Department of Occupational and Environmental Health, School of Health Sciences, Wuhan University, Wuhan, China.
PLoS One. 2021 Feb 2;16(2):e0246409. doi: 10.1371/journal.pone.0246409. eCollection 2021.
To evaluate health-related quality of life (HRQoL) of middle-aged and elderly people with hypertension in Enshi, China, and to explore the important correlates defining HRQoL.
From April through July 2018, a self-monitoring intervention program for hypertension control was implemented in a remote area of central China. Participants completed a cross-sectional survey which included demographic characteristics, the Health-related Quality of Life Survey, and the Pittsburgh Sleep Quality Index Survey. Univariate analysis was performed by analysis of variance, and multiple linear regression analysis was used to analyze the influencing factors of HRQoL in middle-aged and elderly hypertensive patients. In the multivariate analysis, the variables with P≤0.05 in the single factor analysis were combined with the professional significance to establish a multiple linear regression model.
Information from 500 participants was available for analysis. Among them, the scores of PCS and MCS was 31.66 ± 9.50 and 41.38 ± 10.69, respectively. Multivariable regression analyses showed that higher education and sleep quality, and moderate physical activity (30 minutes for at least five days a week) had a positive influence on PCS scores. Higher monthly family income (3,000-5,000 ¥) and sleep quality, regular tea-drinking, having 30 minutes of moderate physical activity at least five days a week were positively associated with MCS scores.
The overall HRQoL for rural middle-aged and elderly hypertensive patients in Xuan'en county of Hubei province was poor. Effective relevant measures for the above factors were urgently needed to improve the quality of life for the elderly in rural areas. Awareness of these relevant factors could help health care professionals provide better supportive care.
评估中国恩施中老年高血压患者的健康相关生活质量（HRQoL），并探讨定义 HRQoL 的重要相关因素。
2018 年 4 月至 7 月，在中国中部一个偏远地区实施了一项高血压控制自我监测干预计划。参与者完成了一项横断面调查，其中包括人口统计学特征、健康相关生活质量调查和匹兹堡睡眠质量指数调查。采用方差分析进行单因素分析，采用多元线性回归分析分析中老年高血压患者 HRQoL 的影响因素。在多元分析中，将单因素分析中 P≤0.05 的变量与专业意义相结合，建立多元线性回归模型。
共获得 500 名参与者的信息进行分析。其中，PCS 和 MCS 的得分分别为 31.66±9.50 和 41.38±10.69。多变量回归分析显示，较高的教育程度和睡眠质量以及适度的身体活动（每周至少 5 天，每次 30 分钟）对 PCS 评分有积极影响。较高的月家庭收入（3000-5000 元）和睡眠质量、定期饮茶、每周至少 5 天进行 30 分钟的适度身体活动与 MCS 评分呈正相关。
湖北省宣恩县农村中老年高血压患者的整体 HRQoL 较差。迫切需要针对上述因素采取有效措施，提高农村老年人的生活质量。了解这些相关因素可以帮助医疗保健专业人员提供更好的支持性护理。
