신체활동, 우울, 스트레스가 만성신장병 동반 고혈압 성인의 삶의 질에 미치는 영향

Abstract

This study is a descriptive research study using data from the 1st and 3rd years of the 7th National Health and Nutrition Examination Survey (2016, 2018) to identify the health-related quality of life characteristics and influencing factors of hypertensive adults according to the presence or absence of chronic kidney disease. The subjects of the study were 2,476 hypertensive adults and 308 hypertensive adults with chronic kidney disease. The complex sample Rao-Scott chi-square test, general linear model test, and ordinal regression analysis were used. Hypertensive adults with chronic kidney disease had significantly lower health-related quality of life than hypertensive adults (p<.001). The risk of quality of life deterioration factors in hypertensive adults was 1.69 times higher when not performing aerobic physical activity, 7.34 times higher in depression, and 1.93 times higher in stress. Hypertensive adults with chronic kidney disease were 1.48 times higher in depression and 4.02 times higher in stress. Since the quality of life is significantly lowered by multiple morbidities than single morbidity, a strategy to delay the onset of multiple morbidity and disease progression by applying a self-care program that includes physical activity and depression and stress management from the single morbidity stage is required. Depression and stress management programs are provided for people with multiple morbidities.