Celeste Shawler1, Jean Edward, Jiying Ling, Tim N Crawford, Mary Kay Rayens. 1. Celeste Shawler, PhD, PMHCNS-BC Associate Professor, University of Louisville School of Nursing, Kentucky. Jean Edward, PhD, RN, CHPE Assistant Professor, College of Medicine, University of Kentucky Medical School, Lexington. Jiying Ling, PhD, MS, RN Assistant Professor, School of Nursing, Michigan State University, East Lansing. Tim N. Crawford, PhD, MPH Assistant Professor and Biostatistician, University of Louisville School of Nursing, Kentucky. Mary Kay Rayens, PhD Professor, University of Kentucky College of Nursing, Lexington.
Abstract
BACKGROUND: Although hypertension (HTN) treatment rates are similar across age groups of women, effective control is significantly worse among older women. Only 20% of hypertensive women aged 70 to 79 years have controlled blood pressure. OBJECTIVES: The purpose of this longitudinal study was to test the effects of the quality of mother-daughter relationship, inner strength, and control on HTN self-management and health-related quality of life (HRQOL) for both members of the dyad at 6 months. The Actor-Partner Interdependence Model was used to examine the direct ("actor") and indirect ("partner") effects of 46 dyads. RESULTS: The mothers' perceived relationship quality with daughters directly impacted their own self-management of HTN and HRQOL while also indirectly affecting their daughters' self-management. Similarly, the daughters' perceived strength of their relationship with their mothers directly influenced their self-management and HRQOL and indirectly affected their mothers' self-management and HRQOL.
BACKGROUND: Although hypertension (HTN) treatment rates are similar across age groups of women, effective control is significantly worse among older women. Only 20% of hypertensivewomen aged 70 to 79 years have controlled blood pressure. OBJECTIVES: The purpose of this longitudinal study was to test the effects of the quality of mother-daughter relationship, inner strength, and control on HTN self-management and health-related quality of life (HRQOL) for both members of the dyad at 6 months. The Actor-Partner Interdependence Model was used to examine the direct ("actor") and indirect ("partner") effects of 46 dyads. RESULTS: The mothers' perceived relationship quality with daughters directly impacted their own self-management of HTN and HRQOL while also indirectly affecting their daughters' self-management. Similarly, the daughters' perceived strength of their relationship with their mothers directly influenced their self-management and HRQOL and indirectly affected their mothers' self-management and HRQOL.
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