Assessment of Health Related to Quality of Life in Hypertensive and Diabetic Mellitus patients in Kurdistan/Iraq (original) (raw)
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Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life
BMC Public Health, 2010
Background: We aimed to assess health-related quality of life (HRQoL) among people with diabetes or hypertension, estimate the effect of cardiovascular comorbidities on HRQoL as well as compare HRQoL in these groups with that of healthy individuals. Methods: A total of 9,070 respondents aged 18 years and over were assessed for HRQoL. Data were obtained from the Croatian Adult Health Survey. Respondents were divided into five groups according to their medical history: participants with hypertension (RR), hypertension and cardiovascular comorbidities (RR+), diabetes mellitus (DM), diabetes and cardiovascular comorbidities (DM+) and participants free of these conditions (healthy individuals, HI). HRQoL was assessed on 8 dimensions of the SF-36 questionnaire. Results: Participants with diabetes and those with hypertension reported comparably limited (p > 0.05) HRQoL in all dimensions of SF-36, compared with healthy individuals (p < 0.05). If cardiovascular comorbidities were present, both participants with diabetes and participants with hypertension had lower results on all SF-36 scales (p > 0.05) than participants without such comorbidities (p < 0.05). The results remained after adjustment for sociodemographic variables (age, sex, employment, financial status and education). Conclusion: Diabetes and hypertension seem to comparably impair HRQoL. Cardiovascular comorbidities further reduce HRQoL in participants with both chronic conditions. Future research of interventions aimed at improving these participants' HRQoL is needed.
Journal of clinical nursing, 2010
Aims and objectives. The main goal of nursing care should be to increase health-related quality of life as well as improve the medical status of patients with chronic disease. For this reason, this study aims to evaluate and compare the health-related quality of life of patients with diabetes mellitus, hypertension and obesity in Gaziantep, a southeastern city in Turkey. Background. Diabetes mellitus, hypertension and obesity are the most decisive factors in terms of adversely affecting healthrelated quality of life. Design. A cross-sectional, descriptive design was used. Method. In this study, the research population included a total of 1601 diabetes mellitus, hypertension and obesity patients. To evaluate health-related quality of life of patients, Short Form-36 (SF-36) was used. Student's t-test, one-way ANOVA ANOVA and chisquare analyses were used for comparisons between groups. Results. In total, 18AE1% of patients had combined obesity, hypertension and diabetes mellitus; 16AE1% had hypertension and diabetes mellitus. Approximately 16AE1% had only hypertension; 15AE4% had obesity and hypertension; 13AE3% had diabetes mellitus; 12AE7% had obesity and diabetes mellitus; and 8AE4% had obesity. The health-related quality of life physical component mean scores of patients with combined obesity and hypertension were lower than that of the other groups (p < 0AE05). Healthrelated quality of life physical component mean scores were determined as 34AE5 (SD 0AE4), and mental component mean scores were determined as 43AE9 (SD 4AE4). Health-related quality of life physical component mean scores of moderately active patients were higher, while older age and lower educational and income levels had a negative effect on health-related quality of life (p < 0AE05). Conclusion. Diabetes, hypertension and obesity decrease patient health-related quality of life while physical activity increases it. The coexistence of obesity and hypertension, in particular, has a more negative effect on health-related quality of life. Relevance to clinical practice. Patients with hypertension, obesity and diabetes mellitus need professional support from nurse. Frequent health-related quality of life evaluation and support is required for chronic patients, especially for those who are older, have lower educational and income levels and those with more than one chronic disease.
