Hypertension and health-related quality of life: an epidemiological study in patients attending hospital clinics in China

Li, Wei; Liu, Lisheng; Puente, Jorge; Li, Yishi; Jiang, Xiongjing; Jin, Shui-gao; Ma, Hong; Kong, Lingzhi; Ma, Linmao; He, Xiaodong; Ma, Suxiang; Chen, Chun‐Ming

doi:10.1097/01.hjh.0000174971.64589.39

Cited by 84 publications

(78 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 We determined that quality of life was lower in participants with controlled hypertension under drug treatment than in participants with uncontrolled hypertension using or not using BP drugs. These findings are discordant with those reported by Li et al, 32 who found higher HRQoL in controlled hypertensive patients compared with uncontrolled hypertensive patients under drug treatment. Another study showed that awareness of being hypertensive was associated with worse HRQoL.…”

Section: Discussionsupporting

confidence: 74%

“…Another study showed that awareness of being hypertensive was associated with worse HRQoL. 32 On the other hand, Erickson and associates reported lower HRQoL due to symptoms associated with drug treatment. 23 The worst quality of life of treated hypertensive individuals with controlled BP could be attributed to the more intensive treatment to control BP levels and maintenance of lifestyle changes that could adversely influence HRQoL.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

et al. 2011

View full text Add to dashboard Cite

Patients with hypertension usually report lower healthrelated quality of life (HRQoL), but it is unclear whether this is secondary to high blood pressure (BP) per se, drug treatment or awareness of disease. In a crosssectional study using a multistage population-based sample, participants were interviewed and examined at home. Hypertension was defined by BP X140/90 mm Hg or use of BP-lowering drugs. HRQoL was assessed through the Short-Form Health Survey (SF-12) and presented as the physical component summary (PCS), mental component summary (MCS) and the SF-12 eightdomain scale. In total, 1858 individuals were evaluated, being 60.1% women, aged 52.5 ± 4.1 years old, and 39.9% men, aged 47.2±9.1 years old. Prevalence of hypertension was 34.2% (95% CI 31.5-36.9). The PCS scores for hypertensive and normotensive participants were 49.4 (CI 48.6-50.2) and 51.06 (CI 50.4-51.7) (P ¼ 0.01), respectively, and the MCS scores were 49.1 (CI 47.9-50.3) and 50.5 (CI 49.6-51.2) (P ¼ 0.06), respectively. Participants with hypertension and not using BP drugs had higher HRQoL scores (PCS 49.6; MCS 51.9) than those using BP drugs either with uncontrolled (PCS 45.3; MCS 49.4) or controlled BP (PCS 46.2; MCS 47.7; Po0.05). We concluded that individuals with hypertension have worse quality of life, particularly when their BP is controlled by drugs. This perception may lead to lower rates of adherence to treatment.

show abstract

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Besides the recognition and control of hypertension and its effects on morbidity and mortality, the evaluation of the health related quality of life (HRQoL) has been considered another important measure of outcome in treating hypertensive patients (4) . Studies have reported worse HRQoL among hypertensive individuals compared with those without hypertension (5) , which has been attributed to factors such as adverse effects related to the pharmacological therapy (6) , stigma associated with recognition by the subject of the hypertension -called the labeling effect (7) , as well as symptoms arising from diastolic heart failure (8) .…”

Section: Introductionmentioning

confidence: 99%

Psychometric performance of the brazilian version of the Mini-cuestionario de calidad de vida en la hipertensión arterial (MINICHAL)

Soutello¹,

Rodrigues

Jannuzzi

et al. 2011

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

This study aimed to evaluate the feasibility, acceptability, ceiling and floor effects, reliability, and convergent construct validity of the Brazilian version of the Mini Cuestionario de Calidad de Vida en la Hipertensión Arterial (MINICHAL). The study included 200 hypertensive outpatients in a university hospital and a primary healthcare unit. The MINICHAL was applied in 3.0 (± 1.0) minutes with 100% of the items answered. A "ceiling effect" was observed in both dimensions and in the total score, as well as evidence of measurement stability (ICC=0.74). The convergent validity was confirmed by significant positive correlations between similar dimensions of the MINICHAL and the SF-36, and significant negative correlations with the Minnesota Living with Heart Failure Questionnaire -MLHFQ, however, correlations between dissimilar constructs were also observed. It was concluded that the Brazilian version of the MINICHAL presents evidence of reliability and validity when applied to hypertensive outpatients. Desempeño psicométrico de la versión brasileña del Minicuestionario de calidad de vida en la hipertensión arterial (MINICHAL)Este estudio tuvo como objetivo evaluar la practicidad, la aceptabilidad, los efectos techo y suelo, la confiabilidad y la validez de constructo convergente de la versión brasileña del Minicuestionario de Calidad de Vida de la Hipertensión Arterial -MINICHAL. Participaron del estudio 200 pacientes hipertensos en seguimiento en ambulatorio, en hospital universitario y en Unidad Básica de Salud. El MINICHAL fue aplicado en 3,0 (±1,0) minutos, con 100% de los ítems respondidos. Fue observado "efecto techo" en ambas dimensiones y puntaje total, así como evidencias de estabilidad de la medida (CCI=0,74).La validez convergente fue confirmada por correlaciones significativas positivas entre dimensiones similares del MINICHAL y del SF-36, y por correlaciones significativas negativas con el Minnesota Living with Heart Failure Questionnaire -MLHFQ, a pesar de que correlaciones entre constructos no similares hubiesen sido observadas. Se concluye que la versión brasileña del MINICHAL presenta evidencia de confiabilidad y validez cuando aplicada en hipertensos en seguimiento en ambulatorio.

