Assessment of Health- Related Quality of Life of Hypertensive Patients in Benue State University Teaching Hospital Makurdi
[1]
Pius Iorapuu Damkor, Department of Nursing, Benue State University Teaching Hospital, Makurdi City, Nigeria.
[2]
Robert Teryila Kever, Department of Nursing, University of Maiduguri, Maiduguri City, Nigeri.
[3]
Elisha Friday Ishaya, Department of Nursing, Federal Medical Centre Keffi, Lafia City, Nigeria.
[4]
Clement Ayuba, Department of Nursing, Federal Medical Centre, Jalingo City, Nigeria.
[5]
Eucharia Hauwa Umoru, Department of Nursing, General Hospital Auna, Mina City, Nigeria.
[6]
Yakubu Yusuf, Department of Nursing, Federal College of Education Medical Centre Kontogora, Mina City, Nigeria.
To respond to growing prevalence of hypertension in Nigeria, it is critical to have an in-depth understanding about health related quality of life (HRQOL) among people living with hypertension and related factors. This study assessed HRQOL and its relationship with socio-demographic characteristics among hypertensive patients in a State University Teaching Hospital Makurdi, north-central Nigeria. A cross-sectional survey was conducted on 97 hypertensive patients aged 50 years and above using self-administered SF-36 questionnaire. Data were analysed using statistical package for social sciences (SPSS) version 20. Descriptive statistics were used to examine mean scores of health related quality of life. Chi-square was used to measure the relationship between HRQOL and socio-demographic characteristics of the patients. The study revealed that the mean age of the respondents was 58.2 ± 11.99, majority of the respondents (91.7%) were males, and more than half of the respondents (94.8%) had poor health related quality of life. HRQOL of the participants was found to be related to age, level of education, employment status and weight of the patients (P < 0.05). Given the results, encouraging physical activities and strengthening treatment adherence should be considered to improve HRQOL of hypertensive people. Actions to improve HRQOL among hypertensive patients should be targeted towards males, patients from age 50 and above, lower educational status and hypertensive patients with weight challenges in the setting.
Quality of Life, Health-Related Quality of Life, Hypertension
[1]
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. (2014) evidence-based guideline for the management of highblood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014; 311: 507–20.
[2]
Kengne AP, June-Rose McHiza Z, Amoah AG, Mbanya JC (2013). Cardiovascular diseases and diabetes as economic and developmental challenges in Africa. ProgCardiovasc Dis. 2013; 56: 302–13.
[3]
World Health Organization (WHO, 2013). A global brief on hypertension: silent killer, global public health crises (World Health Day 2013). Geneva: Available: http://apps.who.int/iris/bitstream/10665/79059/1/WHO_DCO_WHD_2013.2_eng.pdf Accessed 2016 Febuary 11
[4]
World Health Organization (2015). A global brief on hypertension. Retrieved from http://www.who.int/cardiovascular_diseases/publications/global_brief_hypertension/en/. Accessed on 13/11/2016.
[5]
World Bank Nigeria (2013). Available: http://data.worldbank.org/country/nigeria. Accessed 2016 January 29.
[6]
Nwankwo, T. M. S., Yoon, S. S., Burt, V., & Gu, Q. (2013). Hypertension among Adults in the United States: National Health and Nutrition Examination Survey, 2011-2012, http://www.cdc.gov/nchs/data/databriefs/db133.htm. Accessed on 15/12/2016.
[7]
Adediran, O. S., Okpara, I. C, Adeniyi, O. S., & Jimoh A. K. (2013). Hypertension prevalence in an Urban and Rural area of Nigeria. Journal of Medicine and Medical Sciences 4 (4): 149-154, Available online@ http://www.interesjournals.org/JMMS
[8]
Guo R. The study of evaluation of the community TCM intervention and the quality of life in hypertensive patients (Chinese). Master thesis. China Academy of Chinese Medical Sciences, Clinical Medicine Department; 2013.
[9]
Hu DY. Prevention and treatment of hypertension - from the guidelines to practice. Beijing: Peking University Medical Press; 2010/3.
