DOI QR코드

DOI QR Code

Relationships of Depression Symptom, Self-Esteem, and Stress to Health-Related Quality of Life in Patients with Hypertension Registered to a Community Health Center

보건소를 이용하는 고혈압 환자의 우울증상, 자아존중감, 스트레스 및 건강관련 삶의 질 관계

  • Choi, Mi Ni (Graduate School of Public Health, Ajou University) ;
  • Lee, Eun-Hyun (Graduate School of Public Health, Ajou University)
  • 최미니 (아주대학교 보건대학원) ;
  • 이은현 (아주대학교 보건대학원)
  • Received : 2015.04.07
  • Accepted : 2015.07.30
  • Published : 2015.08.31

Abstract

Purpose: This study was conducted to examine the relationships of depression symptom, self-esteem, and stress with health-related quality of life(HRQOL) in patients with hypertension registered to a community health center. Methods: This study was a correlational survey using a convenience sampling. A total of 110 patients diagnosed with hypertension were recruited from a health center in Gyeonggi-do. The questionnaires used were the Cardiovascular Disease Specific-HRQOL questionnaire, Center for Epidemiologic Studies Depression, Rosenberg Self-Esteem Scale, and Perceived Stress Scale. The acquired data were analyzed using IBM SPSS version 22.0. Multiple linear regression analysis was performed. Results: Moderate depression symptom(${\beta}=-.368$, p<.001), severe depression symptom (${\beta}=-.450$, p<.001), stress(${\beta}=-.339$, p=.001), and gender(${\beta}=-.148$, p=.049) were significant predictors for the HRQOL. Multiple linear regression showed that 51.8% ($R^2=.518$) of the variance in the HRQOL was explained. Conclusion: Based on these results, development of an intervention or education program, to decrease depression symptoms and stress is recommended. This may improve the HRQOL in patients with hypertension registered to a community health center.

