A Survey On Quality Of Life In Patients With Primary Hypertension In Chongqing

Objective:To explore the related main factors which affect quality of life(QOL) of hypertensive disease patients with evaluation of the KAP level and QOL in Chongqing, for providing scientific evidence for this disease control and prevention.Methods:We surveyed the general demographic information and the KAP level of hypertension patients, using multistage sampling, QOL scores of 586 patients with hypertension were investigated by Chinese version SF-36 scale, and the 11 influencing factors were analyzed by t-test, one-way ANOVA and stepwise regression analysis to find out the major ones.Results:A total of 586 patients with an average age of(67.00±9.00) years old were surveyed, and the effective rate was 93.02%. The KAP average level of(32.69±8.59), the ratio of mean and out was 46.04 percent, the ratio of mean and out was the highest for attitude score(71.25%), the ratio of mean and out was the lowest for knowledge score(20.23%). The QOL average score of hypertension patients was(511.04±150.71), and the level of damage on the QOL of hypertension patients were social functioning(SF), physical functioning(PF), mental health(MH), bodily pain(BP), role-emotional(RE), vitality(VT), role-physical(RP), general health(GH) with a worst of QOL scores. The SF-36 dimensions with a higher ratio of problematic horizontal in patients were the influence degree of strenuous exercise, the difficulty of finishing work or activity, the level of body pain, the frequency of regarding health as very good, the frequency of feeling exhausted, the influence degree of sickness for social activity, doing things carefully below the usual, the frequency of cheering up of nothing, Dimension was different, the main factors were different. The main factors influencing QOL were duration of disease(β=-25.30, P=0.04), per capita monthly income of family(β=-21.09, P=0.04), age(β=-27.98, P=0.03), marital status(β=-33.24, P=0.02), gender(β=-31.65, P=0.01), eating food with more cholesterol(β=31.19, P=0.03). The total scores of QOL were positively correlated with attitude, behaviors, KAP overall level.Conclusion:The hypertension patients in Chongqing have poor QOL, where the most serious damage is general health, and the main problems impact of QOL have strenuous exercise, body pain and the difficulty of finishing work, and the mood has a great impact on daily life of patients, patients feel exhausted and they think their health is very bad. It was suggested that we should pay more attention to the marital disharmony, the elder and the low-income patients with hypertension. It may be beneficial to control blood pressure actively and direct a rational diet for QOL.