0 114

Cited 0 times in

Relationship between health-related quality of life and blood pressure control in patients with uncontrolled hypertension

Authors
 Chan Joo Lee  ;  Woo Jung Park  ;  Jung-Won Suh  ;  Eue-Keun Choi  ;  Dong Woon Jeon  ;  Sang-Wook Lim  ;  Dae-Hyeok Kim  ;  Kwang Soo Cha  ;  Bong-Ryeol Lee  ;  Nam-Ho Kim  ;  Tae-Soo Kang  ;  Jong-Won Ha 
Citation
 JOURNAL OF CLINICAL HYPERTENSION, Vol.22(8) : 1415-1424, 2020-08 
Journal Title
JOURNAL OF CLINICAL HYPERTENSION
ISSN
 1524-6175 
Issue Date
2020-08
Keywords
adherence ; blood pressure ; health-related quality of life ; hypertension
Abstract
We sought to investigate the psychosocial characteristics of patients with uncontrolled hypertension and examine factors that influence blood pressure (BP) control. A total of 1011 patients with uncontrolled hypertension were enrolled in 13 tertiary hospitals. Uncontrolled hypertension was defined as systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg despite on antihypertensive therapy. Socio-demographics, anthropometrics, behavioral risk factors, medication pattern, adherence, and measures of health-related quality of life (HRQoL; EuroQol 5D visual analog scale [EQ-5D VAS]) were assessed at baseline and during follow-up visits (3 and 6 months). Patients were divided into 2 groups based on BP control status at 6 months (controlled group [n = 532] vs uncontrolled group [n = 367]). There were no differences in clinical characteristics except the proportion of smokers and baseline BP between patients with controlled BP and uncontrolled BP. At 6 months, the adherence of antihypertensive medication did not differ between the groups but the proportion of combination therapy with ≥3 antihypertensives was significantly higher in patients with uncontrolled BP. EQ-5D VAS at follow-up was significantly lower in patients with uncontrolled BP despite similar baseline values. Multivariate logistic regression analysis revealed that EQ-5D VAS at follow-up significantly correlated with BP control. Patients with worse HRQoL had higher Charlson Comorbidity Index and higher proportion of taking ≥3 antihypertensives, but medication adherence was similar to those with better HRQoL. These findings suggest that along with pharmacologic intervention of hypertension, management of comorbid conditions or psychological support might be helpful for optimizing BP control in patients with uncontrolled hypertension.
Full Text
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.13941
DOI
10.1111/jch.13941
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chan Joo(이찬주) ORCID logo https://orcid.org/0000-0002-8756-409X
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182668
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links