Profile and predictors of health related quality-of-life in a hypertensive population of Pakistan
Archives of Pharmacy Practice, 2013
Background: This study aims to assess the profile and predictors of Health-Related Quality of Life (HRQoL) in Type II Diabetes Mellitus (T2DM) patients in Quetta, Pakistan. Methods: The study was designed as a questionnaire based, cross sectional analysis. 300 Type II diabetic patients attending public and private hospitals were targeted for data collection. In addition to demographic and disease related information, Euroqol Quality of Life was used to measure HRQoL. Moreover, Drug Attitude Inventory and Michigan Diabetes Knowledge Test were used to assess medication adherence and diabetes related knowledge respectively. Treatment satisfaction was assessed by patient's experience towards health care professionals and available facilities. Descriptive statistics were used to elaborate patients' demographic and disease related characteristics. Binary logistic regression was used to predict factors independently associated with HRQoL. SPSS v. 20 was used for data analysis and p < 0.05 was taken as significant. Results: Patients in the current study reported poor HRQoL with a mean score of 0.48 ± 0.36. Age, duration of disease, number of prescribed drugs, medication adherence and treatment satisfaction were significantly associated (p < 0.05) with HRQoL in the cross tabulation analysis. The significant variables were entered into the model that showed significant goodness of fit with highly significant Omnibus Test of Model Coefficient (Chi-square = 12.983, p = 0.030, df = 4). Medication adherence was reported as a significant predictor of HRQoL with an increase of one adherence score was associated with improvement of HRQoL by a factor of 1.75 provided other variables remain constant. Conclusion: The study presents a model that is associated with HRQoL with patient with T2DM, where medication adherence shaped as a predictor of HRQoL. Healthcare professionals should pay special attention on patients' medication taking behavior and should put their efforts in explaining the benefits of the medication adherence to the patients.
Background: Hypertension is frequent in Saudi Arabia and has significant impact on the quality of life (QOL). Objective: To assess QOL and associated factors among hypertensive patients attending primary healthcare centers (PHC). Methods: A cross-sectional study was carried out among adult hypertensive patients following in a PHC in Jeddah, Saudi Arabia.The WHOQOL-BREF questionnaire was used to assess physical, psychological, social and environmental health domains. Demographic, socioeconomic and clinical data were analyzed as predictors for poor QOL in univariate and stepwise multiple regression. Results: A total 273 hypertensive patients were included; 52.7% males, 36.6% aged>50 years,mean±SD duration of hypertension=6.39±5.50 years, and 32.2% were diabetic. Per-domain QOL assessment showed mean±SD scores=61.30±16.79; 61.16±16.59; 56.94±22.04; and 55.45±16.35 in physical, psychological, social and environmental health domains, respectively. As per the domain, old age, low educational level, unemployment, low income, long disease duration, compliance to and frequent use of antihypertensive medications and coexistence of comorbidities were predictors for poor QOL. Conclusion: Hypertensive patients have impaired QOL aggravated by several adverse demographic, socioeconomic and clinical factors.
The Nigerian postgraduate medical journal
Hypertension and diabetes are the two most important modifiable risk factors for cardiovascular disease (CVD) among Nigerian population. Because of the lifelong nature of the two diseases and the attendant long treatment regimen required, assessing the health-related quality of life (HRQoL) is an important outcome of these diseases. This study assessed the pattern and predictive factors of HRQoL among patients with hypertension, diabetes and concomitant hypertension and diabetes using the 36-item short-form version 2. A cross-sectional study of 1203 patients attending the outpatient clinics of the University of Ilorin Teaching Hospital, Ilorin; the patients were sampled using systematic random sampling methods. Patients were divided into those with hypertension, diabetes and both diseases. The predictors of physical and mental component summaries of HRQoL were analysed using Norm-based Scoring. The level of significance was set at P < 0.05 and 95% confidence interval. The patient...
