RELATIONSHIP BETWEEN HEALTH-RELATED QUALITY OF LIFE AND BLOOD PRESSURE CONTROL IN PATIENTS WITH UNCONTROLLED HYPERTENSION

Introduction: Peritoneal dialysis (PD) provides a safe, home-based continuous renal replacement therapy for patients. The adherence of the patients to the prescribed dialysis fluids cannot always be monitored by physicians. Remote monitoring automated peritoneal dialysis (RM-APD) can affect patients’ compliance with treatment and, thus, clinical outcomes. Objective: We aimed to evaluate the clinical outcomes of patients with a remote access program. Methods: This was an observational study. We analyzed the effect of RM-APD on treatment adherence, dialysis adequacy, and change in blood pressure control, sleep quality, and health-related quality of life during the 6 months of follow-up. Results: A total of 15 patients were enrolled in this study. It was found that there was a significant decrease (99 ± 19 vs. 89 ± 11 mm Hg) in mean arterial blood pressure of patients, and a considerable increase in Kt/V was observed in the sixth month after the RM-APD switch (2.11 ± 0.4 vs. 2.25 ± 0.5). A significant increase was found when comparing the 3-month and 6-month ultrafiltration amounts before RM-APD and the ultrafiltration amount within 6 months after RM-APD (800 mL [500–1,000] and 752 mL [490–986] vs. 824 mL [537–1,183]). The daily antihypertensive pill need (4 [0–7] vs. 2 [0–6]) and alarms received from the device decreased (from 4 [3–8] to 2 [0–3]) at the sixth month of the switch. There was no significant change in sleep quality and health-related quality of life within 6 months. Conclusion: This study showed that treatment adherence and ultrafiltration amounts of patients increased with the use of RM-APD, as well as better blood pressure control with fewer antihypertensive drugs.

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Physical Activity, Blood Pressure Control, and Health-Related Quality of Life Among Hypertensive Individuals: A Cross-Sectional Study in Jiangsu Province, China

Asia Pacific Journal of Public Health ◽

10.1177/10105395211014650 ◽

2021 ◽

pp. 101053952110146

Author(s):

Zhu Zhu ◽

Wu Yan ◽

Xuanxuan Wang ◽

Dan Hu ◽

Ya Zhu ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Blood Pressure Control ◽

Health Utility ◽

Pressure Control ◽

Health Related Quality ◽

Utility Value ◽

Related Quality ◽

Health Related

Hypertension has become one of the most serious chronic diseases that threaten public health. Regulating self-management is considered a priority and in which physical activity plays a vital role. Based on the Fifth National Health Service Survey (NHSS, 2013), a total of 6079 patients with hypertension were investigated by stratified cluster random sampling. This study explored the relationships between blood pressure control and physical activity, and health-related quality of life (HRQoL). Tobit regression and generalized linear regression analysis were used to explore the relationships among participants’ socioeconomic characteristics, health behaviors, and HRQoL. The results showed that 4712 respondents (77.51%) had no problems in any aspect, but the proportion of respondents with problems increased significantly with age ( P for trend <.001). Blood pressure control was significantly correlated with the health utility value ( P < .001). Patients who participated in physical activity and maintained normal daily blood pressure also showed higher health utility value. Physical activity was significantly related to blood pressure control and HRQoL. Therefore, regular physical activity is recommended for hypertensive residents to improve HRQoL.

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The impact of overweight and obesity on health-related quality of life and blood pressure control in hypertensive patients

Journal of Hypertension ◽

10.1097/hjh.0000000000000046 ◽

2014 ◽

Vol 32 (2) ◽

pp. 397-407 ◽

Cited By ~ 14

Author(s):

Magdalena Olszanecka-Glinianowicz ◽

Monika Zygmuntowicz ◽

Aleksander Owczarek ◽

Adam Elibol ◽

Jerzy Chudek

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Pressure Control ◽

Overweight And Obesity ◽

Health Related Quality ◽

Hypertensive Patients ◽

Related Quality ◽

Health Related ◽

The Impact

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EFFECT OF CLINICAL PHARMACIST MEDIATED COUNSELLING IN HYPERTENSIVE PATIENTS ON HEALTH RELATED QUALITY OF LIFE

World Journal of Current Medical and Pharmaceutical Research ◽

10.37022/wjcmpr.vi.137 ◽

2020 ◽

pp. 246-250

Author(s):

P V S N D Alekya P V S N D Alekya ◽

M. Swarupa M. Swarupa ◽

K. Mrudula K. Mrudula ◽

SK. Mehaboob SK. Mehaboob ◽

Narayana swamy Palyam ◽

...

