Interrelationships of quality of life, compliance, clinical outcomes and life satisfaction: a cross-sectional study on hypertensive geriatrics

Abstract

INTRODUCTION Objective: (i) To assess quality of life (QoL) profilesIn 1990, geriatrics (aged 65 years and above) accounted in hypertensive geriatrics with SF-36; (ii) to assess for only 1 in every 25 Americans (3·1 million). By 1994 the compliance of geriatrics to medications; (iii) to this figure had risen to 1 in 8 Americans (33·2 million). estimate clinical outcomes (reduction in systolic andIt is projected that there will be 80 million (apdiastolic blood pressure); (iv) to assess life satisproximately 1 in 5) elderly people in the U.S.A. in the faction and (v) to explore the interrelationships of year 2050 (1). By the year 2030, spending on medications QoL, compliance, clinical outcomes and life satisfor elderly people may reach 35-45% of the total nafaction in hypertensive geriatrics.tional expenditure in the U.S.A. Elderly people receive Method: Fifty-nine hypertensive geriatric patients on average nearly five medications at any given time. in cardiology and 65 Plus clinics in West VirginiaElderly people visit physicians more frequently and for Hospitals were studied. each visit more prescriptions for medications are writ-Results: Age showed a significant negative corten than average. Thus the resulting 'polymedicine' relation with physical functioning (r=0·339, (visiting multiple physicians) and 'polypharmacy' (con-PΖ0·0127) and physical role (r=0·335, PΖ0·0148). sulting many pharmacists on prescriptions and over-The physical role facet of SF-36 is correlated with the-counter (OTC) medications) may affect the quality life satisfaction in geriatrics (r=0·316, PΖ0·0219).

A personality and gender perspective on adherence and health-related quality of life in people with asthma and/or allergic rhinitis

“…This finding is also important, as the literature describing the relationship between adherence and HRQL appears to be rather limited. One published study (Pippalla, Chinburapa, Duval, & Akula, ) failed to show any associations between the variables in question, a second study found weak associations (Cote, Farris, & Feeny, ), and a third study identified associations between two items in an HRQL measure and adherence (Sung et al., ).…”

Magnitude of Pharmacological Nonadherence in Hypertensive Patients Taking Antihypertensive Medication from a Community Pharmacy in Spain

“…Previous studies assessing the relationship between QoL perception and medication adherence have produced different results, which may be due to variation in the techniques used to measure QoL and the study populations examined. [53][54][55] Further research is needed to understand the mechanisms that affect adherence to antihypertensive medications.…”

Health-related quality of life and antihypertensive medication adherence among older adults

“…Results from prior studies examining the relationship between health-related quality of life (HRQOL) and antihypertensive medication adherence have been conflicting [5,10,11]. This may be due to variation in both the techniques used to measure HRQOL and the study populations examined [12].…”