DOI QR코드

DOI QR Code

Health behaviors and quality of life by life cycle of hypertensive patients

고혈압환자의 생애주기별 건강행태와 삶의 질

  • Kim, Hyun-Ji (Department of Nursing, Daejeon Institute of Science and Technology) ;
  • Min, Eun-Sil (Department of Nursing, Daejeon Institute of Science and Technology)
  • 김현지 (대전과학기술대학교 간호학과) ;
  • 민은실 (대전과학기술대학교 간호학과)
  • Received : 2020.05.25
  • Accepted : 2020.07.20
  • Published : 2020.07.28

Abstract

The purpose of this study was to identify the relation of health behaviors and the quality of life by life cycle of hypertensive patients. This study was conducted by analyzing secondary data with data from the 2017 Community Health Survey. The subjects were total of 62,056 who were diagnosed with hypertension and analyzed using the SPSS WIN 20.0 program. As a result of the study, As a result of the study, first, hypertension treatment and drug compliance were significantly lower in adulthood than in middle-aged and older adults. Second, it was confirmed that the quality of life score by life cycle was the highest in adulthood and decreased as age increased. Third, the quality of life according to health behaviors differed according to drinking, exercise, and low-salt diet throughout the life cycle. Considering the results presented in this study, it is suggested that health education by life cycle is essential for lifelong health management of hypertensive patients. In particular, it is considered that a convergence approach such as education and medical approaches will be needed to develop measures to increase drug compliance in adult hypertensive patients and to have healthy health behaviors to improve quality of life.

본 연구의 목적은 고혈압환자의 생애주기별 건강행태와 삶의 질과의 관계를 파악하는 것이다. 본 연구는 2017년 지역사회건강조사의 자료를 가지고 2차 자료를 분석하여 실시하였다. 연구대상은 고혈압을 진단받은 총 62,056명을 대상으로 삼았다. 자료분석은 SPSS WIN 20.0을 이용하여 분석하였다. 연구결과 첫째, 고혈압치료 및 약물순응도는 성인기에서 중장년기, 노년기보다 훨씬 낮게 나타났다. 둘째, 생애주기별 삶의 질 점수는 성인기가 가장 높았고 연령이 증가할수록 낮아지는 것으로 확인되었다. 셋째, 건강행태에 따른 삶의 질은 생애주기 전반에서 음주, 운동, 저염식이에 따라 차이를 보였다. 본 연구에서 제시된 결과를 고려하여 고혈압환자의 평생 건강관리를 위한 생애주기별 보건교육이 필수적임을 시사하며, 특히 성인기의 고혈압환자의 약물순응도를 높일 수 있는 방안을 개발하고, 삶의 질을 향상을 위한 건전한 건강행태를 가질 수 있도록 교육 및 의학적 접근 등 융복합적 접근이 필요할 것으로 판단된다.