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Test Group ◽

Pressure Control ◽

Health Related Quality ◽

Hypertensive Patients ◽

Related Quality ◽

Health Related

Background: Hypertension has become a significant problem in developing countries. The management of hypertension involves long term treatment & life style modification which will have greater impact on HRQoL. This study aims to give patient counseling regarding risk factors, life style modifications, pharmacological therapy & medication adherence in hypertension which in turn improves HRQoL. Aim and objectives: To assess the effect of clinical pharmacist mediated counselling in hypertensive patients on health related quality of life. Specific objectives: To assess the disease related knowledge of hypertensive patients, To assess the medication adherence of hypertensive patients,To design suitable patient information leaflet (PIL) on hypertension and its management use the same to educate the patients,To assess the effect of education on outcome of treatment (blood pressure level) and quality of life of these patients. Methodology: Prospective observational study. The study was conducted in Jayabharath hospital, Nellore. which was conducted for a period of 6 months from June 2019- November-2019.Hypertensive patients, of either sex, above 18 years of age, with or without co-morbidities and Patient willing to give there informed consent to participate in the study are included in our study and the Pregnant hypertensive patients are excluded from the study. Results and Discussion: At baseline there was no significant difference between the blood pressures, QoL score, adherence score, and KAP of the test and control groups. As patient in both group continued to see there physician regularly, both showed in improvement in blood pressure control at final follow up. However improvement in the test group blood pressure was more significant reduction (p<0.05). At final follow up, a significantly (p<0.05) some large number of patients in the test group had achieved better blood pressure control compared to the base line.

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The Effect of Walking Exercise frequency on the Blood lipid, Blood pressure, Musculoskeletal pain, and Health related quality of Life in middle aged women

Korean Journal of Sports Science ◽

10.35159/kjss.2018.06.27.3.1105 ◽

2018 ◽

Vol 27 (3) ◽

pp. 1105-1114 ◽

Cited By ~ 1

Author(s):

Wan-Ki Hong ◽

Yung-Ran Lim

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Musculoskeletal Pain ◽

Blood Lipid ◽

Health Related Quality ◽

Exercise Frequency ◽

Related Quality ◽

Health Related ◽

Walking Exercise

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A Smartphone App (mDASHNa-CC) to Support Healthy Diet and Hypertension Control for Chinese Canadian Seniors: Protocol for Design, Usability and Feasibility Testing

JMIR Research Protocols ◽

10.2196/15545 ◽

2020 ◽

Vol 9 (4) ◽

pp. e15545

Author(s):

Ping Zou ◽

Jennifer Stinson ◽

Monica Parry ◽

Cindy-Lee Dennis ◽

Yeqin Yang ◽

...

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Smartphone App ◽

Health Related Quality ◽

Hypertension Control ◽

Chinese Canadians ◽

Related Quality ◽

Health Related ◽

Chinese Canadian

Background This proposed study aims to translate the Dietary Approach to Stop Hypertension with Sodium (Na) Reduction for Chinese Canadians (DASHNa-CC), a classroom-based, antihypertensive, dietary educational intervention, to an innovative smartphone app (mDASHNa-CC). This study will enable Chinese Canadian seniors to access antihypertensive dietary interventions anytime, regardless of where they are. It is hypothesized that senior Chinese Canadians will be satisfied with their experiences using the mDASHNa-CC app and that the use of this app could lead to a decrease in their blood pressure and improvement in their health-related quality of life. Objective The goal of this study is to design and test the usability and feasibility of a smartphone-based dietary educational app to support a healthy diet and hypertension control for Chinese Canadian seniors. Methods A mixed-method two-phase design will be used. The study will be conducted in a Chinese immigrant community in Toronto, Ontario, Canada. Chinese Canadian seniors, who are at least 65 years old, self-identified as Chinese, living in Canada, and with elevated blood pressure, will be recruited. In Phase I, we will design and test the usability of the app using a user-centered approach. In Phase II, we will test the feasibility of the app, including implementation (primary outcomes of accrual and attrition rates, technical issues, acceptability of the app, and adherence to the intervention) and preliminary effectiveness (secondary outcomes of systolic and diastolic blood pressure, weight, waist circumference, health-related quality of life, and health service utilization), using a pilot, two-group, randomized controlled trial with a sample size of 60 participants in a Chinese Canadian community. Results The study is supported by the Startup Research Grant from Nipissing University, Canada. The research ethics application is under review by a university research ethics review board. Conclusions The study results will make several contributions to the existing literature, including illustrating the rigorous design and testing of smartphone app technology for hypertension self-management in the community, exploring an approach to incorporating traditional medicine into chronic illness management in minority communities and promoting equal access to current technology among minority immigrant senior groups. Trial Registration Clinicaltrials.gov NCT03988894; https://clinicaltrials.gov/ct2/show/NCT03988894 International Registered Report Identifier (IRRID) PRR1-10.2196/15545

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