ArticleBMC geriatrics2025
The relationship between illness perception and quality of life among Chinese rural elderly patients with hypertension: the mediating role of medication experience.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Adaptation and validation of the short version of the B-IPQ for the assessment of disease perception in older Colombian adults.BMC geriatrics · 2026Article
- Medication Experience and Associated Factors in Older Adults with Multiple Chronic Conditions in Rural Henan Province, China: A Single-Center Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Sociodemographic predictors of health-related quality of life dimensions in hypertensive patients: A cross-sectional study in a Ghanaian Municipal Hospital.PLOS global public health · 2026Article
- Predictors of Illness Acceptance Among Hypertensive Patients in Freetown: A Multivariate Analysis of Sociodemographic, Religiosity, and Quality of Life Factors.Journal of primary care & community healthArticle
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Abstract
objectiveA significant correlation has been discovered between illness perception and quality of life, but the relationships among illness perception, medication experience, and quality of life remain to be confirmed. Therefore, this study aims to identify the relationship between illness perception and quality of life among Chinese rural elderly patients with hypertension and to analyse the possible mediating role of medication experience between these two aspects.
methodsFrom September to December 2023, a cross-sectional study was conducted to select rural elderly patients with hypertension by multi-stage stratified random sampling. Data was collected using the brief illness perception questionnaire, the grassroots medication experience scale for patients with chronic diseases and the quality of life scale. Multiple linear regression and Bootstrap method were used to explore the mediating role of medication experience between illness perception and quality of life.
resultsA total of 846 patients met the inclusion criteria. The mean scores of illness perception, medication experience and quality of life at baseline were 4.85 ± 1.04, 4.13 ± 0.52, 4.37 ± 0.37, respectively. The result of Spearman correlation analysis showed that the illness perception was negatively correlated with medication experience (r = -0. 359, P < 0.01) and quality of life (r = -0. 317, P < 0.01), and medication experience was positively correlated with quality of life (r = 0. 511, P < 0.01). The results of mediating effect test indicate that medication experience had a partial mediating effect on the relationship between illness perception and quality of life among rural elderly hypertensive patients, and the mediating effect accounted for 54.21%.
conclusionsOur findings revealed that illness perception not only directly influenced quality of life among rural elderly hypertensive patients but also indirectly via medication experience. Illness perception is a negative factor affecting the quality of life of rural elderly patients with hypertension, while medication experience is a protective factor. Therefore, medical institutions should strengthen health education to improve their illness perception of hypertension. The pharmaceutical service ability of rural medical institutions should be improved to improve the medication experience of hypertensive patients.
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