Associations among health-promoting lifestyle, self-care agency and health-related quality of life in Bai older adults with hypertension in Yunnan China

Background Previous Chinese studies focused on the prevalence and influential factors of hypertension; however, little is known about their self-care literacy and quality of life among the Bai older adults with hypertension. The purpose of this research was to explore the associations among health-promoting lifestyle, self-care agency, and health-related quality of life in Bai ethnic older patients with hypertension, as well as the related factors of hypertension self-care abilities. Methods A total of 472 Bai ethnic hypertension older adults aged 60 and above were enrolled in this study voluntarily from 5 rural communities of the Bai ethnic group. The Exercise of Self-Care Agency Scale (ESCAS) was employed to assess the Self-care ability of hypertension for the subjects, the Health-promoting lifestyle profile II(HPLP-II) was utilized to evaluate the health behavior, and MOS 36-Item Short Form Health Survey (SF-36) was chosen to assess the HRQOL for the studying population. All descriptive analyses, including demographic characteristics, socio-economic status, and clinical characteristics were stratified by Bai hypertensive elderly. Pearson correlation analysis model was used to examine the associations among health-promoting lifestyle, self-care agency, and health-related quality of life in Bai ethnic elderly with hypertension. Results The HPLP-II, ESCA, and of HRQOL levels of the subjects were low, and the mean HPLP and ESCA scores had no significant statistical variance among different age groups. Significant statistical differences were found in Bai elderly subjects in the domain of PF and PH as well as the overall score in SF-36(all P< 0.01), 60–64 year group had the highest score of the above three domains in SF-36 than other age groups. The SF-36 scores were positively associated with HPLP and ESCA levels. Conclusion The HPLP-II, ESCA, and of HRQOL levels of the Bai subjects were poor in the Bai ethnic hypertensive elderly. The HRQOL scores of subjects were positively connected with HPLP-II and ESCA abilities. More attention should be paid to lifestyle, healthy behaviors, and self-care abilities improvements to enhance the better HRQOL of Bai minority older adults with hypertension

Quality of life, self-care knowledge access, and self-care needs in patients with colon stomas one month post-surgery in a Chinese Tumor Hospital

Objective: This descriptive cross-sectional study investigated the quality of life (QoL), self-care knowledge access, and self-care needs of colorectal cancer patients after colostomy. Methods: A total of 142 colorectal cancer patients in the Tumor Hospital of Yunnan Province were invited to this survey one month post-colostomy. QoL of the participants was assessed using the Chinese version of the World Health Organization Quality of Life Instrument (WHOQOL-BREF). A self-prepared questionnaire was also administered to explore the sources of self-care knowledge and self-care needs of this population. Results: Response mean scores of the four domains of WHOQOL-BREF, namely, physical health, psychological health, social relations, and environmental health were 53.49, 57.95, 65.78 and 50.75, respectively. No significant differences were found in the gender, age, education level, and occupation type in QoL scale among the groups using the u test and ANOVA (p > 0.05). However, female colostomates scored higher grades in the physical area of QoL than male patients; the participants who willingly attended the self-care courses obtained higher scores in social area than those who were not willing. Conclusion: The QoL of this population was not favorable. Self-care program can be developed in accordance with the needs and educational background of the colostomates