Stress and Quality of Life in Hypertension Sufferes: A Systematic Review
Abstract
Hypertension has the potential to cause serious complications such as heart disease, stroke, and kidney failure if not treated properly. Apart from physical factors, hypertension sufferers also often face psychological problems such as stress, which can worsen their condition and affect their quality of life. This study aimed to explore the relationship between stress and quality of life in hypertension sufferers. This systematic review searched for relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Sage Journal, and Web of Science. The article inclusion criteria were: population: patients with hypertension, intervention: no intervention, comparison: no comparison, results: the article's results showed a relationship between stress and quality of life in people with hypertension. Article quality assessment was carried out using the Joanna Briggs Institute guidelines. Descriptive analysis was carried out using a narrative approach by considering articles published from 2012 to 2024. Based on a literature search, 36229 articles were found with appropriate keywords from Scopus (2578), PubMed (683), Sage Journal (31999), and Web of Science (969). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These eleven articles show that there is a relationship between stress and quality of life in people with hypertension. The importance of a comprehensive approach that considers socioeconomic, demographic, and psychological factors to improve the quality of life of hypertension sufferers.
References
Ansar, J., Dwinata, I., & M, A. (2019). Determinan Kejadian Hipertensi Pada Pengunjung Posbindu DiWilayah Kerja Puskesmas Ballaparang Kota Makassar. Jurnal Nasional Ilmu Kesehatan, 1(3), 28–35.
Arroisi, J., & Badi’, S. (2022). Konsep Harga Diri: Studi Komparasi Perspektif Psikologi Modern dan Islam. Psikologika: Jurnal Pemikiran Dan Penelitian Psikologi, 27(1), 89–106. https://doi.org/10.20885/psikologika.vol27.iss1.art7
Arulmohi, M., Vinayagamoorthy, V., & R., D. A. (2017). Physical Violence Against Doctors: A Content Analysis from Online Indian Newspapers. Indian Journal of Community Medicine, 42(1), 147–150. https://doi.org/10.4103/ijcm.IJCM
Ayada, C., Toru, & Korkut, Y. (2015). The relationship of stress and blood pressure effectors. Hippokratia, 19(2), 99–108.
Barradas, S., Lucumi, D., Agudelo, D. M., & Mentz, G. (2021). Socioeconomic position and quality of life among Colombian hypertensive patients: The mediating effect of perceived stress. Health Psychology Open, 8(1). https://doi.org/10.1177/2055102921996934
Barradas, S., Lucumi, D. I., Mentz, G., & Agudelo, D. M. (2024). A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood. Frontiers in Public Health, 12(April), 1–11. https://doi.org/10.3389/fpubh.2024.1296593
Baumann, M., Bucki, B., Tchicaya, A., & Le Bihan, E. (2018). Reversing social gradient: Impact of patients’ communication with their practitioners on adherence to preventive behaviours. " Health Psychology across the Lifespan: Uniting Research, Practice and Policy”.
Berlowitz, D. R., Foy, C. G., Kazis, L. E., Bolin, L. P., Conroy, M. B., Fitzpatrick, P., Gure, T. R., Kimmel, P. L., Kirchner, K., & Morisky, D. E. (2017). Effect of intensive blood-pressure treatment on patient-reported outcomes. New England Journal of Medicine, 377(8), 733–744.
Boukhari, F. Z., Belayachi, S., Essayagh, F., Terkiba, O., Naji, A. A., Amine, M., Lambaki, A., Essayagh, M., Essayagh, S., & Essayagh, T. (2024). Self-reported depression and its risk factors among hypertensive patients, Morocco: a cross-sectional study. Scientific Reports, 14(1), 1–9. https://doi.org/10.1038/s41598-024-61390-y
Busro, M. (2017). Manajemen Sumber Daya Manusia. Expert.
