Factors affecting the quality of life of hypertensive patients.
Using the Hypertension Health Status Inventory and multivariate analysis, predictors of quality of life were determined for a random selection of 316 hypertensive patients. Controlling for the effects of demographic and socioeconomic factors and existing co-morbidity, a better quality of life was independently predicted by achieving a controlled blood pressure and absence of target organ complications. Neither the number of antihypertensive drugs received nor the dose frequency affected patients' quality of life. Presence of drug side-effects independently predicted a lower quality of life in the physical and emotional domains but not on aspects of daily living. The independent predictors explained 25%-30% of the variation in the quality of life of hypertensive patients. The study highlights the role of achieving blood pressure control to ensure a better quality of life for hypertensive patients.
Department of Community Medicine, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. randayoussef@link.net
R M
RM
Youssef
I I
II
Moubarak
M I
MI
Kamel
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001294:Attitude to Health; D015897:Comorbidity; D004334:Drug Administration Schedule; D004534:Egypt; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D015999:Multivariate Analysis; D011237:Predictive Value of Tests; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014504:Urban Health / Q000706:statistics & numerical data
D000959:Antihypertensive Agents