Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities

Background. Effective functional family was beneficial for older adults’ health, which may affect the quality of life (QoL) in hypertension patients. This study aimed to clarify the association between family function, anxiety, and QoL for older adults with hypertension in low-income communities. Me...

Full description

Bibliographic Details
Main Authors: Meng Zhang, Wenyan Zhang, Yu Liu, Meiliyang Wu, Jin Zhou, Zhongmin Mao
Format: Article
Language:English
Published: Hindawi Limited 2021-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2021/5547190
id doaj-ee5c970396794758b5ee389e6dc5cf69
record_format Article
spelling doaj-ee5c970396794758b5ee389e6dc5cf692021-10-11T00:38:46ZengHindawi LimitedInternational Journal of Hypertension2090-03922021-01-01202110.1155/2021/5547190Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income CommunitiesMeng Zhang0Wenyan Zhang1Yu Liu2Meiliyang Wu3Jin Zhou4Zhongmin Mao5Nursing DepartmentNursing DepartmentNursing DepartmentNursing DepartmentHanshui Bridge Street Community Health CenterGutian Street Community Health CenterBackground. Effective functional family was beneficial for older adults’ health, which may affect the quality of life (QoL) in hypertension patients. This study aimed to clarify the association between family function, anxiety, and QoL for older adults with hypertension in low-income communities. Methods. A questionnaire survey was conducted on 363 older adults with hypertension in low-income communities in Wuhan from September 2019 to November 2019. The relationships among the variables were examined by Pearson’s correlation analysis. Predictor effects were tested using hierarchical multiple regressions, controlling for demographic characteristics. The structural equation model (SEM) was used to test the mediation effects of anxiety on the pathway from family function to QoL. Results. Family function was negatively correlated with the self-rating anxiety scale (SAS) score and positively correlated with the mental component score (MCS), but had no influence on the physical component score (PCS). Both PCS and MCS were negatively correlated with SAS. Anxiety was the negative predictor of MCS and PCS. Family function was the positive predictor of MCS, but had no influence on PCS. The path model indicated that anxiety significantly mediated the link between family function and QoL (R2 = 32.8%), but only partially. Conclusion. A significant correlation between anxiety, family function, and QoL was found. Anxiety had a partial mediating effect on the relationship between family function and QoL. Further research should focus on increasing the level of family function and reducing the perceived anxiety of older adults with hypertension to improve their QoL level.http://dx.doi.org/10.1155/2021/5547190
collection DOAJ
language English
format Article
sources DOAJ
author Meng Zhang
Wenyan Zhang
Yu Liu
Meiliyang Wu
Jin Zhou
Zhongmin Mao
spellingShingle Meng Zhang
Wenyan Zhang
Yu Liu
Meiliyang Wu
Jin Zhou
Zhongmin Mao
Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
International Journal of Hypertension
author_facet Meng Zhang
Wenyan Zhang
Yu Liu
Meiliyang Wu
Jin Zhou
Zhongmin Mao
author_sort Meng Zhang
title Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
title_short Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
title_full Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
title_fullStr Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
title_full_unstemmed Relationship between Family Function, Anxiety, and Quality of Life for Older Adults with Hypertension in Low-Income Communities
title_sort relationship between family function, anxiety, and quality of life for older adults with hypertension in low-income communities
publisher Hindawi Limited
series International Journal of Hypertension
issn 2090-0392
publishDate 2021-01-01
description Background. Effective functional family was beneficial for older adults’ health, which may affect the quality of life (QoL) in hypertension patients. This study aimed to clarify the association between family function, anxiety, and QoL for older adults with hypertension in low-income communities. Methods. A questionnaire survey was conducted on 363 older adults with hypertension in low-income communities in Wuhan from September 2019 to November 2019. The relationships among the variables were examined by Pearson’s correlation analysis. Predictor effects were tested using hierarchical multiple regressions, controlling for demographic characteristics. The structural equation model (SEM) was used to test the mediation effects of anxiety on the pathway from family function to QoL. Results. Family function was negatively correlated with the self-rating anxiety scale (SAS) score and positively correlated with the mental component score (MCS), but had no influence on the physical component score (PCS). Both PCS and MCS were negatively correlated with SAS. Anxiety was the negative predictor of MCS and PCS. Family function was the positive predictor of MCS, but had no influence on PCS. The path model indicated that anxiety significantly mediated the link between family function and QoL (R2 = 32.8%), but only partially. Conclusion. A significant correlation between anxiety, family function, and QoL was found. Anxiety had a partial mediating effect on the relationship between family function and QoL. Further research should focus on increasing the level of family function and reducing the perceived anxiety of older adults with hypertension to improve their QoL level.
url http://dx.doi.org/10.1155/2021/5547190
work_keys_str_mv AT mengzhang relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
AT wenyanzhang relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
AT yuliu relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
AT meiliyangwu relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
AT jinzhou relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
AT zhongminmao relationshipbetweenfamilyfunctionanxietyandqualityoflifeforolderadultswithhypertensioninlowincomecommunities
_version_ 1716829236540473344