[10]
The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med (1998) 46 (12): 1569–85. 10.1016/S0277-9536(98)00009-4
[11]
Hennessy CH, Moriarty DG, Zack MM, Scherr PA, Brackbill R. Measuring health-related quality of life for public health surveillance. Public Health Rep (1994) 109 (5): 665–72.
[12]
Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC: US Department of Health and Human Services; (2010).
[13]
Al-Jabi SW, Zyoud SH, Sweileh WM, Wildali AH, Saleem HM, Aysa HA, et al. Assessment of health-related quality of life among hypertensive patients: a cross-sectional study from Palestine. J Public Health (2014) 22 (3): 277–86. 10.1007/s10389-014-0613-z
[14]
Saleem F, Hassali MA, Shafie AA. A cross-sectional assessment of health-related quality of life (HRQoL) among hypertensive patients in Pakistan. Health Expect (2014) 17 (3): 388–95. 10.1111/j.1369-7625.2012.00765.x
[15]
Theodorou M, Kaitelidou D, Galanis P, Middleton N, Theodorou P, Stafylas P, et al. Quality of life measurement in patients with hypertension in Cyprus. Hellenic J Cardiol (2011) 52 (5): 407–15.
[16]
Trevisol DJ, Moreira LB, Kerkhoff A, Fuchs SC, Fuchs FD. Health-related quality of life and hypertension: a systematic review and meta-analysis of observational studies. J Hypertens (2011) 29 (2): 179–88. 10.1097/HJH.0b013e328340d76f
[17]
Mi, B., Dang, S., Li, Q., Zhao, Y., Yang, R., Wang, D., Yan, H. (2015). Association between Awareness of Hypertension and Health-Related Quality of Life in a Cross-Sectional Population-Based Study in Rural Area of Northwest China. Medicine (Baltimore). 94 (29): e1206. doi: 10.1097/MD.0000000000001206
[18]
Bhandari N, Bhusal BR, Takma K, Lawot I. Quality of life of patient with hypertension in Kathmandu. Int J NursSci (2016) 3: 379 84. 10.1016/j.ijnss.2016.10.002
[19]
Mi, B., Dang, S., Li, Q., Zhao, Y., Yang, R., Wang, D., Yan, H. (2015). Association between Awareness of Hypertension and Health-Related Quality of Life in a Cross-Sectional Population-Based Study in Rural Area of Northwest China. Medicine (Baltimore). 94 (29): e1206. doi: 10.1097/MD.0000000000001206
[20]
Polit, D. F., & Beck, C. T. (2016). Essentials of nursing research: appraising evidence for nursing practice. (8th ed). Wolters Kluwer Health | Lippincott Williams & Wilkins. China.
[21]
Joppe, M. (2000). The Research Process. Retrieved from http://www.ryerson.ca/~mjoppe/rp.htm. Accessed on 21/12/2016.
[22]
Burns, N., & Grove, S. K. (2010). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences.
[23]
Stark, S., & Torrance, H. (2005). Case study. In B. Somekh& C. Lewin (Eds.), Research methods in the social sciences (pp. 33-40). London: SAGE.
[24]
Marianna, M., &Fouka, G. (2013). What are the Major Ethical Issues in Conducting Research? Is there a Conflict between the Research Ethics and the Nature of Nursing? Journal of health sciences. 5 (1): 3-14.
[25]
Hope, T. and Dunn, M. (2014) ‘The ethics of long-term care practice: A global call to arms’, in A. Akabayashi (ed.) The Future of Bioethics: International dialogues. Oxford: OUP. p. 628-643.
[26]
Pimenta AM, Kac Gilberto, Gazzinelli A, Oliveira RC, Melendez GV. Associação entre obesidade central, triglicerídeos e hipertensão arterial emumaárea rural do Brasil. Arq Bras Cardiol. 2008; 90 (6): 419-25.
[27]
Pinto JLG, Garcia ACO, Bocchi SCM, Carvalhaes MABL. Características de apoio social oferecidoaidosos de área rural assistidopelo PSF. Ciênc Saúde Coletiva. 2006; 11 (3): 753-64.
