Journal of Occupational
Health and Epidemiology
Rafsanjan university Of medical sciences
Volume 14, Issue 2 (Spring 2025)
J Occup Health Epidemiol 2025, 14(2): 93-98 |
Back to browse issues page
Ethics code: The protocol describing this study was reviewed and approved by the ethics committee of Ahmad Dahlan
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nilansari A F, Fayasari A, Bertorio M J, Tampubolon A R. Quality of Live among Indonesian Hypertensive Patients with and Without Comorbidity (2024). J Occup Health Epidemiol 2025; 14 (2) :93-98
URL: http://johe.rums.ac.ir/article-1-939-en.html
URL: http://johe.rums.ac.ir/article-1-939-en.html
Related article in
Google Scholar
Google Scholar
Similar articles
1- Assistant Prof., Dept. of Pharmacy, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia. , anis@upy.ac.id
2- Assistant Prof., Dept. of Nutrition, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
3- Assistant Prof., Dept. of Pharmacy, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
4- Undergraduate Student of Pharmacy, Dept. of Pharmacy, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
2- Assistant Prof., Dept. of Nutrition, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
3- Assistant Prof., Dept. of Pharmacy, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
4- Undergraduate Student of Pharmacy, Dept. of Pharmacy, Faculty of Science and Technology, PGRI Yogyakarta University, Yogyakarta, Indonesia.
Article history
Received: 2024/09/19
Accepted: 2025/03/26
ePublished: 2025/08/11
Accepted: 2025/03/26
ePublished: 2025/08/11
Subject:
Epidemiology
Abstract: (56 Views)
Background: Hypertension is a medical condition associated with chronic high blood pressure. Common comorbidities in hypertensive patients Added such as diabetes mellitus, coronary artery disease, stroke, dyslipidemia, and kidney failure. The presence of comorbidities often worsens the patient's overall health and can impact both the management of hypertension and quality of life. This study aimed to assess the quality of life of hypertensive patients, distinguishing between those with and without comorbidities.
Materials and Methods: The research employed an observational, cross-sectional design, with data collected through consecutive sampling from hypertensive patients undergoing outpatient treatment at Yogyakarta Regional General Hospital In August to October 2024. The European Quality of Life 5 Dimension (EQ5D5L) questionnaire and the Visual Analog Scale (VAS) were utilized for data collection. Data analysis was performed using the Normality Test and Mann-Whitney Test.
Results: The study included 400 patients, with results highlighting several problematic dimensions: pain/discomfort (78.25%), anxiety/depression (76.25%), walking/moving (34.75%), usual activities (25.25%), and self-care (18%). VAS measurements indicated that 65.8% of hypertensive patients without comorbidities fell within the "very good" quality of life range (81-100), while 50.4% of those with comorbidities were in the "good" range (51-80). The Mann-Whitney test revealed no significant difference in the EQ5D5L index between the two groups (p = 0.102), but the VAS scores showed a significant difference (p < 0.001).
Conclusions: Hypertensive patients without comorbidities and those with comorbidities showed no significant difference in quality of life-based on the EQ-5D-5L test; however, a significant difference was found based on the VAS score.
Materials and Methods: The research employed an observational, cross-sectional design, with data collected through consecutive sampling from hypertensive patients undergoing outpatient treatment at Yogyakarta Regional General Hospital In August to October 2024. The European Quality of Life 5 Dimension (EQ5D5L) questionnaire and the Visual Analog Scale (VAS) were utilized for data collection. Data analysis was performed using the Normality Test and Mann-Whitney Test.
Results: The study included 400 patients, with results highlighting several problematic dimensions: pain/discomfort (78.25%), anxiety/depression (76.25%), walking/moving (34.75%), usual activities (25.25%), and self-care (18%). VAS measurements indicated that 65.8% of hypertensive patients without comorbidities fell within the "very good" quality of life range (81-100), while 50.4% of those with comorbidities were in the "good" range (51-80). The Mann-Whitney test revealed no significant difference in the EQ5D5L index between the two groups (p = 0.102), but the VAS scores showed a significant difference (p < 0.001).
Conclusions: Hypertensive patients without comorbidities and those with comorbidities showed no significant difference in quality of life-based on the EQ-5D-5L test; however, a significant difference was found based on the VAS score.
References
1. Wirakhmi IN, Novitasari D. Empowerment of Hypertension Control Cadres. Altifani J Res Community Serv. 2021;1(3):240-8. [DOI]
2. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-37. [DOI] [PMID] [PMCID]
3. World Health Organization. Hypertension. Geneva, Switzerland: World Health Organization; 2023. [Report]
4. Schutte AE, Srinivasapura Venkateshmurthy N, Mohan S, Prabhakaran D. Hypertension in Low- and Middle-Income Countries. Circ Res. 2021;128(7):808-26. [DOI] [PMID] [PMCID]
5. Yogyakarta Special Region of Public Health Office. The 2018 Health Profile of Yogyakarta Special Region Profil Kesehatan D.I Yogyakarta. Yogyakarta, island of Java, Indonesian: Yogyakarta Special Region of Public Health Office; 2019.
6. Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018;34(5):575-84. [DOI] [PMID] [PMCID]
7. Irawan E, Mulyana H. Factors Related to the Quality of Life of Hypertension Patients Literature Review. Mitra Kencana J Nurs Midwifery. 2019;3(1):25-33. [URL]
8. van Reenen M, Janssen B. EQ-5D-5L User Guide: Basic information on how to use the EQ-5D-5L instrument. Rotterdam, Netherlands: EuroQol Research Foundation; 2015.
9. Yuswar MA, Purwanti NU, Zuraida W. Measuring the Quality of Life of Hypertension Patients at the Perumnas I Community Health Center in Pontianak City Who Use Antihypertensives Using the EQ5D Questionnaire and VAS. Health Libr EJ. 2019;7(2):65. [DOI]
10. Lolo WA, Citraningtyas G, Mpila DA, Wijaya H, Poddar S. Quality of Life of Hypertensive Patients Undergoing Chronic Disease Management Program during the COVID-19 Pandemic. Natl Public Health J. 2022;17(4):264-9. [DOI]
11. Refasi NL. Cost-Effectiveness Analysis of Falciparum Malaria Treatment at Nabire Regional Hospital. Pharmacy. 2018;7(2).
12. Sungkowo TU, Putri RG, Perwitasari DA. Quality of Life of Hypertension Patients at the Lighthouse Pharmacy, Kaliwiro, Wonosobo. Indones Permata J. 2019;10(2):6-14. [URL]
13. Ryczkowska K, Adach W, Janikowski K, Banach M, Bielecka-Dabrowa A. Menopause and women’s cardiovascular health: Is it really an obvious relationship?. Arch Med Sci. 2023;19(2):458-66. [DOI]
14. Hamida N, Ulfa M, Haris RNH, Endarti D, Wiedyaningsih C. Measuring the Quality of Life of Chronic Disease Management Program (Prolanis) Patients at Community Health Centers Using the EQ-5D-5L Instrument. Pharm J. 2019;15(2):67-74. [DOI]
15. Soraya N, Nurfikri MA, Rafi A, Kurniawan M. The Influence of Economic Inequality, Poverty Level, Education Level, and Open Unemployment Level on Crime in Indonesia 2013-2023. Nuansa J Islam Manag Econ Publ. 2024;2(2):270-84.
16. Maulidina F, Harmani N, Suraya I. Factors Associated with the Incidence of Hypertension in the Work Area of the Jati Luhur Bekasi Community Health Center in 2018. Arch Public Health. 2019;4(1):149-55. [DOI]
17. Pratiwi NP, Untari EK, Robiyanto R. The Relationship between Perception and Quality of Life of Elderly Hypertension Patients at Sultan Syarif Mohamad Alkadrie Regional Hospital, Pontianak. J Manag Pharm Pract. 2020;10(2):118-25. [DOI]
18. Putra ID, Wirawati IA, Mahartini NN. The relationship between blood sugar levels and hypertension in patients with type 2 diabetes mellitus at Sanglah General Hospital. Dig Med Sci. 2019;10(3):797-800.
19. Bierman AS, Wang J, O'Malley PG, Moss DK. Transforming care for people with multiple chronic conditions: Agency for Healthcare Research and Quality’s research agenda. Health Serv Res. 2021;56(Suppl 1):973-9. [DOI] [PMID] [PMCID]
20. Alfian R. The Relationship between the Level of Treatment Behavior and Blood Pressure of Hypertension Patients at the Internal Medicine Polyclinic of Dr. H. Moch Ansari Saleh Regional Hospital, Banjarmasin. Ibn Sina Sci J. 2016;1(2):182-91.
21. Alfian R, Susanto Y, Khadizah S. Quality of life of hypertensive patients with comorbidities in the cardiac clinic of Ratu Zalecha Regional Hospital, Martapura. J Pharm. 2017;4(2):210-8.
22. Apriliani S. Quality of Life of Hypertensive Patients with Complications at the Kembaran Community Health Center, Banyumas Regency. Scholast Nurs J. 2023;9(1):96-104.
23. Purba FD, Hunfeld JAM, Iskandarsyah A, Fitriana TS, Sadarjoen SS, Ramos-Goñi JM, et al. The Indonesian EQ-5D-5L Value Set. Pharmacoeconomics. 2017;35(11):1153-65. [DOI] [PMID] [PMCID]
24. Al Salmi I, Kamble P, Lazarus ER, D'Souza MS, Al Maimani Y, Hannawi S. Kidney Disease-Specific Quality of Life among Patients on Hemodialysis. Int J Nephrol. 2021;2021:8876559. [DOI] [PMID] [PMCID]
25. Dwi Nurbadriyah W, Nursalam N, Yuni Widyawati I, Wahyu Kurniawan A. Factors associated with quality of life among patients undergoing hemodialysis in Indonesia. J Ners. 2023;18(3):252-6. [DOI]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