Keywords

References

  1. Statistics Korea. (2018). World and Korea's Population Prospects(Online). http://meta.narastat.kr/
  2. Korea Hypertension Management Association. (2018). High blood pressure health common sense. (Online). http://www.koreanhypertension.org/reference/guide
  3. World Health Organization. (2009). Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization. https://apps.who.int/iris/handle/10665/44203
  4. The WHOQOL Group. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403-1409. https://doi.org/10.1016/0277-9536(95)00112-K
  5. Ha, S. S. (2015). The affecting factor between chronic disease and quality life. Master's thesis, Inje University, Gimhae.
  6. E. J. Park, M. R. Cha. (2016). Korean Women's Health Behaviors Indicators: Smoking, Drinking and Physical Activity. Health and welfare policy forum, 235, 25-33.
  7. D. Sun, J. Liu, L. Xiao, Y. Liu, Z. Wang, C. Li. (2017). Recent development of risk-prediction models for incident hypertension: An updated systematic review. Public Library of Science One. 12(10), e0187240. DOI : 10.1371/journal.pone.0187240
  8. E. H. Cho, C. Y. Lee, I. S. .Kim, T. W. Lee, G. S. Kim, H. K. Lee, J. S. Ko, K. G. Lee. (2013). Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey. J Korean Acad Community Health Nurs. 24(4), 419-426. DOI : 10.12799/jkachn.2013.24.4.419
  9. J. A. Kim, S. L. Kim, H. S. Jung. (2009). The effects of tailored life style improvement pfogram for the hypertensive workers provided by occupational health nurse. Korean Journal of Occupational Health Nursing, 18(2), 242-251.
  10. E. S. Lee.(2018). Effects of Abdominal Obesity and Risk Drinking on the Hypertension Risk in Korean Adults. J Korean Acad Community Health Nurs, 29(3), 349-358. DOI : 10.12799/jkachn.2018.29.3.349
  11. R. Wang, Y. Zhao, X. He, X. Ma, X. Yan, Y. Sun. (2009). Impact of hypertension on health-related quality of life in a population-based study in Shanghai, China. Public Health, 123(8), 534-539. DOI : 10.1016/j.puhe.2009.06.009
  12. Ha, S. S. (2015). The affecting factor between chronic disease and quality life. Unpublished master's thesis, Inje University, Gimhae.
  13. M. N. Choi, E. H. Lee. (2015). Relationships of Depression Symptom, Self-Esteem, and Stress to Health-Related Quality of Life in Patients with Hypertension Registered to a Community Health. Journal of Korean Public Health Nursing, 29(2), 165-176. DOI : 10.5932/JKPHN.2015.29.2.165
  14. K. E. Lee, E. H. Cho. (2016). Factors Influencing Health related Quality of Life in Patients with Hypertension : Based on the 5th Korean National Health and Nutrition Examination Survey. Journal of Digital Contents Society, 16(5), 399-409. DOI : 10.5392/JKCA.2016.16.05.399
  15. R. M. Seol. (2019). Difference of Associating Factors of Happiness Index among Korean Adults by Life Cycle Age Brackets. Master's Thesis. Inje University, Gimhae.
  16. E. D. Diener, M. Y. Chan. (2011). Happy people live longer: Subjective well-being contributes to health and longevity. J Applied Psychology: Health and Well-being, 3(1), 1-43. https://doi.org/10.1037/h0071699
  17. S. Y. Bang, S. S. Hyeon. (2018). Health Behaviors and Quality of Life in the Elderly with High Blood Pressure. Journal of Digital Contents Society, 19(11), 2159-2166. DOI : 10.9728/dcs.2018.19.11.2159
  18. C. Y. Kim, G. S. Lee, J. Im, Y. J. Choi, H. K. Lee, K. H. Lee. Y. I. Kim. (2000). Health Behaviors Related to Hypertension in Rural Population of Korea. Korean Journal of Preventive Medicine, 33(1), 56-68.
  19. D. M. Chang, S. H. Kang, D. H. Kim, Y. M. Kim, D. J. Suh. (2008). Related Factors of Awareness, Treatment, and Control of Hypertension in Korea. Korean association of health and medical sociology, 24, 43-66.
  20. J. D. Sung, J. H. Choi, Y. K. On, S. C. Lee, S. W. Park, H. C. Gwon, et al. (2005). Study of compliance to antihypertensive medication in korean hypertensive patients using medication event monitoring system medication event monitoring system, Korean Circulation Journal, 35(11), 821-826. https://doi.org/10.4070/kcj.2005.35.11.821
  21. E. H. Gil. (2020). Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension, Journal of the Korea Entertainment Industry Association, 14(2), 213-224. DOI : 10.21184/jkeia.2020.2.14.2.213
  22. S. G. Bae, H. J. Jeon, H. S. Yang, B. K. Kim, K. S. Park. (2015). Medication Adherence and its Predictors in Community Elderly Patients with Hypertension. Korean J Health Promo, 15(3), 121-128. DOI : 10.15384/kjhp.2015.15.3.121
  23. Y. M. Kim, S. H. Kang. (2015). Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean, Journal of Digital Convergence, 13(11), 241-254. DOI : 10.14400/JDC.2015.13.11.241
  24. S. I. Kim. (2020). Factors Related to Hypertension Patients' Quality of Life -The 7th Korean National Health and Nutrition Examination (1st Year, 2016). Master's thesis. Dongshin University, Naju.
  25. S. J. Chang, S. J. Jang, S. H. Lee, H. O. Lee (2017). Factors Influencing Quality of Life and Its Measurements in Patients with Hypertension: A Systematic Review. The Journal of Muscle and Joint Health, 24(1), 24-36.
  26. K. O. Cho, S. N. Nam. (2013). Relationship between Physical Activity and Health-related Life Quality according to Gender in Korean Elderly People. Journal ofthe Korean Gerontological Society, 33(4), 775-785.
  27. J. Y. Im. (2020). Relevant Factors and Levels of the Quality of Life Among in Aged 40 and Over with hypertension patient. Master's Thesis. Chungnam National University, Daejeon.
  28. J. S. Choi. (2007). The Effect of Early Detection of Hypertension and Diabetes on Smoking and Alcohol Drinking. Health and Social Welfare Review, 27(1). 103-030. https://doi.org/10.15709/hswr.2007.27.1.103
  29. Theodorou, M., Kaitelidou, D., Galanis, P., Middleton, N., Theodorou, P., Stafylas, P., et al. (2011). Quality of life measurement in patients with hypertension in Cyprus. Hellenic Journal of Cardiology, 52(5), 407-415.