Journal of The Islamic University of Gaza (Natural Sciences Series) Vol.13, No.2, P91-107 ,2005 ISSN 1726-6807, http://www.iugaza.edu/ara/research/ PREDICTORS OF QUALITY OF LIFE AMONG HYPERTENSIVE PATIENTS WITH AND WITHOUT STROKE Bernhard T. Baune (1) , Yousef I. Aljeesh (*2) , Ina Adrian (1) (1) Mental Health Epidemiology, Department of Psychiatry, University of Muenster, Germany (2) Islamic University, Gaza, Palestinian Authority ﺍﻟﺩﻤﺎﻏﻴﺔ ﻭﺍﻟﺠﻠﻁﺔ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻤﺭﻀﻰ ﻟﺩﻯ ﺍﻟﺤﻴﺎﺓ ﺒﺠﻭﺩﺓ ﺍﻟﺘﻨﺒﺅ ﻤﻠﺨـﺹ: ﻭﻤﺭﻀﻰ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻤﺭﻀﻰ ﺒﻴﻥ ﺍﻟﺤﻴﺎﺓ ﺠﻭﺩﺓ ﻋﻠﻰ ﺍﻟﺘﻌﺭﻑ ﺇﻟﻰ ﺍﻟﺩﺭﺍﺴﺔ ﻫـﺫﻩ ﻫﺩﻓـﺕ ﺍﻟﻌﻴﻨﺔ ﻭﺸﻤﻠﺕ ﺍﻟﺩﻤﺎﻏﻴﺔ، ﺍﻟﺠﻠﻁﺔ) 112 ( ﺇﻟﻰ ﺒﺎﻹﻀﺎﻓﺔ ﺍﻟﺩﻤﺎﻏﻴﺔ ﻭﺍﻟﺠﻠﻁﺔ ﺍﻟﺩﻡ ﻀﻐﻁ ﺒﺎﺭﺘﻔﺎﻉ ﹰ ﻤﺼﺎﺒﺎ ﹰ ﻤﺭﻴﻀﺎ ) 224 ( ﻟﺩﻴ ﹰ ﻤﺭﻴﻀﺎ ﺍﺴﺘﺨﺩﻡ ﺍﻟﺩﺭﺍﺴﺔ ﺃﻫﺩﺍﻑ ﻭﻟﺘﺤﻘﻴﻕ ﻀﺎﺒﻁﺔ، ﻜﻤﺠﻤﻭﻋﺔ ﺍﻋﺘﺒﺭﺕ ﺤﻴﺙ ﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻬﻡ ﺍﻟﺤﻴﺎﺓ ﺠﻭﺩﺓ ﻟﻘﻴﺎﺱ ﺃﺤﺩﻫﻤـﺎ ﻤﻘﻴﺎﺴـﻴﻴﻥ ﺍﻟﺒﺎﺤـﺜﻭﻥ) WHO-QOL ( ﺒﺎﻟﻨﻅﺎﻡ ﺍﻻﻟﺘﺯﺍﻡ ﻤﺩﻯ ﻟﻘﻴﺎﺱ ﻭﺍﻵﺨﺭ ﻤﻘﺎﺭﻨﻴ ﺤﺎﻻﺕ ﺍﺴﺘﺨﺩﺍﻡ ﺨﻼل ﻤﻥ ﻭﺫﻟﻙ ﺍﻟﺩﻭﺍﺌﻲ ﻭﻏﻴﺭ ﺍﻟﺩﻭﺍﺌـﻲ ﺔ ﺇﺤﺼﺎﺌﻴﺔ ﺃﺴﺎﻟﻴﺏ ﻋﺩﺓ ﺍﻟﺒﺎﺤﺜﻭﻥ ﻭﺍﺴﺘﺨﺩﻡ ﻤـﻨﻬﺎ ﺍﻟﺩﺭﺍﺴﺔ ﻭﺘﻭﺼﻠﺕ ﺍﻟﻨﺴﺒﻲ، ﺍﻹﻨﺤﺩﺍﺭ ﻭﻨﻤﺎﺫﺝ ﺍﻷﺤﺎﺩﻱ، ﺍﻟﺘﺒﺎﻴﻥ ﺍﺨﺘﺒﺎﺭ ﺍﻟﻨﺴﺏ، ﺍﻟﺤﺴﺎﺒﻴﺔ، ﺍﻟﻤﺘﻭﺴﻁﺎﺕ ﻤﻊ ﹰ ﻤﻘﺎﺭﻨﺔ ﺩﻤﺎﻏﻴﺔ ﺠﻠﻁﺔ ﻟﺩﻴﻬﻡ ﻤﻤﻥ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻤﺭﻀﻰ ﻟﺩﻯ ﺃﻀﻌﻑ ﻜﺎﻨﺕ ﺍﻟﺤﻴﺎﺓ ﺠـﻭﺩﺓ ﺃﻥ ﺇﻟـﻰ ﺠﻭﺩﺓ ﻋﻥ ﻟﻠﺘﻨﺒﺅ ﻗﻭﻴﺔ ﺍﻟﺘﺎﻟﻴﺔ ﺍﻟﻌﻭﺍﻤل ﻭﻜﺎﻨﺕ ﺩﻤﺎﻏﻴﺔ ﺠﻠﻁﺔ ﺒﺩﻭﻥ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔـﺎﻉ ﻤﺭﻀـﻰ ﺒﻴﻥ ﺍﻟﺤﻴﺎﺓ ﺍﻟﺘﺎﻟﻲ ﺍﻟﺘﺭﺘﻴﺏ ﺤﺴﺏ ﺍﻟﻌﻴﻨﺔ ﺃﻓﺭﺍﺩ: ﻨﻤﻭﺫﺝ ﺒﻴﻥ ﻭﻗﺩ ﺍﻟﻨﻔﺴﻲ، ﺍﻟﻀﻐﻁ ﻤﺴﺘﻭﻯ ﹰ ﻭﺃﺨﻴﺭﺍ ﺍﻟﺭﻴﺎﻀﻴﺔ، ﺍﻟﺘﻤﺎﺭﻴﻥ ﺍﻟﻁﻌﺎﻡ، ﺍﻟﺼﺤﻴﺔ، ﺍﻟﻤﺘﺎﺒﻌﺔ ﺍﻟﺠـﻨﺱ، ﻟﻪ ﺍﻟﺩﻡ ﻀﻐﻁ ﻓﻲ ﺍﺭﺘﻔﺎﻉ ﻟﺩﻴﻬﻡ ﺍﻟﻠﺫﻴﻥ ﺍﻟﺭﺠﺎل ﺒﻴﻥ ﺍﻟﻤﻨﺨﻔﺽ ﺍﻟﻨﻔﺴﻲ ﺍﻟﻀﻐﻁ ﻤﺴﺘﻭﻯ ﺃﻥ ﺍﻟﻨﺴﺒﻲ ﺍﻻﻨﺤـﺩﺍﺭ ﻤ ﺒﺠﻤﻴﻊ ﻟﻠﺘﻨﺒﺅ ﺍﻟﻘﻭﻱ ﺍﻷﺜـﺭ ﻭﻏﻴﺭ ﺍﻟﺩﻭﺍﺌﻲ ﺒﺎﻟﻨﻅﺎﻡ ﺍﻻﻟﺘﺯﺍﻡ ﺃﻥ ﺇﻟﻰ ﺍﻟﺩﺭﺍﺴﺔ ﻭﺨﻠﺼﺕ ﺍﻟﺤﻴﺎﺓ، ﺠﻭﺩﺓ ﺠﺎﻻﺕ ﺃﻭ ﺍﻟﺩﻤﺎﻏﻴﺔ ﻭﺍﻟﺠﻠﻁﺔ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻤﺭﻀﻰ ﻤﻥ ﻜل ﻟﺩﻯ ﺃﻓﻀل ﺤﻴﺎﺓ ﺒﺠﻭﺩﺓ ﺒﻘـﻭﺓ ﻤﺭﺘـﺒﻁ ﺍﻟﺩﻭﺍﺌـﻲ ﻓﻘﻁ ﺍﻟﺩﻡ ﻀﻐﻁ ﺍﺭﺘﻔﺎﻉ ﻤﺭﻀﻰ. Abstract: Compliance with the pharmacological and non-pharmacological therapeutic regimen is essential to prevent occurrence and worsening hypertension and stroke. This study aimed at the identification of predictors of Quality of Life (QOL) among hypertensive patients without stroke and hypertensive patients with stroke. Self-reported QOL was obtained from 112 patients with hypertension and stroke and 224 patients with hypertension only with the WHO-QOL-BREF questionnaire and compliance with the pharmacological and non-pharmacological therapeutic regimen was assessed with a standardized questionnaire. Means of QOL were compared with ANOVA procedures and predictors were estimated using multiple linear regression models. The results of this study showed that self- reported QOL is poorer in patients with stroke than in hypertensive patients. Male gender appears to be a strong predictor of quality of life in patients either with hypertension or stroke. Follow up health care programmes are essential for good quality of life among both patient groups. Diet, physical exercise, low level of stress are important factors for enhanced QOL. Current smoking seems to enhance brought to you by CORE View metadata, citation and similar papers at core.ac.uk provided by Institutional Repository of the Islamic University of Gaza