Cai, T., Verze, P., & Bjerklund Johansen, T. E. (2021). The Quality of Life Definition: Where Are We Going? Uro, 1(1), 14–22. https://doi.org/10.3390/uro1010003
Cao, L., & Burton, V. S. (2022). Social Support Theory. A Criminologist’s Life, 31–46. https://doi.org/10.4324/9780429059735-5
Chantakeeree, C., Sormunen, M., Estola, M., Jullamate, P., & Turunen, H. (2022). Factors Affecting Quality of Life among Older Adults with Hypertension in Urban and Rural Areas in Thailand: A Cross-Sectional Study. International Journal of Aging and Human Development, 95(2), 222–244. https://doi.org/10.1177/00914150211050880
Crepaldi, M., Giannì, J., Brugnera, A., Greco, A., Compare, A., Rusconi, M. L., Poletti, B., Omboni, S., Tasca, G. A., & Parati, G. (2024). Predictors of Psychological Well-Being and Quality of Life in Patients with Hypertension: A Longitudinal Study. Healthcare (Switzerland), 12(6), 1–14. https://doi.org/10.3390/healthcare12060621
Dada, T., Mondal, S., Midha, N., Mahalingam, K., Sihota, R., Gupta, S., Angmo, D., & Yadav, R. K. (2022). Effect of Mindfulness-Based Stress Reduction on Intraocular Pressure in Patients With Ocular Hypertension: A Randomized Control Trial. American Journal of Ophthalmology, 239, 66–73. https://doi.org/10.1016/j.ajo.2022.01.017
Darmayanti, D. P. (2023). Beban Ganda dan Perubahan Peran Gender: Dampak pada Hubungan Keluarga dan Keseimbangan Kehidupan. ALLIRI: Journal of Anthropology, 5(2).
Gammoh, O., Bjørk, M. H., Al Rob, O. A., AlQudah, A. R., Hani, A. B., & Al-Smadi, A. (2023). The association between antihypertensive medications and mental health outcomes among Syrian war refugees with stress and hypertension. Journal of Psychosomatic Research, 168(November 2022). https://doi.org/10.1016/j.jpsychores.2023.111200
Halawa, A., Artini, B., & Manutmasa, Y. S. (2023). Hubungan Tingkat Stres Dengan Kejadian Hipertensi Pada Usia Dewasa Awal (18-40 Tahun). Jurnal Keperawatan, 12(2), 34–45. https://doi.org/10.47560/kep.v12i2.541
Idris, A., & Olaniyi, O. (2020). ANALYSIS OF ECONOMIC BURDEN OF HYPERTENSION IN NIGERIA. Nigerian Journal of Economic and Social Studies, 62(2).
Jannah, F., Safutra Suraya, A., Erindia, F., Nurwahidah, N., & Chayatush Sholichah, A. (2023). The Benefits of Telehealth on Quality of Life of People Living with Type 2 Diabetes Mellitus: A Literature Review. Fundamental and Management Nursing Journal, 6(2), 69–77. https://doi.org/10.20473/fmnj.v6i2.48692
Januraga, P. P., & Ked, S. (2024). Modal Sosial dalam Meningkatkan Kesehatan Masyarakat: Pendekatan Teoritis dan Empiris. Baswara Press.
Kretchy, I. A., Owusu-Daaku, F. T., & Danquah, S. A. (2014). Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. International Journal of Mental Health Systems, 8, 1–6.
Lai, E. T. C., Yu, R., & Woo, J. (2021). Social gradient of self-rated health in older people-the moderating/mediating role of sense of community. Age and Ageing, 50(4), 1283–1289. https://doi.org/10.1093/ageing/afaa277
LIU, X., & Fernando, Y. (2024). Review Theories of Subjective Well-being and the Impact of Stress: The Mediating Effect of Resilience. International Journal of Innovation Research in Education, Technology and Management, 1(1), 33–42. https://doi.org/10.61098/ijiretm.v1i1.112
Lumban Gaol, N. T. (2016). Teori Stres: Stimulus, Respons, dan Transaksional. Buletin Psikologi, 24(1), 1. https://doi.org/10.22146/bpsi.11224
Maryam, S. (2017). Strategi Coping: Teori Dan Sumberdayanya. JURKAM: Jurnal Konseling Andi Matappa, 1(2), 101. https://doi.org/10.31100/jurkam.v1i2.12
Moonti, M. A., Sutandi, A., & Fitriani, N. D. (2023). Hubungan Life Style Dengan Kejadian Hipertensi Pada Dewasa Di Desa Jagara Kecamatan Darma Kabupaten Kuningan Tahun 2023. National Nursing Conference, 1(2), 55–68. https://doi.org/10.34305/nnc.v1i2.860
Nugrahani, A. D., Azis, M. M. A., & Agustin, D. F. (2018). Penerapan Teknologi Mutakhir Intranasal Low Intensity Laser Therapy (ILILT) 650 nm untuk Mereduksi Viskositas Darah dan Mencegah Aktivasi NAD(P)H Oxidase (Nox) Sebagai Tatalaksana Efektif Ameliorasi Homeostasis pada Penderita Hipertensi. Jimki, 6(2), 125–137.