show abstract

“…Como a HAS é considerada por alguns pesquisadores uma condição assintomática, particularmente nos estágios leve e moderado, suas implicações na QVRS são ainda controversas (BARDAGE; ISACSON, 2001;MENA-MARTIN et al, 2003;Li et al, 2005;BANEGAS et al, 2006).…”

Section: A Hipertensão Arterial Sistêmica E a Qualidade De Vida Relacunclassified

“…Dessa forma, a prevenção e o diagnóstico precoce e o tratamento oportuno de doenças crônicas associadas, como o DM, a dislipidemia, dentre outras, podem ser importantes para preservar a QVRS em pessoas com HAS (ZYGMUNTOWICZ et al, 2012). Outros estudos também registram que a prevenção e o tratamento adequado da HAS e comorbidades evitam uma maior deterioração da QVRS (LI et al, 2005;WANG et al, 2009).…”

Section: Tempo De Diagnóstico De Has Alterações Clínicas E Doenças Vunclassified

Qualidade de vida relacionada à saúde entre pessoas com hipertensão arterial sistêmica em uma unidade de estratégia de saúde da família do Sul de Minas Gerais

Silva¹

View full text Add to dashboard Cite

Após a coleta os dados, foram tabulados em programa estatístico, para análise descritiva e inferencial. Como resultado, constatou-se que houve predomínio das mulheres, com idade média de 64,1 anos, casados, com a maioria apresentando o ensino fundamental incompleto, com renda mensal de 1.765,92, com uma média de 3 pessoas morando na mesma casa e com 26,4% desempenhando atividades remuneradas. Em relação ao tempo de diagnóstico de HAS, houve uma média de 12,1 anos; 98,5% e 98,2% mencionaram que já haviam feito dosagem de glicose e de triglicérides respectivamente. A obesidade foi observada em 35,5%, a circunferência do braço direito e esquerdo apresentaram a média de 31,4 cm. Constatou-se em relação ao valor médio da pressão arterial (PA) entre as pessoas com HAS, um valor médio de PAS de 140,4 mmHg e um valor médio de PAD de 78,9 mmHg. Referente aos antecedentes familiares: 72,3% possuíam antecedentes de HAS; 47,6% possuíam de diabetes mellitus (DM); 34,5% de infarto agudo do miocárdio/angina (IAM); 34,5% de acidente vascular encefálico e 20,2% de morte súbita. Observou-se que 97,2% fazem uso de medicamentos e 36% ingerem mais de um medicamento por dia; a classe farmacológica mais utilizada são os antihipertensivos. Quanto à QVRS, verificou-se para o domínio estado mental um valor médio de 4,2 e no domínio manifestações somáticas de 3,4. A maioria apresentou alimentação parcialmente adequada e 67,8% mencionaram não terem recebido orientação ou tratamento para perda de peso e 15,1% mencionaram que realizam dieta hipossódica; 14,9% eram tabagistas e 94,5% apresentaram consumo de baixo risco. Notou-se que 41,1% foram classificados como ativos e 10,3% como muito ativos. Conclui-se que na análise multivariada permaneceram associadas ao domínio estado mental, as variáveis: sexo, "sabe escrever", "fez exame de colesterol", diagnóstico de IAM e história familiar de DM e no domínio manifestações somáticas: índice de massa corpórea, escolaridade, diagnóstico de IAM e história familiar de DM; assim, neste domínio observou-se uma QVRS inferior entre pessoas obesas, com menor escolaridade, que foram diagnosticadas com IAM e que têm história familiar de DM. This study aimed to assess health-related quality of life (HRQOL) among people with hypertension in a town in southern Minas Gerais, Brazil. This is a descriptive study, cross-sectional, with a quantitative approach, conducted with a sample of 397 people. Data collection took place in the first half of 2013, after approval by the Research Ethics Committee. For this step, we used an instrument consisting of four scales and another semi-structured instrument with the sociodemographic variables: Alcohol Use Disorders Identification Test, International Physical Activity Questionnaire, questionnaire proposed by the Food Guide from the Ministry of Health, and mini-questionnaire on quality of life in hypertension. After collection, data were tabulated using a statistical software, for descriptive and inferential analysis. We found out that there was a predominance of women, mean ...

show abstract

Hypertension and health-related quality of life: an epidemiological study in patients attending hospital clinics in China

Abstract: Hypertensive individuals represent a vulnerable population that merits special attention from healthcare providers and systems. This is especially important given that low health-related quality of life can be a risk factor for subsequent cardiovascular events or complications.

Cited by 84 publications

References 33 publications

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

Psychometric performance of the brazilian version of the Mini-cuestionario de calidad de vida en la hipertensión arterial (MINICHAL)

Qualidade de vida relacionada à saúde entre pessoas com hipertensão arterial sistêmica em uma unidade de estratégia de saúde da família do Sul de Minas Gerais

Contact Info

Product

Resources

About