Ipinnimo Tope Michael, Adewoye Kayode Rasaq, Durowade Kabir Adekunle, Elegbede Olusegun Elijah, Ojo John Olujide, Dele-Ojo Bolade Folasade, Oluwademilade Olarinde Jeffrey, Atoyebi Oladele Ademola, Sanni Taofeek Adedayo, Asake Olumide Temitope, Daramola Blessing Waibi, Fadipe Adetunji Olamide
Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Department of Community Medicine, Afe Babalola University, Ado Ekiti, Nigeria.
Dialogues Health. 2022 Nov 2;1:100069. doi: 10.1016/j.dialog.2022.100069. eCollection 2022 Dec.
Hypertension is a serious health problem and it is one of the diseases that impair health-related quality of life. The central tenet of care should be to improve health-related quality of life and overall well-being and not just be limited to improving clinical outcomes. This study assesses and compares health-related quality of life and its predictors among hypertensive patients in two government hospitals in Ekiti State, Nigeria.
This was a comparative cross-sectional study involving 440 hypertensive patients (220 in each group), recruited using a systematic sampling technique within the hospitals. Data on socio-demographic, economic and clinical characteristics including the cost of care for hypertension were collected from the patients. The WHOQoL-BREF questionnaire was used to assess health-related quality of life. Data were entered and analyzed using IBM SPSS Statistics for Windows, Version 22.0.
All domains of health-related quality of life were better among patients in federal government teaching hospitals, however, only the physical ( = -7.932, < 0.001) and overall ( = -2.783, = 0.006) domains were of statistical significance. An inverse relationship between cost and health-related quality of life was found in the two hospitals (State: = -0.224, = 0.001; Federal: = -0.378, < 0.001). Identified predictors of health-related quality of life were age, locality of residence, income, number of complications, exercise and smoking in both hospitals. Other predictors were marital status, living arrangement, occupation, number of medications, and involvement in religious and spiritual activities among patients in the state government teaching hospital; household size, length of diagnosis, and indirect cost among patients in the federal government teaching hospital.
There is a need to support hypertensive patients in the state government teaching hospitals to reduce the inequality of low health-related quality of life among them. Identified predictors should be taken into consideration when putting in place policies that will improve the health-related quality of life of these patients.
高血压是一个严重的健康问题，是损害健康相关生活质量的疾病之一。护理的核心原则应该是改善健康相关生活质量和总体幸福感，而不仅仅局限于改善临床结果。本研究评估并比较了尼日利亚埃基蒂州两家政府医院高血压患者的健康相关生活质量及其预测因素。
这是一项比较性横断面研究，涉及440名高血压患者（每组220名），采用系统抽样技术在医院内招募。收集了患者的社会人口统计学、经济和临床特征数据，包括高血压护理费用。使用世界卫生组织生活质量简表（WHOQoL-BREF）来评估健康相关生活质量。数据录入并使用IBM SPSS Statistics for Windows 22.0版本进行分析。
联邦政府教学医院患者的所有健康相关生活质量领域均较好，然而，只有身体领域（ = -7.932， < 0.001）和总体领域（ = -2.783， = 0.006）具有统计学意义。在两家医院中均发现费用与健康相关生活质量之间存在负相关（州立医院： = -0.224， = 0.001；联邦医院： = -0.378， < 0.001）。两家医院中确定的健康相关生活质量预测因素为年龄、居住地点、收入、并发症数量、运动和吸烟。其他预测因素在州政府教学医院患者中为婚姻状况、居住安排、职业、用药数量以及参与宗教和精神活动；在联邦政府教学医院患者中为家庭规模、诊断时长和间接费用。
有必要支持州政府教学医院的高血压患者，以减少他们之间健康相关生活质量低下的不平等现象。在制定改善这些患者健康相关生活质量的政策时，应考虑已确定的预测因素。
