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Quality of Life Research
Erschienen in: Quality of Life Research 9/2019

02.05.2019

Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China

verfasst von: Chen Qiu, Di Shao, Ying Yao, Yue Zhao, Xiaoying Zang

Erschienen in: Quality of Life Research | Ausgabe 9/2019

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Abstract

Purpose

To examine whether and how self-management and psychological resilience could moderate the relationships between symptoms and health-related quality of life (HRQoL) among hypertensive patients in China.

Methods

This was a cross-sectional study of 220 participants recruited from January to May, 2018. Demographic and clinical information were obtained from medical records and by patient interview. The Chinese version of 17-item Hypertension-specific Symptom Scale, 21-item Self-Management Scale, and 10-item Connor-Davidson Resilience Scale (CD-RISC-10) as well as Short Form 12 Health Survey (SF-12) were used to collect information in this research. The moderation effects of self-management and psychological resilience were explored using the PROCESS macro for SPSS.

Results

Among all patients, 128 (58.2%) were female, 106 (48.2%) had a bachelor degree or higher, and 133 (60.5%) had moderate to severe Charlson Comorbidity Index. Both self-management and psychological resilience were negatively correlated to symptoms (r = − 0.259, p < 0.001; r = − 0.282, p < 0.001) but positively correlated to physical (r = 0.316, p < 0.001; r = 0.344, p < 0.001) and mental (r = 0.273, p < 0.001; r = 0.309, p < 0.001) HRQoL. After controlling for potential covariates, self-management could moderate the associations between symptoms and physical HRQoL (p = 0.041, ΔR2 = 0.010), while psychological resilience could moderate the relationships between symptoms and mental HRQoL (p = 0.02, ΔR2 = 0.010).

Conclusions

For hypertension patients, HRQoL is dependent on the severity of symptoms, engagement of self-management behaviors, and psychological resilience, which should be carefully considered when to improve patients’ HRQoL by health care providers.
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Metadaten
Titel
Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China
verfasst von
Chen Qiu
Di Shao
Ying Yao
Yue Zhao
Xiaoying Zang
Publikationsdatum
02.05.2019
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 9/2019
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02191-z

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