Effect of Electroacupuncture on Blood Pressure and Quality of Life in Patients with Primary Hypertension: A Randomised Controlled Trial

Is Video-Assisted Thoracic Surgery Lobectomy Better? Quality of Life Considerations

Backgroun an aim: Like other chronic diseases, hypertension is closely related with lifestyle, mental health and quality of life. The goal of this study was Determination of health related quality of life in hypertensive patients.Materials and Methods: The study was Descriptive, samples were chosen by using convenience sampling and according to characteristics of samples and Their willingness to participate in the study. The data gathering tools in this study were Social and personal information (demographic) forms, and health-related quality of life questionnaire. (SF-36). Clinical research environment at selected hospitals affiliated to Tehran University of Medical Sciences consist of Hazrat Rasoul Akram Hospital, Imam Khomeini Hospital, and Shahid Rajai. To determine the relationship between The main variable and demographic variables and use ANOVA and T-Test, we entered variables that were significant in our regression model.Findings: 264 patients with hypertension take part in this study. Most of Participants were male and their age was in range of 40-60 years old. Mean of quality of life among hypertensive patients was 55. 33. There was a statistically significant relationship between quality of life and job, information about the disease, other chronic diseases and medication groups.Conclusion: The study shows that there health related quality of life is low in hypertensive patients.Key words: health related quality of life, hypertension REFERENCES Ahangari M., Kamali M., Arjomand Hesabi M.( 2008) [A study of quality of life among older people with hypertension. Journal of Salmand ]. 3(7)26-32.(Persian). Amar J, Chamontin B, Genes N, Cantet C, Salvador M. and Cambou JP. (2003) Why is hypertension so frequently uncontrolled in secondary prevention? Journal of Hypertension . 21(6) 1199–1205. Braunwald, E., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D & Jamason, J.L. (2001). Harrison’s Principles of Internal Medicince . NewYork: McGraw-Hill Professional Publishing; 15th edition. Burkhardt M., Nathalien A.(1998) Ethics and Issues in Contemporary Nursing .Albani Bonn. Burstrom K, Johannesson M, Diderichsen F.( 2001) Health-related quality of life by disease and socio-economic group in the general population in Sweden. Health Policy .55(1)51– 69. Carrasco-Garrido , P., Diez, J.d M., Gutierrez, J. R et al.( 2006) Negative impact of chronic obstructive pulmonary disease on the health related quality of life of patients. Results of the EPIDEDOC study. Health and Quality of Life Outcomes . 4(31) 1-9. Collins E, Langbein WE, Dilan-Koetje J, et al.( 2004) Effects of exercise training on aerobic capacity and quality of life in individuals with heart failure. Heart and Lung . 33(3) 154-61. Cote I.,Farris K.,Feeny D. 2003. Is adherence to treatment correlated with health related quality of life? Quality نشریه دانشکده پرستاری و مامایی یپوهنملفشرختبا. ا یمرب یملطسرتبا یگنزدت ی یکسر / 17 ر مف د ب of life research 12.pp. 621-633. Esmaeili Z.,Ziabakhsh Tabari SH.,Vaezzadeh N.,Mohammadpour Tahamtan R.A( 2007)[Quality of life after coronary artery bypass grafting in Sari city, 2005-2006]. Journal of Mazandaran University of Medical Sciences . 17(61)170-174.(Persian ). Fadaee Aghdam N., Masror Rodsari D., Rafii F., Hoseini A.F.( 2012)[ Relationship between health related quality of life and respiratory symptoms in patients with COPD ]. Thesis for Master degree of nursing. Iran University of Medical Sciences.(Persian). Ferrans C. E.,Powers M. J.( 1985) Quality of life index : Development and psychometric properties. ANS Advances in Nursing Science . 8(1)15-24. Fredericks E. M., Magee J. C., Opipari-Arrigan L., et al (2008) Adherence and health related quality of life in adolescent liver transplant recipients. Pediatric Transplantation .12(3)289-99. Ghanbarian A Rahmani M Sarafzadeh A Azizi F( 2003) Hypertension distribution in Tehranian adult population Tehran lipid and glucose study. Iranian Journal of Endocrinology and Metabolism .5(Sup 4) 425-435.(Persian). Gusmao JL, Mion Jr. D, Pierin AMG. (2009) Health-related quality of life and blood pressure control in hypertensive patients with and without complications. Clinics (Sao Paulo).64(7) 619-28. doi: 10.1590/S1807-59322009000700003 Jabal Ameli, Sh. Neshat Doost, H. Moulavi, H.( 2010)[ Effectiveness of cognitive-behavioral stress management therapy intervention on quality of life and and blood pressure in female patients with hypertension]. Scientific Journal of Kurdistan University of Medical Sciences (SJKU). 15 (2) 88-97( Persian)URL http:// sjku.hbi.ir/browse.php?a_code=A-10-1-247s open access Smeltzer,Suzanne,.Bare, G.,Brenda, Hinkle,.L, Janice,. Cheever,H., Kerry. (2010). Brunner and Suddarth’s Textbook of Medical Surgical Nursing . 12th edition. Lippincott Williams & Wilkins. Sotoude Asl, N., Neshatdoost, H.T., Kalantari, M., Talebi, H., Khosravi, A.R.( 2010) [Comparison of the effectiveness of cognitive behavioral therapy and medication on the quality of life in the patients with essential hypertension] . Koomesh Scientific journal of Semnan University of Medical Sciences .11(4 [ serial36]) 294-301. Persian Steven P., Gould D. (1997) Non-adherence with medications in organ transplant patients: a literature review. Journal of Advanced Nursing .26(5)968-977. URL http://jmums.mazums.ac.ir/browse.php?a_code=A-10-1-279&slc_lang=fa&sid=1 Vahdani Nia MS, Goshtasebi A, Montazeri A, Maftoon F (2005)[ Health-related quality of life in an elderly population in Iran: A population-based study. Payesh Journal .4(2)113-120(Persian). World Health Organization.2001. High light on health in Switzerland.

