Improving health related quality of life among rural hypertensive patients through the integrative strategy of health services delivery: a quasi-experimental trial from Chongqing, China

Objective. To evaluate the combined use of IMSS preventive health services (PHS) and the practice of physical activity (PA) in order to determine their association with the perceived health-related quality of life (HRQoL) of older adults. Materials and methods. A survey-based cross-sectional study was conducted at nine primary health care units (PHCUs) in Mexico City. The 36-Item Short-Form Health Survey evaluated the HRQoL, while PA and PHS use were assessed through self-report. Linear regression analyses were performed to determine the relationship between these three variables. Results. Of the 1 085 older adults who participated in the study, 36.8% used PHS, and 23.3% reported that they engage in PA. After controlling for possible effects due to sociodemographic and health differences, we found that participants who were physically active and used PHS reported better perceived HRQoL scores. Conclusions. The combined use of preventive practices such as the use of PHS and the practice of PA can help improve the perceived HRQoL of older adults.

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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.

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Health-Related Quality of Life, Gender, and Culture of Older People Users of Health Services in the Multicultural Landscape of the City of Ceuta (Spain)

Journal of Transcultural Nursing ◽

10.1177/1043659615597042 ◽

2016 ◽

Vol 27 (6) ◽

pp. 603-610 ◽

Cited By ~ 2

Author(s):

Maria Milagrosa Olmedo-Alguacil ◽

Jesús Ramírez-Rodrigo ◽

Carmen Villaverde-Gutiérrez ◽

Maria Angeles Sánchez-Caravaca ◽

Encarnación Aguilar Ferrándiz ◽

...

Keyword(s):

Quality Of Life ◽

Health Services ◽

Older People ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The City

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Factors Associated With Health-Related Quality of Life among Hypertensive Patients in Kathmandu, Nepal

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2017.00069 ◽

2017 ◽

Vol 4 ◽

Cited By ~ 6

Author(s):

Saruna Ghimire ◽

Praful Pradhananga ◽

Binaya Kumar Baral ◽

Naveen Shrestha

Keyword(s):

Quality Of Life ◽

Health Related Quality ◽

Hypertensive Patients ◽

Factors Associated ◽

Related Quality ◽

Health Related

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Major Depression and its Associated Morbidity and Quality of Life in a Random, Representative Australian Community Sample

Australian & New Zealand Journal of Psychiatry ◽

10.1080/000486700279 ◽

2000 ◽

Vol 34 (6) ◽

pp. 1022-1029 ◽

Cited By ~ 71

Author(s):

Robert D. Goldney ◽

Laura J. Fisher ◽

David H. Wilson ◽

Frida Cheok

Keyword(s):

Quality Of Life ◽

Major Depression ◽

Health Services ◽

Health Related Quality ◽

Modest Improvement ◽

Related Quality ◽

Australian Community ◽

Health Related ◽

Depressive Syndromes

Objective: The objective of this study is to describe health services utilisation and morbidity, including health-related quality of life, in those with major depression in a random and representative sample of the population. Method: Data were gathered in a Health Omnibus Survey of the South Australian population. Major depression was delineated on the basis of responses to the Primary Care Evaluation of Mental Disorders. Information about use of health services and absence from usual functioning was collated, and two measures of health-related quality of life, the Short-form Health Status Questionnaire and the Assessment of Quality of Life were also administered. Results of those with major depression were compared with those who had other depressive syndromes and those who had no depression. Results: Those with major depression reported significantly greater use of all health services and poorer functioning in terms of carrying out their normal duties. Similarly, their health-related quality of life was significantly poorer than those with other depressive syndromes, which in turn was significantly poorer than those who were not depressed. Only one-fifth of those with major depression were currently taking antidepressants. Conclusions: These results are consistent with international studies. In addition to the potential for alleviating the depressive symptomatology of individuals, it is evident that even a modest improvement in functioning with appropriate treatment would have the potential to benefit the Australian community by one billion dollars a year.

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