabetes in Nigeria may improve their HRQoL. Diabetes is one of the fastest growing global health emergencies of the twenty-first century 1. According to the International Diabetes Federation 1 , there were about 537 million people with diabetes globally in 2021; this figure is projected to rise to 643 million by 2030 and to 783 million by 2045, indicating a 46% global increase in prevalence. In Africa, about 24 million adults were living with the disease in 2021. This figure is projected to rise to about 55 million by the year 2045, suggesting a 134% increase, making Africa the region with the world's fastest growing diabetes rate 1. A meta-analysis by Uloko et al. reported a diabetes prevalence of 5.77% in Nigeria 2. This suggests that 11.2 million Nigerians were living with the disease in 2017 based on the country's 193.3 million population as of September 2017 3. The south-south geopolitical zone of the country had the highest diabetes prevalence, 9.8%, according to the meta-analysis 2. Diabetes poses a serious global threat to the health and well-being of individuals affected, their families and nations at large 1. People living with diabetes are at risk of developing a range of debilitating and life-threatening complications, leading to a reduced (health-related) quality of life and premature death 1. Hays and Reeve define health-related quality of life (HRQoL) as how well an individual functions in their daily life as well as their perceived well-being in physical, mental and social health domains 4. In contrast to the functional component of HRQoL which consists of behaviours that can be observed by others, the well-being component refers to internal, subjective perceptions like vitality, pain, anxiety, depressive symptoms, and general health perceptions 4. HRQoL is an important patient-reported outcome which is increasingly being used to evaluate the effect of a medical intervention on a symptom or function or a group of symptoms or functions 5. It is a relevant input to conduct health economic evaluations and identify cost-effective interventions that lead to efficient allocation of scarce resources 6. Assessment of HRQoL can foster patient engagement with care and enhance a patient-centered approach to treatment 5. This is because findings from HRQoL studies can identify subgroups with relatively poor perceived HRQoL and help to guide interventions to enhance their situations and avert more serious consequences 7. Instruments used to measure HRQoL may be specific or generic. Specific instruments focus on
Journal of the Egyptian Public Health Association
Background Globally, diabetes is a leading cause of impairment of quality of life. In the sub-Saharan African region, there is a need for studies that provide more valid assessment of effect of diabetes on quality of life (QoL). This study aimed at assessing quality of life among patients with diabetes attending a tertiary health service in Nigeria. Methods The study design was a case-control. Diabetic cases were randomly recruited from the University of Calabar Teaching Hospital, while non-diabetic controls were civil servants and retirees. The validated and pretested WHOQoL-BREF instrument was used to assess quality of life, with higher scores indicating higher quality of life. Results Three hundred and thirty subjects were studied, with mean ages of males and females of 55.2 ± 4.8 and 51.8 ± 6.3 years, respectively. The mean total QoL score was 75.77 ± 11.2, with no significant difference between males and females. Among male and female cases, the mean score of the physical healt...
Quality Of Life Of People With Diabetes In Benin City As Measured With WHOQOL- BREF
The Internet journal of law, healthcare, and ethics, 2010
Purpose: To assess the impact of diabetes on the health-related quality of life of Nigerians. Methods: 112 diabetic patients treated in the University of Benin teaching Hospital (UBTH) and Owen-Jackson Obaseki foundation clinic along with 81 healthy controls without diabetes were recruited. Both groups were given the World Health Organization quality of life questionnaireshort version (WHOQoL-BREF). HRQoLs were acquired to assess quality of life domains that included physical and psychological health, social relationships, and environmental domains. Means, standard deviations, and statical tests for differences were performed.Results: The mean age of patients with diabetes and the control group was 59.0 (range 31-80) and 53.0 (range31-80) respectively. Among the diabetic group 65(58%) were males while 47(42%) were females. Similarly, in the control group there were more males 44(54.3%) than females 37(45.7%). The HRQoL of patients with diabetes was lowest in the social domain. When compared with the control group the HRQoL of patients was lower in all domains except the environment domain (P=0.6478).Conclusion: This study shows diabetes impacts the lives of affected Nigerians in multiple areas and Nigerian physicians must address its social consequences.
Ghana Medical Journal
Objectives: This study aimed to evaluate Health-related quality of life (HRQoL) among male patients with hyperten-sion and its associated demographic, clinical and psychosocial factors.Design: This was a facility-based cross-sectional studySetting: This study was carried out at the outpatient department in Korle-Bu Teaching HospitalParticipants: Three hundred and fifty-eight hypertensive patients were recruited for this studyData collection: Information on socio-demographic characteristics, clinical features, insomnia, medication adherence, psychological distress, sexual dysfunction and HRQoL were obtained through patient-reported measures using struc-tured questionnaires and standardised instruments. Statistical analysis/Main outcome measure: The study assessed HRQoL among male hypertensive patients. One-way ANOVA was used to compare the average scores of the various domains of HRQL across the independent vari-ables. Multivariate linear regression models with robust standard errors...
2020
Background Diabetes mellitus, which has a wide range of effects on the physical, social and psychological aspects of the well-being of a person, is a common and challenging chronic disease that causes a significant rate of morbidity and mortality. However, studies in our country, by and large, focused on the impact of the disease in terms of mortality and morbidity alone. Therefore, the objective of this study was to assess the health-related quality of life (HRQOL) and associated factors of diabetic patients at the University of Gondar referral hospital, Ethiopia. Methods A facility-based cross-sectional study was conducted at the University of Gondar referral hospital from April to May 2017. A generic World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to measure the HRQOL. The data were analyzed by Stata version 12. Multiple Linear Regression analysis with P -value 0.05 was used to measure the degree of association between HRQOL and independent variable...