Department of Community Medicine, College of Medicine, Kaduna State University, Zaria, Nigeria.
Department of Ophthalmology, Ahmadu Bello University, Zaria, Nigeria.
Niger Postgrad Med J. 2023 Apr-Jun;30(2):167-174. doi: 10.4103/npmj.npmj_5_23.
Hypertension and diabetes have become major non-communicable diseases of public health importance globally, considering the magnitude of the diseases, the propensity to worsen the patients' quality of life and the associated mortality. This study compared the health-related quality of life (HRQOL) of hypertensive and diabetic patients in both tertiary and secondary health facilities in Kaduna State, north-western Nigeria.
This was a descriptive comparative cross-sectional study amongst 325 patients, of which 93 (28.6%) were from the tertiary and 232 (71.4%) were from the secondary facilities. All eligible respondents participated in this study. Data were analysed with SPSS version 25 and STATA SE 12, t-test for comparison of two means, Chi-square and multivariate analyses were performed with P < 0.05.
The mean age was 55.72 ± 13 years. Two-thirds, 197 (60.6%), were hypertensive only, 60 (18.5%) were diabetic only (18.5%) and 68 (20.9%) were hypertensive diabetic. For the hypertensive only at the tertiary facility, the mean scores for vitality (VT) (68.0 ± 5.97, P = 0.01), emotional well-being (EW) (77.33 ± 4.52, P = 0.0007) and bodily pain (BP), (74.17 ± 5.94, P = 0.05) were significantly higher for tertiary compared with those at secondary facilities. The mean HRQOL for the people with diabetes only at the tertiary facilities also showed statistically significant higher scores for VT (72.2 ± 61, P = 0.01), social functioning (72.2 ± 8.4, P = 0.02), EW (75.44 ± 4.9, P = 0.001) and BP (85.56 ± 7.7, P = 0.01) when compared with the secondary facilities.
Patients managed by specialists at the tertiary health facility had better HRQOL than those managed at the secondary health facilities. Continued medical education and the use of standard operating procedures are recommended for improved HRQOL.
高血压和糖尿病已成为全球公共卫生领域的主要非传染性疾病，考虑到这些疾病的严重程度、对患者生活质量的恶化倾向以及相关死亡率。本研究比较了尼日利亚西北部卡杜纳州三级和二级医疗机构中高血压和糖尿病患者的健康相关生活质量（HRQOL）。
这是一项描述性比较的横断面研究，共有 325 名患者参与，其中 93 名（28.6%）来自三级医疗机构，232 名（71.4%）来自二级医疗机构。所有符合条件的受访者都参与了这项研究。使用 SPSS 版本 25 和 STATA SE 12 进行数据分析，使用 t 检验比较两种平均值，进行卡方检验和多变量分析，P 值<0.05。
平均年龄为 55.72±13 岁。三分之二，197 名（60.6%）为单纯高血压，60 名（18.5%）为单纯糖尿病，68 名（20.9%）为高血压合并糖尿病。在三级医疗机构中，仅患有高血压的患者，活力（VT）的平均得分（68.0±5.97，P=0.01）、情感健康（EW）（77.33±4.52，P=0.0007）和身体疼痛（BP）（74.17±5.94，P=0.05）显著高于二级医疗机构。仅患有糖尿病的患者在三级医疗机构的 HRQOL 平均得分也显示出更高的活力（VT）（72.2±61，P=0.01）、社会功能（72.2±8.4，P=0.02）、情感健康（EW）（75.44±4.9，P=0.001）和身体疼痛（BP）（85.56±7.7，P=0.01），与二级医疗机构相比。
在三级医疗机构接受专科医生治疗的患者的 HRQOL 要好于在二级医疗机构接受治疗的患者。建议继续开展医学教育并使用标准操作程序，以提高 HRQOL。
