Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients

Amany Mohammed Abd Allah; Marwa Mostafa Ahmed; Mohammed Adel Soliman Foda; Nagwa Eid Saad

doi:doi:10.11648/j.ejpm.20160404.12

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Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients

Amany Mohammed Abd Allah, Marwa Mostafa Ahmed, Mohammed Adel Soliman Foda, Nagwa Eid Saad

Published in European Journal of Preventive Medicine (Volume 4, Issue 4)

Received: 8 July 2016 Accepted: 16 July 2016 Published: 2 August 2016

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Abstract

Hypertension is a common chronic disease amenable to control by adopting relevant lifestyle modifications and/or appropriate medication. The aim of the study was to assess the effect of patient centered approach on self-reported health related quality of life (HRQoL) in patients with essential hypertension attending Internal Medicine outpatient clinic in Zagazig University hospital. This single blinded randomized controlled clinical trial was conducted in Zagazig university internal medicine outpatient clinic on 112 non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and SF-12v2 questionnaire for both groups. Then management of the intervention group according to the patient centered approach for nine months while patients within control group received classic disease centered approach. The patients within intervention group were given an individualized medical care and tailored patient education program about essential hypertension. The outcome of disease was assessed by measuring change in blood pressure control and health related quality of life within the two groups. It has been found that patients with essential hypertension within both groups reported deteriorated HRQoL yet there was no statistically significant difference between both groups regarding HRQoL at the start of the study. By the end of the study, there was a statistically significant difference between the two study groups regarding blood pressure control and self reported health related quality of life where patients within intervention group reported statistically significant improvement in both variables. In conclusion, the patient centered approach is better than the disease centered approach in management of patients with essential hypertension.

Published in	European Journal of Preventive Medicine (Volume 4, Issue 4)
DOI	10.11648/j.ejpm.20160404.12
Page(s)	100-105
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Essential Hypertension, HRQoL, Patient Centered, Disease Centered

References

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[7]	Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S (2001): Preferences of patients for patient centred approach to consultation in primary care: observational study. BMJ, 322: 468–472.
[8]	Stewart M, Belle Brown J, Weston WW, McWhinney IR, et al. (2003): Patient-Centered Medicine Transforming the Clinical Method. 2nd edition. Abingdon: Radcliffe Medical Press.
[9]	Ferrans CE. (2005): Definitions and conceptual models of quality of life. In: Lipscomb J, Gotay CC, Snyder C, editors. Outcomes assessment in cancer. Cambridge, England: Cambridge University. p. 14–30.
[10]	Bardage C, Isacson DG. (2001): Hypertension and health-related quality of life. an epidemiological study in Sweden. J Clin Epidemiol. (2): 172-81.
[11]	Larson CO., Schlundt D., Patel K., Beard K., Hargreaves M. (2008): Validity of the SF-12 for use in a low-income African American community-based research initiative. Prev Chronic Dis; 5 (2). http://www. cdc.gov/ pcd/issues/ 2008 /apr/07_0051.htm.
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[13]	Aghajani M, Ajorpaz NM, Atrian M K, Raofi Z, Abedi F, Vartoni SN, et al. (2013): Effect of self - care education on quality of life in patients with primary hypertension: comparing lecture and educational package. Nurs Midwifery Stud.; 2 (4): 71-6.
[14]	Ziv, O Vogel, D Keret et al. (2013): Comprehensive Approach to Lower Blood Pressure (CALM-BP): a randomized controlled trial of a multifactorial lifestyle intervention. Journal of Human Hypertension; 27: 594–600.
[15]	Hanus JS., Simões PW., Amboni G., et al. (2015): Association between quality of life and medication adherence in hypertensive individuals. Acta paul. Enferm: 28 (4) http://dx.doi.org/10.1590/1982-0194201500064
[16]	Mena-Martin FJ, Martin-Escudero JC, Simal-Blanco F et al. (2003): Health-related quality of life of subjects with known and unknown hypertension: results from the population-based Hortega study. J Hypertension; 21: 1283-89
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APA Style

Amany Mohammed Abd Allah, Marwa Mostafa Ahmed, Mohammed Adel Soliman Foda, Nagwa Eid Saad. (2016). Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. European Journal of Preventive Medicine, 4(4), 100-105. https://doi.org/10.11648/j.ejpm.20160404.12