International Journal of Research in Pharmacology & Pharmacotherapeutics, 2021
The numbers of individuals with chronic conditions, particularly those with hypertension and diabetes, have a low Quality of Life as a result of their treatment and lifestyle choices. It can also cause a slew of difficulties in the body's systems, as well as unfavourable metabolic circumstances that impair one's quality of life. The goal of this study is to find out how satisfaction with hypertension affects quality of life in people with hypertension and diabetes. A sixmonth prospective cross-sectional study was carried out in a tertiary care facility in (District) (State). A total of 200 patients were consented to be interviewed in order to gather information on socio demographics, physical, mental, and behavioural characteristics using a standardised questionnaire. The MINICHAL scale, which has 17 questions and is divided into two domains, mental domain and somatic domain, is used to assess quality of life. It has four possible replies, with scores of 0=not at all, 1=yes, somewhat, 2=yes, a lot, and 3=yes, a lot, with a total of points ranging from 0-51. The greatest and worst levels of health are indicated by the International Diabetes Federation, while the last question is a sign of the patient's general agreement to participate in the survey. According to the findings of this study, the average quality of life in hypertension is 61.83 percent, and the average quality of life in hypertension and diabetes is 42.22 percent. Using the chi square test, a significant association was also discovered, with a p value of 0.001. This learning presentation demonstrates that self-care is important to avoid disease, and that, based on historical comments; more counselling is required in patients to improve their Quality of Life.
Determination of impaired quality of life of hypertensive patients and its complications
Journal of Applied Pharmaceutical Science
Hypertension is a chronic disease difficult to manage well, and is ranked first in Sleman, Yogyakarta, Indonesia. This study aimed to determine the relationship between the factors of demography, comorbidity, medication, lifestyle, and access to health services related to the quality of life of people with hypertension and its complications. The study was conducted in a cross-sectional manner using data from the Sleman Health and Demographic Surveillance System from 2015 to 2018 in cycles 3 and 2 with the inclusion criteria of hypertensive patients and their complications aged 25 years or older obtained by using total sampling of 532 people. Measurement of quality of life was carried out using the Short Form 12v2 2a and 2b questionnaires presented in the physical component summary (PCS) and mental component summary (MCS). Data analysis was done using the Mann-Whitney test and Kruskal-Wallis test. The results showed factors related to the quality of life in PCS were variables of gender, age, diagnosis of hypertension and its complications, the presence of comorbidities, fatty foods, and drug consumption in the last 2 weeks, while factors related to the MCS were education and occupation seen from the p value < 0.05. Quality of life with hypertension and its complications influence and decrease the patient's physical more than mental condition.
International journal of preventive medicine, 2011
This study aimed to assess the impact of diabetes mellitus and hypertension as well as other demographic and clinical characteristics on perceived health status in primary health centers in Oman. In a cross-sectional retrospective study, 450 patients (aged ≥ 18 years) seen at six primary health centers in Wilayat A' Seeb in the Muscat region, Oman, were selected. Perceived health status of the physical (PSCC) and mental (MSCC) components of quality-of-life were assessed using the 12-item short form health survey (SF-12). The analyses were performed using univariate statistical techniques. The mean age of the participants was 54 ± 12 years and they were mostly female (62%). The presence of both diabetes mellitus and hypertension was associated with lower physical scores compared to those with diabetes alone (p = 0.001) but only marginally lower than those with hypertension alone (p = 0.066). No significant differences were found across the disease groups in mental scores (P = 0.5...
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Quality of life (QoL) related to health is an important aspect in the treatment of diabetes mellitus (DM). AIM: This study aims to find a relationship between blood pressure and QoL of patients with DM Type 2 by controlling other variables. METHODS: This is a cross-sectional study of DM patients in Bogor City who were community-based participants with inclusion and exclusion criteria. The QoL data were collected using DM QoL modification questionnaire. Statistical analyses were performed using logistic regression. RESULTS: The result of the study conducted on 144 people with DM, more than half of the patients had hypertension (68.1%), adults aged 25–60 years (69.4%), women (79.9%), low education with <12 years of education year (62.5%), not working formally (66.0%), married (77.8%), and getting treatment (75.7%). The QoL of patients is balanced between good and poor QoL (50%). Based on the results of the bivariate test, blood pressure, education, and marital status ha...