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April 18, 2018Health Promotion Perspectives10 citationsOpen Access

The association between self-care and quality of life in hypertensivepatients: findings from the Azar cohort study in the North Westof Iran

MSMaryamalsadat Kazemi ShishavanMJMohammad Asghari JafarabadiNANayyereh Aminisani

Key Result

Overall self-care scores showed no significant correlation with health-related quality of life in hypertensive patients (r = -0.048, P = 0.520).

Study Design

Type

Cross-Sectional (n=181)

Multicenter

No

Structured PICO

P
Population
People aged 35 years and older with hypertension from the Azar cohort study in the North West of Iran, median age 62.5 years.
O
Outcome
Health-related quality of life (HRQOL) measured by WHOHRQOL-BRFF and its association with self-care behavior (H-scale)patient reported

In hypertensive patients, overall self-care scores were not significantly correlated with quality of life, although physical activity was identified as a positive predictor.

Main Result

Effect estimate: r = -0.048

p-value: p=0.520

Limitations

  • Cross-sectional design prevents establishing a cause-effect relationship.
  • Small sample size compared to other studies.
  • Inability to conduct a longitudinal study or assess the effect of interventions.

Abstract

Background: Hypertension affects the quality of life of patients and their caregivers. The aim of this study was to assess the knowledge and self-care behaviors and health-related quality of life (HRQOL) among hypertensive people Methods: All people aged 35 years and older with hypertension were invited to participate in this study. Information on self-care behavior for hypertension (H-scale), and health-related quality of life (WHOHRQOL-BRFF) were completed by trained interviewer. Data analysis was done using SPSS 16.Results: The median age of hypertensive patients was 62.5(25th to 75th percentile: 55 to 72 years), the correlation between quality of life and overall self-care scores was not significant(r =-0.048, P =0.520). Physical activity was the only significant predictor for quality of life,showing that the quality of life of hypertensive people increased by 3.371 units per day of being physically active in the cohort study (β =0.223, P<0.01). The only significant predictor of quality of life among the elderly was medication use (β =-0.572, P<0.001). Quality of life of participants decreased 3.456 units per day as a result of medication adherence Conclusion: No association was observed between self-care and HRQOL total score in hypertensive patients in the study. Among the self-care domains, only medication adherence and physical activity had significant association with social health. There was a reverse association between smoking and HRQOL.

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Cite This Study

Shishavan et al. (2018) conducted a cross-sectional in Hypertension (n=181). Self-care behaviors was evaluated on Correlation between health-related quality of life and overall self-care scores (r = -0.048, p=0.520). Overall self-care scores showed no significant correlation with health-related quality of life in hypertensive patients (r = -0.048, P = 0.520).

synapsesocial.com/papers/6a0dab589a2918c675a4f543https://doi.org/10.15171/hpp.2018.18
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