The Burden of Psoriasis Is Not Determined by Disease Severity Only

Hypertension is a cardiovascular disease that is a major concern because of the high morbidity and mortality rates. Uncontrolled hypertension will cause various complications will interfere quality of life the patient with hypertension. Quality of life in hypertensive patients is influenced by the severity and severity of complications experienced by the patient. Self management behavior as a disease management to support patients with chronic diseases, behavior modification is very useful to reduce or delay the adverse effects of hypertension. The purpose of this study was to determine the correlation between self-management behavior and quality of life in patients with primary hypertension at UPTD Puskesmas Manggis I Karangasem. This research is a descriptive quantitative correlational research with a cross sectional approach. The sample of this study was 79 respondents who were selected through simple random sampling technique, data analysis used Spearman Rank test. The results showed that 31 respondents (39.2%) had good self-management behavior and 34 respondents (43.1%) had good quality of life. The results of the Rank Spearman test, p value = 0.000 (≤0.05) showed a significant correlation between self-management behavior and quality of life in patients with primary hypertensive. The correlation coefficient value (r) 0.835 means a very strong correlation between self-management behavior and quality of life. Nurses are expected to be able to provide education about self-management behavior that they can improve the quality of life patients with hypertension.

Qol-P-03 - Quality of life in patients with mycosis fungoides and Sézary syndrome: a review of the literature

Objective To assess the therapeutic effect of music- regulated laser therapy on mild and moderate primary hypertension (PH) so as to provide clinical evidence for the development of an effective non-drug therapy for hypertension. Methods One hundred mild and moderate PH patients were divided into obser-vation ( n = 50 ) and control groups ( n = 50 ) according to their stage of hypertension. There were two phases of treatment with 6 weeks in each phase for a total of 12 weeks. In the first phase, patients in the observation group received music-regulated laser therapy while the control group received drug therapy. In the second phase, the treatments were reversed, with the observation group receiving the drugs. The blood pressure and quality of life (QOL) of all the patients was evaluated after each phase. Results Before therapy there were no significant differences in average blood pressure or QOL between the groups. After the first phase, systolic blood pressure (SBP) and diastolic blood pressure (DBP) had been reduced significantly in both groups, but the decrease was significantly greater in the control group. The score on each item of the QOL evaluation was not significantly different between the two groups. After the second phase, blood pressure had decreased further in the observation group, but no significant change was observed in the control group, and there was no significant difference in blood pressure between two groups. The scores on each item of the QOL evaluation were not significantly different between the two groups, but average somatic symptoms, healthy and pleasant feelings, task perform-ance and life satisfaction were significantly ameliorated in both groups. Conclusions Music-regulated laser therapy can lower the blood pressure of mild and moderate PH patients effectively. Compared with antihyperten-sion drugs, music-regulated laser therapy provides a weaker effect in lowering blood pressure, but plays an e-quivalent role in improving the QOL of patients. Key words: Music-regulated lasers; Hypertension; Quality of life

