Health-related quality of life and blood pressure control in hypertensive patients with and without complications
Clinics
; 64(7): 619-628, 2009. graf, tab
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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...
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Qualité de vie
/
Pression sanguine
/
État de santé
/
Enquêtes et questionnaires
/
Hypertension artérielle
/
Antihypertenseurs
Limites du sujet:
Female
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Humans
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Male
Pays comme sujet:
America do sul
/
Brasil
langue:
En
Texte intégral:
Clinics
Thème du journal:
MEDICINA
Année:
2009
Type:
Article