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Quality of Life Research
Gepubliceerd in: Quality of Life Research 9/2019

02-05-2019

Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China

Auteurs: Chen Qiu, Di Shao, Ying Yao, Yue Zhao, Xiaoying Zang

Gepubliceerd in: Quality of Life Research | Uitgave 9/2019

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Abstract

Purpose

To examine whether and how self-management and psychological resilience could moderate the relationships between symptoms and health-related quality of life (HRQoL) among hypertensive patients in China.

Methods

This was a cross-sectional study of 220 participants recruited from January to May, 2018. Demographic and clinical information were obtained from medical records and by patient interview. The Chinese version of 17-item Hypertension-specific Symptom Scale, 21-item Self-Management Scale, and 10-item Connor-Davidson Resilience Scale (CD-RISC-10) as well as Short Form 12 Health Survey (SF-12) were used to collect information in this research. The moderation effects of self-management and psychological resilience were explored using the PROCESS macro for SPSS.

Results

Among all patients, 128 (58.2%) were female, 106 (48.2%) had a bachelor degree or higher, and 133 (60.5%) had moderate to severe Charlson Comorbidity Index. Both self-management and psychological resilience were negatively correlated to symptoms (r = − 0.259, p < 0.001; r = − 0.282, p < 0.001) but positively correlated to physical (r = 0.316, p < 0.001; r = 0.344, p < 0.001) and mental (r = 0.273, p < 0.001; r = 0.309, p < 0.001) HRQoL. After controlling for potential covariates, self-management could moderate the associations between symptoms and physical HRQoL (p = 0.041, ΔR2 = 0.010), while psychological resilience could moderate the relationships between symptoms and mental HRQoL (p = 0.02, ΔR2 = 0.010).

Conclusions

For hypertension patients, HRQoL is dependent on the severity of symptoms, engagement of self-management behaviors, and psychological resilience, which should be carefully considered when to improve patients’ HRQoL by health care providers.
vorige artikel Communicating psychosocial well-being in motor neurone disease to staff: results from a World Café approach
volgende artikel Status of inflammation in relation to health related quality of life in hepatocellular carcinoma patients
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Metagegevens
Titel
Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China
Auteurs
Chen Qiu
Di Shao
Ying Yao
Yue Zhao
Xiaoying Zang
Publicatiedatum
02-05-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02191-z

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