Essential hypertension requires lifelong treatment, which is ineffective and has many side effects with medications alone, thus, a non-invasive, low-cost non-pharmacological therapy to improve treatment rates and compliance is needed. To investigate the effects of music therapy on blood pressure levels, negative emotions, and quality of life in patients with essential hypertension, a systematic review and meta-analysis based on Preferred Reporting Items for Systematic Reviews and Meta-analyses‌ (PRISMA) guidelines were performed in the present study. Randomized controlled trials about the effect of music therapy on essential hypertension were retrieved by a systematic search of PubMed, Embase, Scopus, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), WanFang, VIP, and China Biology Medicine (CBM) databases from inception to February 2025. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias for inclusion in the study. Statistical analyses were performed using Cochrane software Revman 5.3 software and ADDIS 1.16.5 software. A total of 14 studies involving 1472 patients were included. Meta-analysis showed that music therapy reduced systolic blood pressure (mean difference [MD] = -11.18, 95% confidence interval [CI]: -13.17 to -9.20, P < 0.05) and diastolic blood pressure (MD = -7.06, 95% CI: -9.14 to-4.97, P < 0.05), and alleviated anxiety (MD = 2.15, 95% CI: -2.74 to-1.57, P < 0.05) and depression (MD = -3.66, 95% CI: -5.88 to -1.45, P < 0.05) in patients with essential hypertension. Network meta-analysis indicated that Chinese traditional medicine five-element music (59%) was more effective than other types of music (41%) in lowering systolic blood pressure, but less effective than other music (73%) in lowering diastolic blood pressure. No serious adverse events were reported in any trial. In conclusion, music therapy effectively lowered blood pressure levels, improved the quality of life in patients with hypertension, and had positive efficacy in relieving anxiety and depression.

This study was an investigation of judgments regarding quality of life of individuals with severe mental disorders from two different perspectives: patient self-report versus provider. Judgments on several dimensions of quality of life were collected from a convenience sample of 37 schizophrenic patients and their primary clinicians by using the well-known Quality of Life Index of Spitzer et al. and the more recently developed Quality of Life Index-Mental Health. Both indexes capture judgments on a number of dimensions. Patterns of concordance for the patient-provider pairs were tested by using Cohen's kappa and Pearson correlation coefficients. The results suggest that patients' and providers' judgments are more likely to coincide on clinical aspects, such as symptoms and function, than on social aspects. Specifically, there was moderate agreement on symptoms and function, less agreement on physical health, and little to no agreement on social relations and occupational aspects of quality of life. Such differences support the notion that treatment strategies and mental health services should address a wide range of needs reflecting different aspects of quality of life perceived as important by different patients.

A Pilot Study Evaluating the Impact of Hospital Hospitality Houses (HHH) Programs on the Quality of Life and Mood of Patients and Their Caregivers Following Hematopoietic Stem Cell Transplant (HCT)

Purpose: The purpose of this study was to evaluate health-related quality of life in patients with retinal vein occlusion (RVO) and investigate the possible risk factors for poor quality of life in patients with RVO. Methods: Participants in the study were 67 patients with RVO, 42 male and 25 female, mean-aged 73.1 ± 10.9 years, and 70 sex- and age-matched controls. Demographic data, lifestyle factors and medical history were recorded. All patients underwent best-corrected visual acuity measurement, dilated fundoscopy and optical coherence tomography. All participants completed two questionnaires assessing quality of life (EQ-5D, NEI VFQ-25). Risk factors for health-related quality of life in RVO patients were investigated. Results: Patients with RVO exhibited significantly lower composite score for VFQ-25 compared to controls (74.1 ± 3.8 vs. 91.7 ± 3.9 for patients and controls, respectively, p < .001). In addition, RVO patients had significantly lower EQ-5D Index score compared to controls (0.88 ± 0.15 vs. 0.92 ± 0.12 for patients and controls, respectively, p = .043). Risk factors associated with quality of life in patients with RVO were found the alcohol consumption, the presence of thyroidopathy, coagulation disorders, visual acuity in the eye with RVO, central retinal thickness, the type of edema, the presence of ischemia and the condition of external limiting membrane. In multivariate analysis, only alcohol consumption and visual acuity in the eye with RVO were found to be independent risk factors, affecting quality of life in RVO patients. Conclusions: Patients with RVO presented lower quality of life in comparison with controls. Potential risk factors should be taken into account and their early detection may improve quality of life in such patients and lead to targeted health policies.

