| Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 107 === Background :The prevalence of hypertensive patients is increasing. Blood pressure is not controlled. The consequence of poor control of blood pressure impair the quality of life of the patients. One of reason may be lack of self-management behaviors.
Aim: This study aimed to identify the level of self-management and quality of life in hypertensive patients and the factors that influence self management and quality of life and to identify the relationship between self management and quality of life.
Methods: A cross-sectional and correlational research design was conducted among 230 participants who had been diagnosed with hypertension for at least one month and treated with antihypertensive medication. A survey was carried out from January to March 2019 at an Out-patient department in two different hospitals in Vietnam one in a rural area and one in an urban area. A hypertension self-management behavior questionnaire and the Short Form (36) questionnaire was used to measure self-management and quality of life in hypertensive patients by face to face interviews. The collected data was analyzed using the Statistical Package of Social Sciences (SPSS) 16.0 version.
Results: The mean score of self-management of participants was 2.7 ± 0.45. In regards to the five dimensions, the highest mean score was adherence to the recommended regimen (3.18±0.73), the lowest mean score was self-regulation (2.34±0.56). The participants with a high school and above education, live alone, live in an urban area and a longer time since diagnosis, don’t smoking and don’t use alcohol had significantly higher selfmanagement scores. The participants who were unemployed and depend on their children for support had lower self-management scores.
The mean score of quality of life was 44.12 ±18.45. In regards to the eight dimensions, the highest mean score was social functioning (58.64 ±18.82), the lowest mean score was role limitations due to physical health (26.10±39.29). The participants that were younger, married, highly educated, live with family, earning more and had a longer time since diagnosis had significantly higher quality of life scores. The participants with additional diseases and disorders had lower quality of life scores. Selfmanagement had a significanltly positive relationship with QOL.
Conclusion: Most of the participants had moderate self-management and quality of life. Education, living alone, living in an urban area, longer time since diagnosis and occupation can affect self-management. Age, marital status, education, living with family, higher income and time since diagnosis can affect the quality of life in hypertensive patients. Selfmanagement had a significantly positive relationship with quality of life. All patients should be evaluated for obstacles to adherence to the recommended regimen and selfmanagement and referred for further counseling as needed. Nurses should focus on patients with low education, live in rural areas or are newly diagnosed. The patient and their family should all be involved in education about self-management.
Keywords: Self-management, quality of life, hypertensive patients.
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