| Objectives; To describe the quality of life of elderly patients with hypertension in Yanbian area and verify the quality of life's influencing factors. To analysis the extent of social support, self-efficacy and lipid influencing on the quality of life. To clear the path of social support, self-efficacy and lipid influencing of quality of life.Methods: In Yanbian area 665 elderly patients with hypertension were structured interviewed and clinical Indicators were measured. Structured interview tool includes social demographic questionnaire, social support scale, self-efficacy scale and hypertension quality of life questionnaire. Clinical Indicator includes blood pressure, height, waist circumference, blood sugar and total cholesterol TC, three acyl glycerin TG, low density lipoprotein cholesterol LDL-C, high-density lipoprotein cholesterol HDL-C, etc. The BOX-COX of Minitab software was used to convert data to normality, One-Way ANOVA was used to analysis population difference of quality of life, Multiple linear regression was used to analysis factors influencing the quality of life, AMOS18.0 statistical software was used to analysis path of social support, self-efficacy and lipid influencing of quality of life.Results:(1) Research objects'quality of life score is average(53.78±6.15),including General Health PerceptionGlobal(QOL) score (2.31±0.72), Psychological General Well-Being(PGW) score (24.17±4.02), Symptom Bother(SB) score (27.17±3.69).(2) Research objects with different living status, occupation, education, social economic status, chronic diseases, insurance and waist-height-ratio (WHTR), physical self-perceived health, mental self-perceived health and course of hypertention have different quality of life. Research objects who are living alone, inoccupation or physical labor, low education, low social economic status, having other chronic diseases, without insurance, high WHTR, with poor physical and mental self-perceived health and having long course of hypertension have low life quality level.(3)The physical self-perceived health, WHTR, housewives, mental self-perceived health, hypertension course and with other chronic diseases accounted for 18.9% variances in the quality of life.(4) Social support has influence on quality of life (QOL) total score((3=0.178, p= 0.000), but in the adjustment of the occupation, living condition, education, SES, chronic diseases, insurance, WHTR, physical and mental self-perceived health, hypertension course and other related variables, its influence is no statistically significant. And social support has influence on GHP, PGW, SB (β=0.223, p=0.000. (3=0.185, p=0.000.β=0.082, p=0.000), and in the adjustment of related variables its influences are still statistically significant ((3=0.182, p=0.000.β=0.223, p=0.000.β=-0.122, p=0.003). Structural equation model results show that social support has a direct impact on the quality of life (CR=5.815, p<0.001) and indirect effect on it.(5) Self-efficacy has no influence on quality of life (QOL), in the adjustment of the occupation, living condition, education, SES, chronic diseases, insurance, WHTR, physical and mental self-perceived health, hypertension course and other related variables, its influence is still no statistically significant. And self-efficacy has influence on GHP, PGW, SB (β=0.097, p=0.012.β=0.114, p=0.000.β=-0.095, p=0.014), and in the adjustment of related variables its influences on PGW, SB are still statistically significant (β=0.145,β=0.000.β=0.105, p=0.006). Structural equation model results show that the self-efficiency has a direct impact on the quality of life (CR=1.968, p=0.049) and indirect effect on it.(6) TC/DHL-C has influence on quality of life (QOL), in the adjustment of the occupation, living condition, education, SES, chronic diseases, insurance, WHTR, physical and mental self-perceived health, hypertension course and other related variables.its influence is still statistically significant. And TC/DHL-C has influence on PGW(β=-0.105:p=0.008), and in the adjustment of related variables its influence on PGW is still statistically significant (β= 0.145, p=0.000). Structural equation model results show that TC/DHL-C has a direct impact on the quality of life (CR=-2.095, p=0.036).Conclusion:(1) In Yanbian area quality of life score of elderly patients with hypertension is above the average, but GHP, PGW score are not high, low level of quality of life mainly distributed in the research objects who are living alone, inoccupation or physical labor, low education, low social economic status, having other chronic diseases, without insurance, with high WHTR, with poor physical and mental self-perceived health and having long course of hypertension.(2) The physical self-perceived health, WHTR, housewives, mental self-perceived health, hypertension course and with other chronic diseases are main factors influencing quality of life.(3) Social support has influence on quality of life, but in the adjustment of related variables, its influence is no statistically significant. And social support has influences on GHP, PGW, SB. And in the adjustment of related variables its influences are still statistically significant. Structural equation model results show that social support has direct and indirect impacts on the quality of life.(4) Self-efficacy has no influence on quality of life, in the adjustment of related variables, its influence is still no statistically significant. And self-efficacy has influence on GHP, PGW, SB. And in the adjustment of related variables its influences on PGW, SB are still statistically significant. Structural equation model results show that the self-efficiency has direct and indirect impacts on the quality of life.(5) TC/DHL-C has influence on quality of life, in the adjustment of related variables, its influence is still statistically significant. And TC/DHL-C has influence on PGW, and in the adjustment of related variables its influence on PGW is still statistically significant. Struc-tural equation model results show that TC/DHL-C has a direct impact on the quality of life. |
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