[28]
Youssef RM, Moubarak II, Kamel MI. Factors affecting the quality of life of hypertensive patients. Eastern Mediterranean Health J. 2005; 11 (1/2): 109-8.
[29]
The Whoqol Group. The world health organization quality of life assessment: position paper from the world health organization. SocSci Med. 1995; 41: 1403-9.
[30]
Battersby C, Hartley K, Fletcher AF, Markowe HJ, Styles W, Sapper H, et al. Quality of life in treated hypertension: a case-control community based study. J Hum Hypertens (1995) 9 (12): 981–6.
[31]
World Health Organization. World Report on Ageing and Health. Luxembourg: WHO; (2015). p. 1–260.
[32]
Steves CJ, Spector TD, Jackson SH. Ageing, genes, environment and epigenetics: what twin studies tell us now, and in the future. Age Ageing (2012) 41 (5): 581–6.10.1093/ageing/afs097
[33]
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in older people. Age Ageing (2010) 39 (4): 412–23. 10.1093/ageing/afq034
[34]
McElhaney JE, Zhou X, Talbot HK, Soethout E, Bleackley RC, Granville DJ, et al. The unmet need in the elderly: how immunosenescence, CMV infection, co-morbidities and frailty are a challenge for the development of more effective influenza vaccines. Vaccine (2012) 30 (12): 2060–7.10.1016/j.vaccine.2012.01.015
[35]
Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev (2011) 10 (4): 430–9. 10.1016/j.arr.2011.03.003
[36]
Ghimire S, Pradhananga P, Baral BK, and Shrestha N (2017). Factors Associated With Health-Related Quality of Life among Hypertensive Patients in Kathmandu, Nepal. Front Cardiovasc Med. 2017; 4: 69.
[37]
Zhu H, Gu D. The protective effect of marriage on health and survival: does it persist at oldest-old ages? J Popul Ageing (2010) 3 (3–4): 161–82. 10.1007/s12062-011-9034-8
[38]
Rendall MS, Weden MM, Favreault MM, Waldron H. The protective effect of marriage for survival: a review and update. Demography (2011) 48 (2): 481–506.10.1007/s13524-011-0032-5
[39]
Bierman A, Fazio EM, Milkie MA. A multifaceted approach to the mental health advantage of the married assessing how explanations vary by outcome measure and unmarried group. J Fam Issues (2006) 27 (4): 554–82. 10.1177/0192513X05284111
[40]
Umberson D, Williams K. Family status and mental health. In: Aneshensel CS, Phelan JC, Bierman A, editors., editors. Handbook of the Sociology of Mental Health. Dordrecht: Springer; (1999). p. 225–53.
[41]
Baker DP, Leon J, Smith Greenaway EG, Collins J, Movit M. The education effect on population health: a reassessment. PopulDev Rev (2011) 37 (2): 307–32. 10.1111/j.1728-4457.2011.00412.x
[42]
Cutler DM, Lleras-Muney A. Education and Health: Evaluating Theories and Evidence. Cambridge, MA: National Bureau of Economic Research; (2006).
[43]
Marmot M. The influence of income on health: views of an epidemiologist. Health Aff (Millwood) (2002) 21 (2): 31–46. 10.1377/hlthaff.21.2.31 [PubMed] [Cross Ref]
[44]
Berkman LF. The role of social relations in health promotion. Psychosom Med (1995) 57 (3): 245–54.10.1097/00006842-199505000-00006
[45]
Bhadra C, Shah MT. Nepal: Country Gender Profile: Report Prepared for JICA. Kathmandu, Nepal: Japan International Cooperation Agency; (2007).
[46]
Shakya K. Changing gender status: achievements and challenges. PopulMonogr Nepal (2014) 2: 221–71.
[47]
Nowack S. Gender Discrimination in Nepal and How Statelessness Hampers Identity Formation. Eindhoven, The Netherlands: Institute on Statelessness and Inclusion; (2015).
[48]
Ghimire S, Baral BK, Callahan K. Nutritional assessment of community-dwelling older adults in rural Nepal. PLoS One (2017) 12 (2): e0172052. 10.1371/journal.pone.0172052
