Effects of self-management on quality of life in patients with hypertension in the Nanjing community / 中华健康管理学杂志

ABSTRACT

Objective To evaluate the effect of a community-based self-management model and the quality of life in patients with hypertension in Nanjing.Methods From April to June 2014,multistage stratified random sampling was used to randomly select patients with hypertension from the standardized management of basic public health services among 11 districts in Nanjing.A baseline survey and a follow-up after 3 months were conducted by well-trained investigators through face-to-face interviews to estimate the effect of self-management on quality of life. Results There were 586 patients investigated in the baseline survey.Among them,575 patients finished group activities six times;the follow-up rate was 98.1%.After a self-management group intervention, the awareness of hypertension-related knowledge and six aspects of self-management behaviors were measured; the scores of all dimensions improved significantly, and SF-36 increased to 32.03 ± 17.33. Multi-factor analysis results showed that those who were single and had complications felt improvement in their blood pressure control, experienced improvement in their stress conditions,and their quality of life improved.The OR(95% CI)values were 1.93(1.06-3.52),1.96(1.21-3.19), 1.79 (1.11-2.89), and 2.51 (1.59-3.97). Conclusion Carrying out self-management group work with community patients with hypertension that is focused on prevention and control of physical, psychological, and social aspects of life can improve their quality of life.