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ACS Style

Amany Mohammed Abd Allah; Marwa Mostafa Ahmed; Mohammed Adel Soliman Foda; Nagwa Eid Saad. Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. Eur. J. Prev. Med. 2016, 4(4), 100-105. doi: 10.11648/j.ejpm.20160404.12

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AMA Style

Amany Mohammed Abd Allah, Marwa Mostafa Ahmed, Mohammed Adel Soliman Foda, Nagwa Eid Saad. Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. Eur J Prev Med. 2016;4(4):100-105. doi: 10.11648/j.ejpm.20160404.12

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@article{10.11648/j.ejpm.20160404.12,
  author = {Amany Mohammed Abd Allah and Marwa Mostafa Ahmed and Mohammed Adel Soliman Foda and Nagwa Eid Saad},
  title = {Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients},
  journal = {European Journal of Preventive Medicine},
  volume = {4},
  number = {4},
  pages = {100-105},
  doi = {10.11648/j.ejpm.20160404.12},
  url = {https://doi.org/10.11648/j.ejpm.20160404.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20160404.12},
  abstract = {Hypertension is a common chronic disease amenable to control by adopting relevant lifestyle modifications and/or appropriate medication. The aim of the study was to assess the effect of patient centered approach on self-reported health related quality of life (HRQoL) in patients with essential hypertension attending Internal Medicine outpatient clinic in Zagazig University hospital. This single blinded randomized controlled clinical trial was conducted in Zagazig university internal medicine outpatient clinic on 112 non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and SF-12v2 questionnaire for both groups. Then management of the intervention group according to the patient centered approach for nine months while patients within control group received classic disease centered approach. The patients within intervention group were given an individualized medical care and tailored patient education program about essential hypertension. The outcome of disease was assessed by measuring change in blood pressure control and health related quality of life within the two groups. It has been found that patients with essential hypertension within both groups reported deteriorated HRQoL yet there was no statistically significant difference between both groups regarding HRQoL at the start of the study. By the end of the study, there was a statistically significant difference between the two study groups regarding blood pressure control and self reported health related quality of life where patients within intervention group reported statistically significant improvement in both variables. In conclusion, the patient centered approach is better than the disease centered approach in management of patients with essential hypertension.},
 year = {2016}
}

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TY  - JOUR
T1  - Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients
AU  - Amany Mohammed Abd Allah
AU  - Marwa Mostafa Ahmed
AU  - Mohammed Adel Soliman Foda
AU  - Nagwa Eid Saad
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PY  - 2016
N1  - https://doi.org/10.11648/j.ejpm.20160404.12
DO  - 10.11648/j.ejpm.20160404.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 100
EP  - 105
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20160404.12
AB  - Hypertension is a common chronic disease amenable to control by adopting relevant lifestyle modifications and/or appropriate medication. The aim of the study was to assess the effect of patient centered approach on self-reported health related quality of life (HRQoL) in patients with essential hypertension attending Internal Medicine outpatient clinic in Zagazig University hospital. This single blinded randomized controlled clinical trial was conducted in Zagazig university internal medicine outpatient clinic on 112 non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and SF-12v2 questionnaire for both groups. Then management of the intervention group according to the patient centered approach for nine months while patients within control group received classic disease centered approach. The patients within intervention group were given an individualized medical care and tailored patient education program about essential hypertension. The outcome of disease was assessed by measuring change in blood pressure control and health related quality of life within the two groups. It has been found that patients with essential hypertension within both groups reported deteriorated HRQoL yet there was no statistically significant difference between both groups regarding HRQoL at the start of the study. By the end of the study, there was a statistically significant difference between the two study groups regarding blood pressure control and self reported health related quality of life where patients within intervention group reported statistically significant improvement in both variables. In conclusion, the patient centered approach is better than the disease centered approach in management of patients with essential hypertension.
VL  - 4
IS  - 4
ER  -

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Author Information

Amany Mohammed Abd Allah

Department of Family Medicine, Zagazig University, Zagazig, Egypt
Marwa Mostafa Ahmed

Department of Family Medicine, Cairo University, Cairo, Egypt
Mohammed Adel Soliman Foda

Department of Community Medicine and Public Health, Zagazig University, Cairo, Egypt
Nagwa Eid Saad

