Health Related Quality of Life in Patients With High Blood Pressure in the Rural Areas of Golestan Province, Iran

Caring for an aging population is an emerging public health problem, and the quality of life (QoL) among the elderly is a significant concern. Our study aimed to describe the health - related quality of life (HRQoL) and factors associated with good HRQoL among the elderly in three communes of Hanam province in Vietnam. A cross - sectional design was used with a sample size of 479 participants aged 60 and above. HRQoL was measured using the SF - 36. Comparison of characteristics between those with high HRQoL and those with low HRQoL was done using Pearson chi - square tests. Results were reported using descriptive statistics and odds ratios with 95% CI (Confidence Interval). Many of the elderly had moderate HRQoL (41.3%), and elderly men were more likely to have higher QoL in terms of physical health and psychological health than elderly women. Our findings also indicated that some factors including older age, low educational level, those not living with their spouse, poor financial condition, having more than two health problems and possessing unhealthy drinking behaviors were significantly positive associated with HRQoL. Findings suggest interventions are needed to improve the quality of life among the elderly in rural areas of Vietnam.

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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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MediYoga as a part of a self-management programme among patients with paroxysmal atrial fibrillation – a randomised study

European Journal of Cardiovascular Nursing ◽

10.1177/1474515119871796 ◽

2019 ◽

Vol 19 (1) ◽

pp. 74-82 ◽

Cited By ~ 2

Author(s):

Maria Wahlström ◽

Mårten Rosenqvist ◽

Jörgen Medin ◽

Ulla Walfridsson ◽

Monica Rydell-Karlsson

Keyword(s):

Quality Of Life ◽

Atrial Fibrillation ◽

Blood Pressure ◽

Heart Rate ◽

Paroxysmal Atrial Fibrillation ◽

Control Group ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Background: Paroxysmal atrial fibrillation is associated with impaired health-related quality of life. Yoga has been suggested to improve health-related quality of life among patients with heart failure and hypertension. Aim: The aim of the study was to evaluate the effects of MediYoga, in respect of health-related quality of life, blood pressure, heart rate, as well as N-terminal pro b-type natriuretic peptide, among patients with symptomatic paroxysmal atrial fibrillation, compared with standard therapy or relaxation. Methods: Patients with symptomatic paroxysmal atrial fibrillation, n=132, were stratified for gender and randomised to MediYoga, a relaxation group or a control group, 44 patients per group with a 12-week follow-up. Health-related quality of life, blood pressure, heart rate and N-terminal pro b-type natriuretic peptide were assessed. Results: After 12 weeks, there were no differences in health-related quality of life between the groups. There were improvements in Short-Form Health Survey bodily pain, general health, social function, mental health and mental component summary scores within the MediYoga group ( p=0.014, p=0.037, p=0.029, p=0.030, p=0.019, respectively). No change was seen in the relaxation and control groups. Systolic blood pressure decreased in the MediYoga group (134±18 to 127±13) compared with the control group (126±17 to 127±15, p=0.041); no difference compared with the relaxation group (131±17 to 125±12). Diastolic blood pressure decreased in the MediYoga group (79±9 to 74 ±9) compared with the control group (76±9 to 79±8, p=0.005); no difference compared with the relaxation group (76±9 to 77±8). There were no differences in heart rate and N-terminal pro b-type natriuretic peptide between the groups after 12 weeks. Conclusions: MediYoga improves health-related quality of life and decreases blood pressure in patients with paroxysmal atrial fibrillation. MediYoga may be used as a part of a self-management programme among patients with paroxysmal atrial fibrillation.

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Health-Related Quality of Life, Blood Pressure, and Biochemical and Anthropometric Profile in Vegetarians and Nonvegetarians

Journal of Nutrition and Metabolism ◽

10.1155/2020/3629742 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Jacksaint Saintila ◽

Tabita E. Lozano López ◽

Percy G. Ruiz Mamani ◽

Michael White ◽

Salomón Huancahuire-Vega

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Lipid Profile ◽

Diastolic Pressure ◽

Systolic Pressure ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Anthropometric Profile

Several studies have been carried out which mainly focus on the analysis of the lipid profile in vegetarians and nonvegetarians. However, few studies have been undertaken in this population oriented to quality of life and health. This study aimed to compare health-related quality of life, blood pressure, and biochemical and anthropometric profile in vegetarians and nonvegetarians. The study included 149 participants out of an initial sample of 162: 62 vegetarians and 87 nonvegetarians. Health-related quality of life was assessed with the SF-12 Health Questionnaire version 2 and was related with the lipid profile, glucose, blood pressure, anthropometric measures, and sociodemographic characteristics. Vegetarians presented better Body Mass Index (BMI) and waist circumference (WC), as well as higher LDL levels. No significant differences in HDL and TG concentrations were found. Serum glucose concentrations were significantly lower among vegetarians. Nonvegetarian males had higher diastolic pressure levels. Vegetarian women had significantly higher levels of systolic pressure. As for the physical health and mental health components of quality of life, no significant differences were found in vegetarian and nonvegetarian women and men. In conclusion, vegetarians presented a better anthropometric profile, lower glycaemia, and higher LDL levels but no significant differences in health-related quality of life compared with nonvegetarians.

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Health-related quality of life of of women with breast cancer undergoing chemotherapy in the northern region of Brazil.

Journal of Clinical Oncology ◽

10.1200/jco.2015.33.28_suppl.92 ◽

2015 ◽

Vol 33 (28_suppl) ◽

pp. 92-92

Author(s):

Namie Okino Sawada ◽

Mary Elizabeth de Santana ◽

Helena Megumi Sonobe

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Rural Areas ◽

Health Related Quality ◽

European Organization ◽

Related Quality ◽

Health Related ◽

C 30 ◽

Eortc Qlq

92 Background: In Brazil, the estimate for the year 2015 is approximately 576,000 new cases of cancer. Breast cancer is the most common in Brazilian women and the state of Pará is the first with the highest incidence of breast cancer in northern Brazil. The high incidence and changes caused by treatment and own illness as the disturbances in body image, functional, emotional and social changes cause fear in women, as well as disrupting daily activities and impact the health-Related Quality of Life (HRQOL). Improving HRQOL is an important goal so the evaluation of HRQoL of these patients is of interest to health professionals, as they provide information that help in planning treatment and rehabilitation. The objective is to evaluate the HRQoL of patients with breast cancer in chemotherapy treatment. Methods: It is a cross-sectional study with quantitative exploratory design. This place was a public hospital in the city of Belém do Pará, Women were included with breast cancer, over eighteen years old and excluded those with cognitive problems and metastases. The European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ C 30) and Questionnaire Breast Cancer Module (QLQ BR23) have been administrated. The project was approved by the Ethics Committee and were respected the resolution 466/2012 CNS / MS. Results: The sample consisted of 89 women with breast cancer undergoing chemotherapy, most in the age group over 40, mulatto, married, fundamental level of education, domestic load, Catholic religion, live in rural areas with incomes of one to two minimum salaries. The EORTC QLQ C 30 showed that the average QOL was 75.56, and the most impaired functions were physical (M = 65.62) and role performance (M = 58.61) and the most frequent symptoms were diarrhea, constipation, dyspnea, nausea and vomiting, fatigue, pain and loss of appetite. EORTC BR23 demonstrated functional scale (M = 49.95) and symptoms scale (M = 33.00). Conclusions: The results show that the side effects of chemotherapy affect the physical and functional function and consequently HRQoL of these patients.

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