The role of sociodemographic and clinical factors in the subjective quality of life assessment among adolescents with hypertension

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Anna Paczkowska, Karolina Hoffmann, Wiesław Bryl, Dorota Kopciuch, Tomasz Zaprutko, Krzysztof Kus, Piotr Ratajczak, Elżbieta Nowakowska

3 (56) 2018 s. 313–321
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DOI: https://doi.org/10.20883/ppnoz.2018.46

Fraza do cytowania: Paczkowska A., Hoffmann K., Bryl W., Kopciuch D., Zaprutko T., Kus K., Ratajczak P., Nowakowska E. The role of sociodemographic and clinical factors in the subjective quality of life assessment among adolescents with hypertension. Polski Przegląd Nauk o Zdrowiu. 2018;3(56):313–321. DOI: https://doi.org/10.20883/ppnoz.2018.46

Aim. The studies were aimed at evaluation of hypertension’s impact on adolescents’ quality of life and identification of sociodemographic and clinical factors significantly affecting the evaluation. Methods. The cross-sectional prospective study included 1930 patients with hypertension, of which the target study group has been created on the basis of strictly defined inclusion and exclusion criteria, including 62 patients (42 men, 20 women ) aged 16-18. The control group consisted of 62 healthy individuals. The study was conducted using a standardized general quality of life assessment questionnaire – KIDSCREEN-27 – and the specific symptomatic questionnaire – Health Status Index section A in the Polish language. Results. Quality of life in patients with primary hypertension was significantly lower in terms of the physical well-being and psychological well-being domains of the KIDSCREEN-27 questionnaire as compared to the control group (median: 75 vs. 78 p <0.05). Among hypertensive patients, quality of life in males was significantly lower than in females. In addition, a negative correlation was shown between the level of overall quality of life and systolic and diastolic blood pressure, body mass index and the number of adverse events occurring in adolescents in the course of hypertension. Conclusions. Hypertension significantly impairs the quality of life among adolescents in the physical well-being and psychological well-being domains. Evaluation of quality of life in hypertensive patients depends on both sociodemographic and clinical factors; therefore, a multidisciplinary approach to the issues associated with hypertensive treatment in adolescents is necessary.

Key words: quality of life, adolescents, hypertension, clinical factors, sociodemographic factors.



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