Health-related quality of life and blood pressure control in hypertensive patients with and without complications
Clinics
;
64(7): 619-628, 2009. graf, tab
Artículo
en Inglés
| LILACS
| ID: lil-520792
ABSTRACT
INTRODUCTION:
The goal of antihypertensive treatment is to reduce blood pressure without interfering in health-related quality of life (HRQL)OBJECTIVE:
This study aimed to assess the influence of hypertension control upon HRQL in hypertensive patients with and without complications. MATERIALS ANDMETHODS:
Seventy-seven hypertensive outpatients (71% women, 58% white, 60% with elementary school level education, average age 54 ± 8 years) were observed during a 12-month special care program (phase 1 clinical visits every two months, donation of all antihypertensive medications, meetings with a multidisciplinary team, and active telephone calls) and three years of standard care (phase 2 clinical visits every four months, medication provided by the drugstore of the hospital with a two-hour wait and a possible lack of medication, no meetings with a multidisciplinary team or active telephone calls). The patient HRQL was assessed using Bulpitt and Fletchers Specific Questionnaire, as well as the SF-36 scores. Hypertensive patients were divided into with complications (n=37, diastolic blood pressure great than 110 mm Hg for patients with or without treatment, with clinically evident target-organ or other associated illness) and without complications (n=40). The variables studied were quality of life, blood pressure control, hypertension gravity, and demographic characteristics.RESULTS:
In hypertensive patients with and without complications, both the systolic and diastolic blood pressure were significantly higher (p<0.05) in phase 2 of observation (143±18/ 84±11 and 144±21/93±11 mm Hg for patients with and without complications, respectively) relative to phase 1 (128±17/ 75±13 and 128±15/ 83±11mmHg). The proportion of patients with controlled blood pressure (defined as a blood pressure less than 140/90 mm Hg) decreased from 70% to 49% in the with complications group and from 78% to 50% in the without complications group during phase 2 of observation...
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Calidad de Vida
/
Presión Sanguínea
/
Estado de Salud
/
Encuestas y Cuestionarios
/
Hipertensión
/
Antihipertensivos
Límite:
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2009
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade de São Paulo/BR
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