Factors associated with quality of life among Hypertensive patients at an urban community health center in Sisaket Hospital, Sisaket Province

Abstract

This cross-sectional descriptive study aimed to examine factors associated with the quality of life among hypertensive patients at an urban community health center in Sisaket Hospital, Sisaket Province. Data collection was conducted between December 2024 and January 2025. A systematic random sampling method was used to select 240 samples. Content validity was assessed, with all items achieving a content validity index (CVI) of at least 0.67. The total reliability score was 0.87. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used for analysis, along with inferential statistical methods such as the Chi-square test, Fisher’s exact test, Student’s t test, and multivariate logistic regression analysis. The statistical significance level was set at p<0.05. The results indicated that the samples had a good quality of life (Male=70.7% and Female=67.6%, respectively). Additionally, individuals with a bachelor's degree or higher and those who are self-employed demonstrated a good quality of life (74.4% and 80.0%, respectively). Multivariate logistic regression analysis revealed significant factors influencing quality of life, including exercising fewer than three days per week (adjusted odds ratio [OR]=2.49, 95% confidence interval [CI]: 1.36-4.55), low decision-making skills (OR=0.043, 95% CI: 0.003-0.611), and low overall health literacy regarding the "3E, 2S, 1D" behavioral framework (Eating habits, Emotional management, Exercise, Stop smoking, Stop drinking alcohol consumption and Dental examination) (OR=15.37, 95% CI: 1.41-167.87). Based on these findings, it is recommended that interventions be developed to promote physical activity among hypertensive patients, enhance health literacy related to the "3E, 2S, 1D" behavioral framework, and implement psychological support programs led by experts to provide guidance on effective decision-making skills. These strategies could contribute to improving the overall quality of life of hypertensive patients.