Quality of Life and Associated Factors Among Patients Receiving Long-Term Antihypertensive Therapy: A Cross-Sectional Study
DOI:
https://doi.org/10.68041/jbpt.v2i3/03Keywords:
Antihypertensive Agents, Blood Pressure; Hypertension, Lifestyle, Medication Adherence, Quality of LifeAbstract
Background: Hypertension is a condition that requires treatment for life and can impact patients' physical, psychological, and social health. The purpose of this study was to evaluate the health-related quality of life and related factors in patients under long-term antihypertensive treatment. Methods: This descriptive cross-sectional study (n=140) included adult patients undergoing antihypertensive treatment for at least one year via consecutive sampling technique. A structured questionnaire and medical-record review were used to collect data regarding demographic and clinical features, treatment regimen, adherence to treatment, blood-pressure control, quality of life, and treatment-related problems. The WHOQOL-BREF was used to measure health-related quality of life. Data were analysed with descriptive statistics and Chi square / Fisher exact test (p<0.05) using SPSS version 26.0. Results: The mean age was 58.6 ± 11.2 years, and 77(55.0%) were female. 95(67.9%) used combination therapy, and 96(68.6%) achieved controlled blood pressure. Overall, 90(64.3%) participants had a good quality of life. Patients with good quality of life were more likely to have controlled blood pressure and higher medication adherence rates than those with moderate/poor quality of life (74 (82.2%) vs. 22 (44.0%), p<0.001; 67 (74.4%) vs. 20 (40.0%), p<0.001, respectively). Poor quality of life was associated with hypertension (which persisted more than 10 years) and comorbidity. The most frequent problem was difficulty with lifestyle modification 48 (34.3%). Conclusion: The quality of life was good in most patients, but physical functioning and vitality continued to be problematic.References
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