H 021 QUALITY OF LIFE OF HYPERTENSIVE PATIENTS TREATED AT AN OUTPATIENT CLINIC

Aims: The aim of this study was to assess the effect of “outpatient readmissions” on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient’s return to the outpatient clinic after having received care and been discharged. Methods: We conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients’ baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission–readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes. Results: For the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL ( p-value = 0.17). Conversely, when analyzing the ΔHR-QoL, we did observe a negative and significant marginal effect ( p-value = 0.028), meaning that readmission was associated with a lower gain in the HR-QoL during the follow-up, compared with the previous episode. Conclusion: In the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.

Download Full-text

Changes and Interactions of Flourishing, Mindfulness, Sense of Coherence, and Quality of Life in Patients of a Mind-Body Medicine Outpatient Clinic

Forschende Komplementärmedizin / Research in Complementary Medicine ◽

10.1159/000363784 ◽

2014 ◽

Vol 21 (3) ◽

pp. 154-162 ◽

Cited By ~ 13

Author(s):

Christine Gimpel ◽

Christel von Scheidt ◽

Gerald Jose ◽

Ulrike Sonntag ◽

George B. Stefano ◽

...

Keyword(s):

Quality Of Life ◽

Sense Of Coherence ◽

Outpatient Clinic ◽

Mind Body Medicine

Download Full-text

Nondipping Phenomenon and Quality of Life: Are They Related in Essential Hypertensive Patients?

Clinical and Experimental Hypertension ◽

10.3109/10641960902993137 ◽

2010 ◽

Vol 32 (2) ◽

pp. 105-112 ◽

Cited By ~ 3

Author(s):

Baris Afsar ◽

Rengin Elsurer ◽

Siren Sezer ◽

Fatma Nurhan Ozdemir

Keyword(s):

Quality Of Life ◽

Hypertensive Patients

Download Full-text

The effects of replacing β-blockers with an angiotensin converting enzyme inhibitor on the quality of life of hypertensive patients

American Journal of Hypertension ◽

10.1016/s0895-7061(96)00253-1 ◽

1996 ◽

Vol 9 (12) ◽

pp. 1206-1213 ◽

Cited By ~ 17

Author(s):

E PARAN ◽

O ANSON ◽

L NEUMANN

Keyword(s):

Quality Of Life ◽

Angiotensin Converting Enzyme ◽

Angiotensin Converting Enzyme Inhibitor ◽

Enzyme Inhibitor ◽

Converting Enzyme ◽

Hypertensive Patients ◽

Converting Enzyme Inhibitor ◽

Β Blockers

Download Full-text

ASSESSMENT OF QUALITY OF LIFE IN HYPERTENSIVE PATIENTS AT A TERTIARY CARE HOSPITAL

International Research Journal of Pharmacy ◽

10.7897/2230-8407.0610140 ◽

2015 ◽

Vol 6 (10) ◽

pp. 720-723

Author(s):

Nandikol P Sunanda ◽

Master S A ◽

K Niyati Raj ◽

G Sushen ◽

M S Laxshmi

Keyword(s):

Quality Of Life ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Hypertensive Patients

Download Full-text

Pengaruh Medication Therapy Management (MTM) terhadap Outcome Klinik dan Kualitas Hidup Pasien Hipertensi di Puskesmas Kota Yogyakarta

JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) ◽

10.22146/jmpf.58113 ◽

2021 ◽

Vol 10 (4) ◽

Author(s):

Tiara Dewi Salindri Pratama ◽

Nanang Munif Yasin ◽

Susi Ari Kristina

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Clinical Outcomes ◽

Medication Therapy Management ◽

Wilcoxon Test ◽

P Value ◽

Hypertensive Patients ◽

Therapy Management ◽

Medication Therapy

Medication therapy management (MTM), is a service model aimed at helping general health problems by preventing morbidity and mortality. Hypertension is a non-communicable disease which is a serious health problem which requires long-term therapy. This study aims to see the effect of MTM on clinical Outcomes and quality of life of patients in hypertensive patients. This type of research is a quasi experimental one group with a pretest-posttest design. Analysis using paired sample t-test and Wilcoxon test with a significance used P <0,05. Respondents were 70 people, 67,1% were women. The characteristics of the majority age are 55-64 years with a percentage of 51,4%, the majority of education level is high school with 42,8%, non-civil servant jobs with a percentage of 45,7%, the length of diagnosis is dominated by 1-10 years (77,1%) and comorbidities diabetes mellitus occurred the most (10,0%). The results showed that the quality of life increased from before getting MTM 54,4 ± 8,9 and after MTM intervention 60,4 ± 6,6 (P value <0,001). Clinical outcome from systolic 159,2 ± 8,9 mmHg and diastolic 103,8 ± 8,0 mmHg before MTM to 144,1 ± 14,4 mmHg for systolic and 89,7 ± 8,8 mmHg for diastolic with p value <0,001 (p <0,05) for systolic blood pressure and p value: 0,016 (p <0,05) after receiving MTM intervention. Medication Therapy Management (MTM) has a significant influence on improving the quality of life and clinical Outcomes of hypertensive patients. The higher the quality of life of patients, blood pressure becomes more controlled.

