Influencing Factors on Health-Related Quality of Life in Middle-Aged Adults With Hypertension: Focused on the Korea Health and Nutrition Examination Survey

摘要

This article aims to examine the influencing factors on health-related quality of life (HRQOL) in middle-aged adults with hypertension. HRQOL was assessed using EQ-5D from 263 middle-aged adults (40-60 years) with hypertension who participated in the 6th Korean National Health and Nutrition Examination Survey (2014). There were statistically significant differences in health-related quality of life according to income, education, subjective health status, experience of discomfort, activity limitation, stress, and aerobic physical activity. Factors influencing on health-related quality of life in middle-aged adults with hypertension were subjective health status, experience of discomfort, activity limitation, depression, and stress, which explained about 50% of total variance. These factors should be included in the nursing intervention, and psychological aspects such as depression should be emphasized. Hypertension is a disease that causes systematic complications such as coronary artery disease, stroke, and kidney failure and threats human life and health. About 32% of the American adults suffer from hypertension, and about half of them are receiving treatment for hypertension (Merai et al., 2016). Hypertension is influenced by age, family history, obesity, inaction, smoking, intake of salt, and stress (Merai et al., 2016). In particular, age is a major risk factor and there is a close relationship between aging and the occurrence of systolic hypertension (McEniery, Wilkinson, & Avolio, 2007). Similarly, in Korea, hypertension incidence has been reported to increase with age (Korean Statistical Information Service, 2016).