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Do Integrated Health Care Interventions Improve Well-Being Among Older Adults with Hypertension? Evidence from Rural China

Author

Listed:
  • Jing Xu

    (Nanjing Medical University
    Nanjing Medical University)

  • Fan Yang

    (Nanjing Medical University
    Nanjing Medical University)

  • Lei Si

    (UNSW Sydney)

  • Dongfu Qian

    (Nanjing Medical University
    Nanjing Medical University)

Abstract

As a prevalent chronic disease later in life, hypertension affects physical health in older adults. In this paper, we investigated whether an integrated health care intervention improved health-related quality of life (HRQoL) and well-being among older patients with hypertension in rural China. An intervention focused on older patients with hypertension (395 participants in the intervention group and 394 in the control group) was implemented. In the intervention townships, the health care professionals from all three levels of health care institution work as a team and receive skills training and regular meeting, etc. Patients in the intervention group received health education and periodical follow-up interviews, etc. Patients’ data including the blood presure, HRQoL and sociodemographic characteristics were collected at baseline (2016) and follow-up (2017). Symptom control and patient’s compliance with healthy lifestyle were self-reported by participants using questionnaires. After the intervention, a decrease was observed in the number of patients reporting problems, such as anxiety or depression. About 31.4% of patients in the intervention group perceived that they had greater control over their physical conditions during the study. Although patients’ health awareness and knowledge improved, their rate of compliance with a healthy lifestyle was low.

Suggested Citation

  • Jing Xu & Fan Yang & Lei Si & Dongfu Qian, 2022. "Do Integrated Health Care Interventions Improve Well-Being Among Older Adults with Hypertension? Evidence from Rural China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 825-843, April.
    • Handle: RePEc:spr:soinre:v:160:y:2022:i:2:d:10.1007_s11205-020-02482-w
    DOI: 10.1007/s11205-020-02482-w
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    References listed on IDEAS

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    1. Xiaofang Chen & Lezhi Li & Tao Zhou & Zhanzhan Li, 2014. "Prevalence of Hypertension in Rural Areas of China: A Meta-Analysis of Published Studies," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-16, December.
    2. Graeme Hawthorne & Helen Herrman & Barbara Murphy, 2006. "Interpreting the WHOQOL-Brèf: Preliminary Population Norms and Effect Sizes," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 77(1), pages 37-59, May.
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