Keywords

aging, hypertension, mother-adult daughter relations, quality of life, self care

 

Authors

  1. Shawler, Celeste PhD, PMHCNS-BC
  2. Edward, Jean PhD, RN, CHPE
  3. Ling, Jiying PhD, MS, RN
  4. Crawford, Tim N. PhD, MPH
  5. Rayens, Mary Kay PhD

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.