Comparative assessment of health-related quality of life among hypertensive patients attending state and federal government teaching hospitals in Ekiti State, Nigeria.

Autor:	Ipinnimo TM; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Adewoye KR; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.; Department of Community Medicine, Afe Babalola University, Ado Ekiti, Nigeria., Durowade KA; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.; Department of Community Medicine, Afe Babalola University, Ado Ekiti, Nigeria., Elegbede OE; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.; Department of Community Medicine, Afe Babalola University, Ado Ekiti, Nigeria., Ojo JO; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.; Department of Community Medicine, Afe Babalola University, Ado Ekiti, Nigeria., Dele-Ojo BF; Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria., Oluwademilade OJ; Department of Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.; Department of Medicine, Afe Babalola University, Ado-Ekiti, Nigeria., Atoyebi OA; University of British Columbia, Canada., Sanni TA; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Asake OT; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Daramola BW; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Fadipe AO; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Jazyk:	angličtina
Zdroj:	Dialogues in health [Dialogues Health] 2022 Nov 02; Vol. 1, pp. 100069. Date of Electronic Publication: 2022 Nov 02 (Print Publication: 2022).
DOI:	10.1016/j.dialog.2022.100069
Abstrakt:	Background: Hypertension is a serious health problem and it is one of the diseases that impair health-related quality of life. The central tenet of care should be to improve health-related quality of life and overall well-being and not just be limited to improving clinical outcomes. This study assesses and compares health-related quality of life and its predictors among hypertensive patients in two government hospitals in Ekiti State, Nigeria. Methods: This was a comparative cross-sectional study involving 440 hypertensive patients (220 in each group), recruited using a systematic sampling technique within the hospitals. Data on socio-demographic, economic and clinical characteristics including the cost of care for hypertension were collected from the patients. The WHOQoL-BREF questionnaire was used to assess health-related quality of life. Data were entered and analyzed using IBM SPSS Statistics for Windows, Version 22.0. Results: All domains of health-related quality of life were better among patients in federal government teaching hospitals, however, only the physical ( T = -7.932, p < 0.001) and overall ( T = -2.783, p = 0.006) domains were of statistical significance. An inverse relationship between cost and health-related quality of life was found in the two hospitals (State: r = -0.224, p = 0.001; Federal: r = -0.378, p < 0.001). Identified predictors of health-related quality of life were age, locality of residence, income, number of complications, exercise and smoking in both hospitals. Other predictors were marital status, living arrangement, occupation, number of medications, and involvement in religious and spiritual activities among patients in the state government teaching hospital; household size, length of diagnosis, and indirect cost among patients in the federal government teaching hospital. Conclusion: There is a need to support hypertensive patients in the state government teaching hospitals to reduce the inequality of low health-related quality of life among them. Identified predictors should be taken into consideration when putting in place policies that will improve the health-related quality of life of these patients. Competing Interests: The authors have no competing interests to declare that are relevant to the content of this article. (© 2022 The Authors.)
Databáze:	MEDLINE
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