Department of Family Medicine, Cairo University, Cairo, Egypt

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APA Style

Amany Mohammed Abd Allah, Marwa Mostafa Ahmed, Mohammed Adel Soliman Foda, Nagwa Eid Saad. (2016). Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. European Journal of Preventive Medicine, 4(4), 100-105. https://doi.org/10.11648/j.ejpm.20160404.12

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ACS Style

Amany Mohammed Abd Allah; Marwa Mostafa Ahmed; Mohammed Adel Soliman Foda; Nagwa Eid Saad. Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. Eur. J. Prev. Med. 2016, 4(4), 100-105. doi: 10.11648/j.ejpm.20160404.12

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AMA Style

Amany Mohammed Abd Allah, Marwa Mostafa Ahmed, Mohammed Adel Soliman Foda, Nagwa Eid Saad. Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients. Eur J Prev Med. 2016;4(4):100-105. doi: 10.11648/j.ejpm.20160404.12

Copy | Download

@article{10.11648/j.ejpm.20160404.12,
  author = {Amany Mohammed Abd Allah and Marwa Mostafa Ahmed and Mohammed Adel Soliman Foda and Nagwa Eid Saad},
  title = {Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients},
  journal = {European Journal of Preventive Medicine},
  volume = {4},
  number = {4},
  pages = {100-105},
  doi = {10.11648/j.ejpm.20160404.12},
  url = {https://doi.org/10.11648/j.ejpm.20160404.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20160404.12},
  abstract = {Hypertension is a common chronic disease amenable to control by adopting relevant lifestyle modifications and/or appropriate medication. The aim of the study was to assess the effect of patient centered approach on self-reported health related quality of life (HRQoL) in patients with essential hypertension attending Internal Medicine outpatient clinic in Zagazig University hospital. This single blinded randomized controlled clinical trial was conducted in Zagazig university internal medicine outpatient clinic on 112 non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and SF-12v2 questionnaire for both groups. Then management of the intervention group according to the patient centered approach for nine months while patients within control group received classic disease centered approach. The patients within intervention group were given an individualized medical care and tailored patient education program about essential hypertension. The outcome of disease was assessed by measuring change in blood pressure control and health related quality of life within the two groups. It has been found that patients with essential hypertension within both groups reported deteriorated HRQoL yet there was no statistically significant difference between both groups regarding HRQoL at the start of the study. By the end of the study, there was a statistically significant difference between the two study groups regarding blood pressure control and self reported health related quality of life where patients within intervention group reported statistically significant improvement in both variables. In conclusion, the patient centered approach is better than the disease centered approach in management of patients with essential hypertension.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Patient Centered Approach and Health Related Quality of Life in Essential Hypertensive Patients
AU  - Amany Mohammed Abd Allah
AU  - Marwa Mostafa Ahmed
AU  - Mohammed Adel Soliman Foda
AU  - Nagwa Eid Saad
Y1  - 2016/08/02
PY  - 2016
N1  - https://doi.org/10.11648/j.ejpm.20160404.12
DO  - 10.11648/j.ejpm.20160404.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 100
EP  - 105
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20160404.12
AB  - Hypertension is a common chronic disease amenable to control by adopting relevant lifestyle modifications and/or appropriate medication. The aim of the study was to assess the effect of patient centered approach on self-reported health related quality of life (HRQoL) in patients with essential hypertension attending Internal Medicine outpatient clinic in Zagazig University hospital. This single blinded randomized controlled clinical trial was conducted in Zagazig university internal medicine outpatient clinic on 112 non complicated apparently healthy essential hypertensive patients without comorbidities from 45 to 65 years old randomly allocated into two groups (intervention and control 1:1). Data for this study was collected by social, biological and SF-12v2 questionnaire for both groups. Then management of the intervention group according to the patient centered approach for nine months while patients within control group received classic disease centered approach. The patients within intervention group were given an individualized medical care and tailored patient education program about essential hypertension. The outcome of disease was assessed by measuring change in blood pressure control and health related quality of life within the two groups. It has been found that patients with essential hypertension within both groups reported deteriorated HRQoL yet there was no statistically significant difference between both groups regarding HRQoL at the start of the study. By the end of the study, there was a statistically significant difference between the two study groups regarding blood pressure control and self reported health related quality of life where patients within intervention group reported statistically significant improvement in both variables. In conclusion, the patient centered approach is better than the disease centered approach in management of patients with essential hypertension.
VL  - 4
IS  - 4
ER  -

Copy | Download