To evaluate the quality of life (QoL) of patients with Chagas disease (CD) and the association between QoL domains and several clinical, socioeconomic and lifestyle characteristics of this population. Cross-sectional observational study conducted from March 2014 to March 2017 including a total of 361 outpatients followed at Evandro Chagas National Institute of Infectious Disease, Brazil. QoL was assessed using the Portuguese shorter version of the original WHO Quality of Life questionnaire (WHOQOL-BREF). Information about clinical CD presentation, presence of comorbidities, functional class, previous benznidazole treatment, socioeconomic profile and lifestyle was also obtained. Environment and physical domains presented the worst QoL scores, while the social relationship domain presented the highest score. Multivariate regression analysis demonstrated that variables independently associated with QoL were functional class, sex, clinical presentation of CD, sleep duration, schooling, physical activity level, smoking, income per capita and residents by domicile. The low socioeconomic status and the physical limitations imposed by the disease presented an important impact on the QoL reduction among CD patients, especially on environment and physical domains. Strategies to improve QoL among CD patients should be tailored and consider many different variables to maximise improvements not only of patients' physical but also of their mental health.

Background: Quality of life in patients with breast cancer is an important outcome. This paper presents an overview and outcome after surgery in breast cancer patients on the topic ranging from descriptive findings to clinical trials.&#x0D; Methods: This is a bibliographic review of the literature covering publications that appeared in English language in biomedical journals between 1992 and 2013. The search strategy included a combination of key words 'quality of life' and 'breast cancer', 'breast carcinoma' or post mastectomy in Titles. Of these, research articles like randomized controlled trials, reviews, abstracts, editorials, brief commentaries, letters were included. The major findings are summarized and presented under several headings: instruments used, validation studies, measurement issues, surgical treatment, quality of life as predictor of survival, psychological distress, supportive care, symptoms and sexual functioning.&#x0D; Results: Instruments-Several valid instruments were used to measure quality of life in breast cancer patients. The European Organization for Research and Treatment of Cancer Core Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast cancer specific complementary measure (EORTC QLQ-BR23) were listed in this study, as it is a common, highly standard and well developed instruments to measure quality of life in breast cancer patients. Different surgical procedures led to relatively similar results in terms of quality of life assessments, although mastectomy patients compared to conserving surgery patients usually reported a lower body image and sexual functioning. Systemic therapies-almost all studies indicated that breast cancer patients receiving chemotherapy might experience several side-effects and symptoms that negatively affect their quality of life. Adjuvant hormonal therapies also were found to have similar negative impact on quality of life, although in general they were associated with improved survival. Quality of life as predictor of survival-similar to known medical factors, quality of life data in metastatic breast cancer patients were found to be prognostic and predictive of survival time. Psychological distress-anxiety and depression were found to be common among breast cancer patients even years after the disease diagnosis and treatment. Psychological factors also were found to predict subsequent quality of life or even overall survival in breast cancer patients. As recommended, recognition and management of these symptoms is an important issue since such symptoms impair health-related quality of life. Sexual functioning-breast cancer patients especially younger patients suffer from poor sexual functioning that negatively affect quality of life.&#x0D; Conclusion: There was quite an extensive body of the literature on quality of life in breast cancer patients. These papers have made a considerable contribution to improving breast cancer care, although their exact benefit was hard to define. However, quality of life data provided scientific evidence for clinical decision-making and conveyed helpful information concerning breast cancer patients' experiences during the course of the disease diagnosis, treatment, disease-free survival time, and recurrences.&#x0D; Journal of Surgical Sciences (2013) Vol. 17 (1) : 35-44

