Quality of Live among Indonesian Hypertensive Patients with and Without Comorbidity (2024)

Background: Hypertension is a medical condition associated with chronic high blood pressure.Common comorbidities in hypertensive patients Added such as diabetes mellitus, coronary artery disease, stroke, dyslipidemia, and kidney failure.The presence of comorbidities often worsens the patient's overall health and can impact both the management of hypertension and quality of life.This study aimed to assess the quality of life of hypertensive patients, distinguishing between those with and without comorbidities. Materials and Methods:The research employed an observational, cross-sectional design, with data collected through consecutive sampling from hypertensive patients undergoing outpatient treatment at Yogyakarta Regional General Hospital In August to October 2024.The European Quality of Life 5 Dimension (EQ5D5L) questionnaire and the Visual Analog Scale (VAS) were utilized for data collection.Data analysis was performed using the Normality Test and Mann-Whitney Test. Results:The study included 400 patients, with results highlighting several problematic dimensions: pain/discomfort (78.25%), anxiety/depression (76.25%), walking/moving (34.75%), usual activities (25.25%), and self-care (18%).VAS measurements indicated that 65.8% of hypertensive patients without comorbidities fell within the "very good" quality of life range (81-100), while 50.4% of those with comorbidities were in the "good" range (51-80).The Mann-Whitney test revealed no significant difference in the EQ5D5L index between the two groups (p = 0.102), but the VAS scores showed a significant difference (p < 0.001).Conclusions: Hypertensive patients without comorbidities and those with comorbidities showed no significant difference in quality of life-based on the EQ-5D-5L test; however, a significant difference was found based on the VAS score.