Nutakor, J. A., Zhou, L., Larnyo, E., Addai-Danso, S., & Tripura, D. (2023). Socioeconomic Status and Quality of Life: An Assessment of the Mediating Effect of Social Capital. Healthcare (Switzerland), 11(5). https://doi.org/10.3390/healthcare11050749
Ojangba, T., Boamah, S., Miao, Y., Guo, X., Fen, Y., Agboyibor, C., Yuan, J., & Dong, W. (2023). Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review. Journal of Clinical Hypertension, 25(6), 509–520. https://doi.org/10.1111/jch.14653
Pakaya, I., & Posumah, J. H. (2021). Pengaruh Lingkungan Sosial Terhadap Pendidikan Masyarakat Di Desa Biontong I Kecamatan Bolangitang Timur Kabupaten Bolaang Mongondow Utara. Jurnal Administrasi Publik, VII(104), 11–18. https://ejournal.unsrat.ac.id/v3/index.php/JAP/article/view/33692
Palafox, B., Goryakin, Y., Stuckler, D., Suhrcke, M., Balabanova, D., Alhabib, K. F., Avezum, A., Bahonar, A., Bai, X., & Chifamba, J. (2017). Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries. BMJ Global Health, 2(4), e000443.
Priyoto, D. A., Hartono, A., & Pitayanti, A. (2018). Perilaku Kesehatan dan Pendidikan Kesehatan. Pustaka Panesea.
Punamiasih. (2021). Teori Dan Model Adaptasi Sister Calista Roy : Pendekatan Keperawatan. Jurnal Ilmiah Kesehatan, 2(November 2014), 18. https://www.researchgate.net/profile/Jek-Amidos/publication/347208243_Teori_Dan_Model_Adaptasi_Sister_Calista_Roy_Pendekatan_Keperawatan/links/5fdce78a45851553a0cde803/Teori-Dan-Model-Adaptasi-Sister-Calista-Roy-Pendekatan-Keperawatan.pdf
Qiu, T., Jiang, Z., Chen, X., Dai, Y., & Zhao, H. (2023). Comorbidity of Anxiety and Hypertension: Common Risk Factors and Potential Mechanisms. International Journal of Hypertension, 2023. https://doi.org/10.1155/2023/9619388
Saleh, L. M., Russeng, S. S., & Tadjuddin, I. (2020). Manajemen stres kerja (sebuah kajian keselamatan dan kesehatan kerja dari aspek psikologis pada ATC). Deepublish.
Shamsi, A., Nayeri, N. D., & Esmaeili, M. (2017). Living with hypertension : A qualitative original article. International Journal of Community Based Nursing Midwifery, 5(3), 219–230.
Snarska, K., Chorąży, M., Szczepański, M., Wojewódzka-żelezniakowicz, M., & Ładny, J. R. (2020). Quality of life of patients with arterial hypertension. Medicina (Lithuania), 56(9), 1–11. https://doi.org/10.3390/medicina56090459
Sumijah. (2015). Locus of control pada masa dewasa. Seminar Psikologi Dan Kemanusiaan, 384–391.
Torres, L. A., Paradela, R. S., Martino, L. M., da Costa, D. I., & Irigoyen, M. C. (2022). Higher Perceived Stress as an Independent Predictor for Lower Use of Emotion-Focused Coping Strategies in Hypertensive Individuals. Frontiers in Psychology, 13(May), 1–7. https://doi.org/10.3389/fpsyg.2022.872852
V Ushakov, A., S Ivanchenko, V., & A Gagarina, A. (2016). Psychological stress in pathogenesis of essential hypertension. Current Hypertension Reviews, 12(3), 203–214.
Woods, S. B., Hiefner, A. R., Udezi, V., Slaughter, G., Moore, R., & Arnold, E. M. (2023). ‘They should walk with you’: the perspectives of African Americans living with hypertension and their family members on disease self-management. Ethnicity & Health, 28(3), 373–398. https://doi.org/10.1080/13557858.2022.2040958
Zhang, H., Jiang, X., Da, H., Dai, R., Zhao, N., Pan, W., & Fan, J. (2020). Effect of comprehensive psychosomatic promotion in hypertension patients with anxiety and depression based on community: A randomized parallel controlled trial. Medicine (United States), 99(33), E21451. https://doi.org/10.1097/MD.0000000000021451.
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.