Previous studies suggested that patients affected by primary aldosteronism (PA) have impaired quality of life (QOL) compared to the general population, but a direct comparison with patients affected by essential hypertension (EH) has never been performed. The aim of the study was to compare the QOL of patients affected by PA to the QOL of patients affected by EH. We designed a prospective observational study comparing the QOL of patients with PA and carefully matched patients with EH before and after treatment. We recruited 70 patients with PA and 70 patients with EH, matched for age, sex, blood pressure levels and intensity of antihypertensive treatment. We assessed QOL at baseline and after specific treatment for PA or after optimization of medical therapy for patients with EH. Patients with PA displayed impaired QOL compared with the general healthy population, but similar to patients with EH. Both laparoscopic adrenalectomy and treatment with mineralocorticoid receptor antagonist allowed an improvement of QOL in patients with PA, that was more pronounced after surgical treatment. Optimization of blood pressure control by implementation of antihypertensive treatment (without MR antagonists) allowed a minimal improvement in only one of eight domains in patients with EH. Patients with PA have impaired QOL, which is likely caused by uncontrolled hypertension and the effects of intensive antihypertensive treatment. Surgical and medical treatment of PA allows a significant improvement of QOL, by amelioration of blood pressure control and, after surgical treatment, by reduction of antihypertensive treatment.

BACKGROUND: Hypertension is a common chronic disease that is affected by several factors. The aim of this study is to evaluate the effectiveness of emotion regulation skills training on blood pressure control and quality of life (QOL) in patients with hypertension. METHODS: The present study was a quasi-experimental design with pre-test and post-test evaluations to compare the experimental group with a control group. 60 patients with high blood pressure who received medical treatment and referred to the health centers and clinics affiliated to Isfahan University of Medical Sciences, Isfahan, Iran were randomly selected and assigned to either the experimental group (30 patients) or the control group (30 patients). The experimental group received eight training sessions (two 2-hour sessions weekly) on emotional regulation. In each group, the blood pressure was measured before and after the intervention. Data for the QOL were collected using the 36-Item Short Form Health Survey (SF-36). RESULTS: The findings showed that in the post-test evaluation, systolic blood pressure (SBP) of the patients in the experimental group was reduced in comparison to the control group (P ≤ 0.050). In addition, in the experimental group compared to the control group, the QOL in the patients increased after the intervention. However, the diastolic blood pressure (DBP) did not show a significant difference. CONCLUSION: Emotion regulation skills training was effective in patients with hypertension. It is suggested that the emotion regulation skills training be considered along with medical treatments.

Objective To analyze the risk factors of elderly hypertension and investigate the effects of community comprehensive nursing intervention on the quality of life in elderly hypertension pa-tients. Methods A total of 57 elderly patients with primary hypertension in the community were selected as subjects for the risk factor analysis of elderly hypertension. Community comprehensive nursing inter-vention was performed for 6 months. Questionnaire survey and 36-item short form health survey（SF-36） were performed to investigate the correlation between patients’quality of life and the community compre-hensive nursing intervention. Results After 6 months of comprehensive nursing intervention,the effec-tive rate of treatment（blood pressure reaching the standard：80. 7% ;effectiveness on blood pressure：87. 7% ;reasonable diet：82. 5% ;drug compliance：87. 7% ;reasonable exercise：80. 7% ;depression：5. 3% ）for the patients was improved compared with that before the intervention（blood pressure reaching the standard：35. 0% ;effective on blood pressure：43. 9% ;reasonable diet：52. 6% ;drug compliance：45. 6% ;reasonable exercise：40. 4% ;depression：17. 5% ）,and the differences were significant（P 〈0. 01）. The SF-36 survey showed that patients’quality of life was significantly improved after interven-tion than before the intervention（P 〈 0. 05）. Conclusions Community comprehensive nursing interven-tion can improve the compliance of elderly hypertension patients and correct their unhealthy living habits, thus it is an effective approach to control the hypertension. Community comprehensive nursing interven-tion can greatly improve the prevention of elderly hypertension,further improve the quality of life in eld-erly hypertension patients. Key words: Hypertension; Elderly; Risk factors analysis; Community; Nursing intervention