Abstract
ObjectiveTo evaluate health-related quality of life (HRQoL) of middle-aged and elderly people with hypertension in Enshi, China, and to explore the important correlates defining HRQoL.MethodsFrom April through July 2018, a self-monitoring intervention program for hypertension control was implemented in a remote area of central China. Participants completed a cross-sectional survey which included demographic characteristics, the Health-related Quality of Life Survey, and the Pittsburgh Sleep Quality Index Survey. Univariate analysis was performed by analysis of variance, and multiple linear regression analysis was used to analyze the influencing factors of HRQoL in middle-aged and elderly hypertensive patients. In the multivariate analysis, the variables with P≤0.05 in the single factor analysis were combined with the professional significance to establish a multiple linear regression model.ResultsInformation from 500 participants was available for analysis. Among them, the scores of PCS and MCS was 31.66 ± 9.50 and 41.38 ± 10.69, respectively. Multivariable regression analyses showed that higher education and sleep quality, and moderate physical activity (30 minutes for at least five days a week) had a positive influence on PCS scores. Higher monthly family income (3,000–5,000 ¥) and sleep quality, regular tea-drinking, having 30 minutes of moderate physical activity at least five days a week were positively associated with MCS scores.ConclusionThe overall HRQoL for rural middle-aged and elderly hypertensive patients in Xuan’en county of Hubei province was poor. Effective relevant measures for the above factors were urgently needed to improve the quality of life for the elderly in rural areas. Awareness of these relevant factors could help health care professionals provide better supportive care.
Highlights
With the aging and rise of chronic diseases in Chinese population, an increasing number of middle-aged and elderly people suffer from severe health problems [1]
We aimed to identify factors affecting HRQol of hypertensive patients, including socio-demographic characteristics and lifestyle behaviors, allowing health care professionals to provide better supportive care and a reference for further improving the Quality of life (QoL) of elderly people with hypertension in rural regions
Hypertensive patients are known to present a lower Health-related quality of life (HRQoL) compared with the normotensives, the present study was the first to evaluate HRQoL of middle-aged and elderly hypertensives in Chinese rural areas, and identify the important variables correlated with HRQoL
Summary
With the aging and rise of chronic diseases in Chinese population, an increasing number of middle-aged and elderly people suffer from severe health problems [1]. According to the WHO Study on global AGEing and adult health (SAGE) [4], HTN affects approximately 60% of middle-aged and elderly people in Chinese population, representing a pressing issue in public health. HRQoL is a multidimensional concept of health as well as a widely accepted measure used to assess how the individual’s well-being may be affected over time by a disease, disability, or disorder. It has been extensively investigated in patients with hypertension
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