Asha Kiran Jubilee Hope Centre Hospital, Chinchwad, Pune, India.
Symbiosis International University, Pune, India.
Inquiry. 2023 Jan-Dec;60:469580231167010. doi: 10.1177/00469580231167010.
The burden of hypertension has been growing over recent decades. In addition to risk of stroke and cardiovascular disease development, data indicates that hypertension may also pose a hazard to the quality of life (QoL) of individuals. Patient reported outcomes such as QoL are often overlooked, with physicians and healthcare professionals not routinely evaluating or customizing treatments according to QoL. In this study we aimed to assess the QoL of hypertensive men (n = 500) undergoing treatment who visited a charitable hospital in Pune, India. Clinic blood pressure was determined and the Mini Cuestionario de Calidad de Vida en Hipertensión Arterial (MINICHAL) scale was used to assess the health-related (HR)-QoL of patients. More than half of the participants (62%) had uncontrolled hypertension, with a mean systolic blood pressure (BP) of 151 ± 12 mmHg and diastolic blood pressure of 87 ± 6 mmHg as compared to those with controlled blood pressure (mean systolic blood pressure 123 ± 6 mmHg and diastolic blood pressure 84 ± 5 mmHg; < .01 for both). Predominantly the participants were overweight with body mass index (BMI) of those with uncontrolled hypertension being greater than those with controlled blood pressure (28.4 ± 3.3 kg/m vs 23.3 ± 2 kg/m, < .01). A reduced QoL was observed for participants with uncontrolled hypertension (overall score 41 ± 5) as compared to those with controlled blood pressure (35 ± 4, < .001). This was evident on both the mental plane [2.8 ± 2.5 (95% CI = 2.3-3.1) vs 4.1 ± 3.2 (95% CI = 2.5-3.3)] and somatic domain [3.4 ± 3.2 (95% CI = 3.0-4.0) vs 4.7.4 ± 3.5 (95% CI = 3.1-4.5)] where the QoL was poorer ( < .001) for the uncontrolled hypertensive group. Poorer QoL was observed for people with uncontrolled hypertension. This study indicates that the QoL in patients with uncontrolled hypertension attending an outpatient clinic in India is worse than those with controlled blood pressure. Future studies need to be undertaken to ascertain whether an impaired QoL impacts the outcomes associated with high blood pressure.
高血压的负担在最近几十年一直在增加。除了中风和心血管疾病发展的风险外，数据表明，高血压也可能对个人的生活质量（QoL）构成威胁。患者报告的结果，如 QoL，往往被忽视，医生和医疗保健专业人员通常不会根据 QoL 评估或定制治疗方案。在这项研究中，我们旨在评估在印度浦那的一家慈善医院接受治疗的高血压男性（n=500）的 QoL。测量了诊所血压，并使用 Mini Cuestionario de Calidad de Vida en Hipertensión Arterial（MINICHAL）量表评估患者的健康相关（HR）-QoL。超过一半的参与者（62%）患有未控制的高血压，收缩压（BP）平均为 151±12mmHg，舒张压为 87±6mmHg，而血压控制良好的参与者收缩压平均为 123±6mmHg，舒张压为 84±5mmHg（两者均<.01）。参与者主要超重，未控制高血压患者的体重指数（BMI）大于血压控制良好的患者（28.4±3.3kg/m 与 23.3±2kg/m，<.01）。与血压控制良好的参与者相比，未控制高血压患者的 QoL 较低（总体评分 41±5）（<.001）。这在精神层面[2.8±2.5（95%CI=2.3-3.1）与 4.1±3.2（95%CI=2.5-3.3）]和躯体域[3.4±3.2（95%CI=3.0-4.0）与 4.7.4±3.5（95%CI=3.1-4.5）]都很明显，未控制高血压组的 QoL 更差（<.001）。未控制高血压患者的 QoL 较差。这项研究表明，在印度门诊就诊的未控制高血压患者的 QoL 比血压控制良好的患者差。需要进行进一步的研究以确定 QoL 受损是否会影响与高血压相关的结果。
