Assessment of the Functional Health Status of Hypertension Patients in Family Medicine
Journal Title: Hamidiye Medical Journal - Year 2021, Vol 2, Issue 1
Abstract
Background: In this study, it was aimed to evaluate the functional health status of hypertensive patients and to determine the factors affecting their functional health status. Materials and Methods: This is a single-center, cross-sectional, descriptive survey study. It was carried out in İzmir Provincial Health Directorate Bayraklı No.15, İsmet Akman Family Health Center between 01/06/2019 and 01/09/2019. The study included 322 nonpregnant volunteers without communication problem (aged>18 years), who had a diagnosis of hypertension for at least a year based on sample size estimation of unknown population at error level of 0.05 and confidence interval of 0.95, and the frequency of hypertension was taken as 30% on average. All participants completed a 21-item questionnaire about sociodemographic and hypertension characteristics. In addition, all participants were asked to complete Turkish version of Dartmouth COOP/WONCA functional status charts. Descriptive statistics are presented as count, percentage, mean and standard deviation. The Kolmogorov- Smirnov test, Fisher’s coefficient of skewness, t-test and Kruskal-Wallis test were used in the statistical analysis. Results: The mean age was 63.10±11.63 years (min 21-max 95 years) in the study population and majority of participants (66.5%) were female. Of the participants, 35.7% were obese and 44.7% had a comorbid disease. When the average blood pressure values were assessed, it was found that blood pressure was high-normal in 20.5%, there was stage 2 hypertension in 20.2%, and regular drug use was seen in 94.7% of participants. Of the participants, 60.6% had uncontrolled blood pressure. In the evaluation of the responses to the COOP/WONCA functional status scales, the highest functional disability was found in the physical health domain with the mean score of 3.49±1.07 while lowest functional limitation was found in the social activities domain with the mean score of 1.77±0.98. Conclusion: Hypertension and factors causing hypertension negatively affect the functional health status of individuals and lead to a decreased quality of life. Achievement of treatment goals in hypertension including ensuring blood pressure regulation and adoption of life style changes led improved quality of life through positive effects on functional health status.
Authors and Affiliations
Ogün Akbaş, Özge Tuncer
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