Keywords

References

  1. Ames, S. C., Jones, G. N., Howe, J. T., & Brantley, P. J. (2001). A prospective study of the impact of stress on quality of life: An investigation of low-income individuals with hypertension. Annals of Behavioral Medicine, 23(2), 112-119. http://dx.doi.org/10.1207/S15324796ABM2302_5
  2. Bardage, C. & Isacson, D. G. (2001). Hypertension and health-related quality of life: An epidemiological study in Sweden. Journal of Clinical Epidemiology, 54(2), 172-181. https://doi.org/10.1016/S0895-4356(00)00293-6
  3. Carvalho, M. V. D., Siqueira, L. B., Sousa, A. L. L., & Jardim, P. C. B. V. (2013). The influence of hypertension on quality of life. Arquivos Brasileiros de Cardiologia, 100(2), 164-174. http://dx.doi.org/10.5935/abc.20130030
  4. Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES - D in Korea. Korean Journal of Health Psychology, 6(1), 59-76.
  5. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
  6. Cohen, S., Kessler, R. C., & Gordon, L. U. (1995). Strategies for measuring stress in studies of psychiatric and physical disorders. Measuring Stress: a Guide for Health and Social Scientists(pp. 3-26). New York: Oxford University Press.
  7. Eom, A. Y. (2009). Influencing factors on health related to quality of life in hypertension patients. The Journal of Korean Biological Nursing Science, 11(2), 136-142.
  8. EuroQol Group. (1990). EuroQol-a new facility for the measurement of health-related quality of life. Health Policy, 16(3), 199-208. http://dx.doi.org/10.1016/0168-8510(90)90421-9
  9. Han, K. S. (2003). Perceived stress, mood state, and symptoms of stress of the patient with chronic illness. Journal of Korean Academy of Nursing, 33(1), 87-94. https://doi.org/10.4040/jkan.2003.33.1.87
  10. Hansson, L., Hedner. T., & Himmelmann, A. (1999). The 1999 WHO-ISH guidelines for the management of hypertension-new targets, new treatment and a comprehensive approach to total cardiovascular risk reduction. Blood Pressure, 8(3), 3-5. https://doi.org/10.1080/080370599439733
  11. Jeong, H. S. & Jeon, H. S. (2009). The influencing factors on quality of life in the visiting nursing clients with hypertension. Korea Higher Vocational Education Association, 10(4), 287-298.
  12. Kwon, Y., Kim, C., & Kwag, O. G. (2011). Factors influencing depression and quality of life in elderly customized home visiting health services. Journal of Korean Academy of Community Health Nursing, 22(3), 262-271. http://dx.doi.org/10.12799/jkachn.2011.22.3.262
  13. Lee, E. H. (2007). Instruments for health related quality of life. Journal of Nursing Query, 16(2),24-38.
  14. Lee, E. H., Chung, B. Y., Suh, C. H., & Jung, J. Y. (2015). Korean versions of the perceived stress scale (PSS-14, 10 and 4): Psychometric evaluation in patients with chronic disease. Scandinavian Journal of Caring Sciences. 29(1), 183-192. http://dx.doi.org/10.1111/scs.12131
  15. Lee, E. H., Tahk, S. J., Shin, J. H., Lee, Y. W., & Song, R. (2007). Development and a psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. Journal of Korean Academy of Nursing, 37(3), 313-323. https://doi.org/10.4040/jkan.2007.37.3.313
  16. Lee, E. H., Tahk, S. J., & Song, Y. (2005). Analyses of the studies on cardiovascular disease-specific quality of life reported in Korea. Korean Journal of Adult Nursing, 17(8), 452-463.
  17. Lee, I. S., Kim, D. K., & Um, T. Y. (2007). The study of relationship between self-respect and quality of life, and mediation effect of depression among the recipients of the medical security with a chronic disease. Korean Journal of Social Welfare Research, 17, 79-104.
  18. Lee, J. R. & Park, C. M. (2004). Structural model on hypertensive patient's lifestyle and quality of life. Health Policy and Management, 14(3), 66-96. http://dx.doi.org/10.4332/KJHPA.2004.14.3.066
  19. Mancia, G., Fagard, R., Narkiewicz, K., Redon, J., Zanchetti, A., Bohm, M., ... & Ponikowski, P. (2013). 2013 ESH/ESC guidelines for the management of arterial hypertension. the task force for the management of arterial hypertension of the european society of hypertension (ESH) and of the european society of cardiology (ESC). European Heart Journal, 34(28), 2159-2219. http://dx.doi.org/10.1093/eurheartj/eht151
  20. Mesbah, M., Cole, B. F., & Lee, M. T. (2002). Statistical methods for quality of life studies. Boston: Kluwer Academic Publishers.
  21. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. (2014). Korea health statistics 2013: Korea national health and nutrition examination survey(KNHANES VI-1). Seoul: Author.
  22. Nam, S. K. & Shim, O. S. (2011). A study on the influence factors on quality of life of elderly with chronic disease. Journal of Welfare for the Aged, 53, 239-259.
  23. Park, I. S., Song, R., Ahn, S., So, H. Y., Kim, H. L., & Joo, K. O. (2008). Factors explaining quality of life in individuals with coronary artery disease. Journal of Korean Academy of Nursing, 38(6), 866-873. http://dx.doi.org/10.4040/jkan.2008.38.6.866
  24. Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. http://dx.doi.org/10.1177/014662167700100306
  25. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton(NJ): Princeton University Press.
  26. Shephard, R. J. & Franklin, B. (2001). Changes in the quality of life: A major goal of cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, 21(4), 189-200. https://doi.org/10.1097/00008483-200107000-00001
  27. Sohn, S. Y. (2009). Factors related to the health related quality of life in elderly women. the Korean Journal of Women Health Nursing. 15(2), 99-107. http://dx.doi.org/10.4069/kjwhn.2009.15.2.99
  28. Son, Y. J. & Song, E. K. (2007). The life style and quality of life according to the pattern of type D personality in patients with hypertension. Korean Journal of Adult Nursing, 19(4), 644-655.
  29. Tabachnick, B. G. & Fidell, L. S. (2013). Using multivariate statistics(6th ed). London: Pearson Education.
  30. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2000). SF-36 Health survey: Manual and interpretation guide. Lincoln, RI: QualityMetric Incorporated.

Cited by

  1. Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts vol.29, pp.3, 2015, https://doi.org/10.5932/JKPHN.2015.29.3.565