Assessment of the health related quality of life in patients suffering from hypertension and diabetes mellitus: A cross sectional study
Keywords:
Hypertension, Diabetes Mellitus, Quality Of Life, Emotional
Abstract
Background: Diabetes mellitus and hypertension are chronic disorders, inadequate management of these two disorders leads to several complications and end organ damage that can impair health related quality of life (HRQoL) in these individuals. Several studies in hypertensive patients concluded that hypertension reduced HRQoL and participants with diabetes also reported comparably decreased HRQoL. The data on HRQoL in patients suffering from both hypertension and diabetes is limited hence we designed this study to assess health related quality of life in patients suffering from hypertension and diabetes mellitus.Methodology: This single centre, cross-sectional study was conducted for 2 months between April and August 2013 in patients with hypertension and diabetes mellitus. Patients suffering from hypertension were recruited in study and were divided into two groups, Group 1 consisted of patient suffering from hypertension and diabetes mellitus whereas Group 2 consisted of patients suffering from hypertension. Patients were assessed on Short form health Survey (SF-36) and the WHOQOL – Bref scores.Results: A total of 85 patients were screened out of which 41 patients were enrolled in the study, 21 patients in Group 1 and 20 patients in group 2. The SF-36 Scores showed significantly (p<0.05) worse pain scores in patients in Group 2. Patients in Group 1 had a better quality of life as compared to other group as evident by higher scores in most of the parameters of SF-36 and WHO-QOL Bref Score, though it was not statistically significant.Conclusion: Both groups had compromised quality of life; patients with hypertension and diabetes had a better quality of life.References
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2. Gupta R, al-Odat NA, Gupta VP. Hypertension epidemiology in India: meta-analysis of 50 year prevalence rates and blood pressure trends. J Hum Hypertens 1996; 10: 465-72.
3. Reddy KS. Regional case studies–India. Nestle Nutr Workshop Ser Pediatr Program. 2009; 63:15-24; discussion 41-16, 259-268.
4. Hypertension in India. (Accessed on 10th September, 2013). Available on url. http://www.cadiresearch.org/topic/hypertension/hypertension-india
5. Kanwar S. Prevalence of hypertension high among lower, middle class population in India. Apr 5, 2013 (Accessed on 10th September, 2013). Available on url. http://articles.timesofindia.indiatimes.com/2013-04-05/chandigarh/38305800_1_anti-hypertensive-medications-uncontrolled-hypertension-high-bp
6. Joshi SR, Saboo B, Vadivale M, et al. Prevalence of Diagnosed and Undiagnosed Diabetes and Hypertension in India-Results from the Screening India’s Twin Epidemic (SITE) Study. Diabetes Technol Ther 2012; 14: 8-15.
7. Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res 2007; 125: 217-30. url. http://icmr.nic.in/ijmr/2012/october/Most_cited2.pdf
8. Poljičanin T, Ajduković D, Šekerija M, Pibernik-Okanović M, Metelko Z, Mavrinac GV. Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life. BMC Public Health 2010; 10: 12. http://www.biomedcentral.com/1471-2458/10/12
9. Adepu R, Madhu S. Influence of post discharge counseling on health outcomes in diabetic and hypertensive patients. Asian J Pharm Clin Res 2011; 4 (3): 28-33.
10. Korhonen PE, Kivelä SL, Kautiainen H, Järvenpää S, Kantola I. Health-related quality of life and awareness of hypertension. J Hypertens 2011; 29: 2070–4.
11. Jiang L, Beals J, Whitesell NR, Roubideaux Y, Manson SM, AI-SUPERP Team. Health-related quality of life and help seeking among American Indians with diabetes and hypertension. Qual Life Res 2009; 18: 709–18.
12. Amir M, Bar-on D. Hypertension and quality of life: The disease, the treatment or a combination of both. Psychol Health 1996; 11: 685-95.
13. Vijayakumar K, Varghese RT. Quality of Life Among Diabetic Subjects: Indian Perspectives. In Handbook of Disease Burden and Quality of Life Measures. Ed Preedy VR, Watson RR. Springer, New York 2010; p 2071-93.
14. 36-Item Short Form Survey from the RAND Medical Outcomes Study. Accessed on 10th April, 2013. url. http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
15. Skevington SM, Lotfy M, O' Connell KA, the WHOQOL Group. The World Health Organization's WHOQOLBref quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 2004; 13: 299-310.
16. Sainfort F, Becker M, Diamond R. Judgments of quality of life of individuals with severe mental disorders: patient self-report versus provider perspectives. Am J Psychiatry 1996; 153: 497-502.
17. Alshubaili AF, Ohaeri JU, Awadalla AW, Mabrouk AA. Family caregiver quality of life in multiple sclerosis among Kuwaitis: a controlled study. BMC Health Services Research 2008, 8: 206 doi:10.1186/1472-6963-8-206. This article is available from: http://www.biomedcentral.com/ 1472-6963/8/206.
18. Anees M, Hameed F, Mumtaz A, Ibrahim M, Khan MNS. Dialysis-related factors affecting quality of life in patients on haemodialysis. Iranian J Kidney Dis 2011; 5: 9-14.
19. Soni RK, Porter AC, Lash JP, Unruh ML. Health-related quality of life in hypertension, chronic kidney disease and coexistent chronic health conditions. Adv Chronic Kidney Dis 2010; 17 (4): e17–26. doi:10.1053/j.ackd.2010.04.002.
Published
2016-01-21
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