Download Full-text

The effect of self-management on the health-related quality of life in hypertensive patients in Xiamen, China

10.21203/rs.3.rs-40312/v1 ◽

2020 ◽

Author(s):

Yanbing Zeng ◽

Chenxi Lin ◽

Fan Chen ◽

Ya Fang

Keyword(s):

Quality Of Life ◽

Medication Adherence ◽

Self Management ◽

Average Score ◽

Health Related Quality ◽

Hypertensive Patients ◽

Treatment Groups ◽

Related Quality ◽

Health Related

Abstract Background: A low HRQOL can be a risk factor for future cardiovascular events in patients with hypertension. Therefore, HRQOL should receive attention and be improved in the treatment of hypertension. The purpose of this study was to investigate if the association between treatment groups and Health-Related Quality of Life (HRQOL) of hypertension mediated by self-management, and to determine which factors of hypertension self-management influenced HRQOL. Methods: Hypertensive patients were selected by multi-stage stratified samping from “1+1+N” Physicians intervention (PI) group and the conventional management (CM) group in 5 communities of Xiamen, China. Patients were cross-sectionally assessed by validated self-reports using self-management Behavior Rating Scale and Quality of Life Instruments for Hypertension. A structural equation modeling (SEM) and a path analytic model were used to assess if the association between treatment groups and HRQOL was mediated by self-management. Results: A total of 1207 patients were included, of whom 48.55% were in the PI group. The average score of the HRQOL scale was 86.68, and the average score of the PI group was higher than the CM group (87.35 vs 86.04, respectively). Similar findings were observed for the self-management scale, in which the average score of the PI group was higher than the CM group (76.32 vs 72.00, respectively). Patients in the PI group had higher levels of self-management compared to the CM group except for management of emotion. SEM showed that the association between treatment groups and HRQOL was significantly mediated by self-management (a*b, 95% confidence intervals CI: 0.02,0.07) and that the single mediator (self-management) model explained 76.67% of the intervention effect. In the multivariable mediation model, the association between treatment groups and HRQOL was significantly mediated by management of medication adherence, sport and diet.Conclusions: The findings presented good evidence supporting that treatment groups are linked to HRQOL of hypertension via self-management. Specifically, management of medication adherence, sport, diet, and emotion are important for improving HRQOL.

Download Full-text

PO-186 Effects of Shaolin Ba Duan Jin on Hypertensive Patients

Exercise Biochemistry Review ◽

10.14428/ebr.v1i4.12793 ◽

2018 ◽

Vol 1 (4) ◽

Author(s):

Xianfeng Hua

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Heart Rate ◽

Martial Arts ◽

Hypertensive Patients ◽

Quality Of Life Scale ◽

Before And After ◽

Life Scale ◽

Blood Pressures

Objective To investigate the effects of Shaolin Ba Duan Jin on patients with hypertension. Methods In the hypertensive patients detected in the national physical fitness test of public officials in Guiyang City, 40 patients with hypertension were selected. The experiment was started after Shaolin Ba Duan Jin has been practiced for seven days and the subjects had learned it. Experimental method: Frequency of subjects practicing Ba Duan Jin is 7 days a week, subjects practice once a day, practicing time is 6:00-7:30 am or 18:00 -19:30 pm, practicing lasts 1.5 hours each time (practicing has 3 groups, 14 minutes in each group；subjects rest 2 minutes between groups,；preparing part is 8 minutes；ending part is 5 minutes), record the blood pressure of the subjects before and after each experiment, and fill in the quality of life scale (WHOQOL-BREF scale) regularly for a period of 12 weeks. Questionnaire method: Fill in the quality of life scale every three weeks and measure heart rate and blood pressure before and after each exercise. Mathematical statistics: The paired sample t test was used to analyze the changes in blood pressure before and after the 12-week experiment. Results 1) The systolic and diastolic blood pressures of the subjects were significantly lower than before the experiment (P <0.01). 2) The WHOQOL-BREF scale after 12 weeks has improved significantly in all areas than before the experiment. Conclusions 1) Martial arts Ba Duan Jin has a good influence on the circulatory system of hypertensive patients. The performance is that the heart rate is slow and the systolic and diastolic blood pressures have a downward trend. 2) Martial arts Ba Duan Jin has significant improvement in the physiology, psychology, social relations, environment and other fields .

Download Full-text