ABSTRACT
Objetivo. Determinar la relación entre el ejercicio físico y la calidad de vida (CdV) autopercibida en pacientes hipertensos mayores de 70 años.DiseñoEstudio transversal y analítico de una muestra de pacientes ambulatorios que acudieron a las consultas de atención primaria de los investigadores.Material y métodoSe incluyeron pacientes de 70 años de edad o mayores, diagnosticados de hipertensión arterial (HTA). Se excluyeron los pacientes institucionalizados o los que no cumplían los criterios del estudio. A todos los participantes se les efectuó analítica, valoración de la comorbilidad y exploración física básica que incluyó la medida de la presión arterial estandarizada. La actividad física se cuantificó en metabolic equivalents (METS) semanales mediante un cuestionario validado. La CdV se midió mediante el cuestionario de autopercepción de la salud de 12 ítems (SF-12).ResultadosSe incluyeron 191 pacientes (edad 77,8 años; el 58,1% mujeres). Media de 1.837 METS semanales (DE: 1.906,5). La CdV según el cuestionario SF-12, 43,2 para la dimensión fisica y 52,4 para la psíquica. La puntuación de la CdV fue inferior en los pacientes situados en los cuartiles inferiores de ejercicio físico (p<0,02). El ejercicio físico a partir de 1.635 METS por semana y la comorbilidad se asociaron de forma independiente con el componente físico de la CdV, mientras que el ejercicio físico a partir de 840 METS semanales, el sexo, la comorbilidad, el HDL colesterol y la diabetes tipo 2 lo hicieron con el componente psíquico de la CdV.ConclusionesExiste una asociación independiente entre la práctica de ejercicio físico y la CdV autopercibida en los pacientes hipertensos mayores de 70 años. El nivel de ejercicio que recomienda la Guía Europea de HTA se asocia a una mejor percepción del componente psíquico de la CdV, mientras que para el componente físico es necesario un nivel más elevado de ejercicio(AU)
Objective. Determine the relationship between physical exercise and self-perceived quality of life in hypertensive patients over 70 years of age.DesignCross-sectional and analytic study of a sample of out-patients who came to the investigators primary care medical offices.Material and methodPatients of 70 years or older diagnosed of arterial hypertension were included. Those institutionalized or who did not meet the study criteria were excluded. All the participants underwent laboratory analysis, evaluation of comorbidity, basic physical examination that included measurement of standardized blood pressure. Physical activity was quantified in metabolic equivalents (METS) per week using a validated questionnaire. Quality of life was measured with the SF-12 questionnaire.ResultsA total of 191 patients (age 77.8 y; 58.1% women) were included. Mean of 1837 METS per week (SD:1906.5) .Quality of life SF-12, 43.2 for the physical dimension and 52.4 for the psychic one. Quality of life score was lower in the patients located in the lower quartiles of physical exercise (p<0.02). Physical exercise after 1635 METS per week and comorbidity were associated independently with the physical component of quality of life while physical exercise after 840 METS per week, gender, comorbidity, HDL cholesterol and type 2 diabetes did so with the psychic component of quality of life.ConclusionsThere is an independent association between the practice of physical exercise and self-perceived quality of life in hypertensive patients over 70 years. The exercise level recommended by the European Guide of AHT is associated with a better perception of the psychic component of quality of life while a higher exercise level is necessary for the physical one(AU)
Subject(s)
Humans , Male , Female , Aged , Physical Exertion/physiology , Hypertension/epidemiology , Quality of Life , Sickness Impact Profile , Self ConceptABSTRACT
OBJECTIVE: To compare the views of professionals and patients on the computerisation of consultations. DESIGN: Cross-sectional. SETTING: Rural health district in the province of Barcelona, with a population of about 15,000. PARTICIPANTS: Consecutive sampling of people seen in the health district and the group of health professionals working in it. MAIN MEASUREMENTS: Two anonymous self-filled questionnaires with closed questions aimed at health professionals and a sample of patients (accuracy, 0.05; confidence, 95%; prevalence, 50%). RESULTS: The mean age of the 407 patients was 48.4 (SD, 17.2), with 63.6% women. 21 questionnaires were filled in by the professionals (91%), 12 by doctors, and 9 by nurses. Their mean age was 43.9 (SD, 7.5), and 71.4% were women. For common questions, 54.3% of patients were keen on seeing the screen, while professionals calculated this figure at 11%. 5.6% of patients thought computerisation had changed the relationship, whereas 31.6% of professionals did. 12.6% of patients thought it had made the visit longer, whereas 38.1% of the professionals thought it had. 10.6% of patients and 47.4% of professionals thought it had led to loss of confidentiality. CONCLUSIONS: The introduction of computers into consultations was accepted well. Professionals were more worried than patients about possible loss of confidentiality, and thought that there had been bigger changes in the doctor-patient relationship and that visits had become longer.
Subject(s)
Attitude of Health Personnel , Computers , Patient Satisfaction , Primary Health Care , Adult , Confidentiality , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Nurses , Physicians , Spain , Surveys and QuestionnairesABSTRACT
Objetivo. Comparar la opinión de los profesionales y los pacientes sobre la informatización de las consultas. Diseño. Transversal. Emplazamiento. Centro de salud rural de la provincia de Barcelona. Participantes. Muestreo consecutivo de personas visitadas en el centro de salud y conjunto de profesionales sanitarios que trabajan en él. Mediciones principales. Dos cuestionarios anónimos y autorrellenables, con preguntas cerradas, dirigidos a los profesionales sanitarios y a una muestra de pacientes (precisión, 0,05; confianza, 95%; prevalencia 50%). Resultados. La edad media de los 407 pacientes es de 48,4 ± 17,2 años y un 63,6% es mujer. Se obtuvieron 21 encuestas de los profesionales (91%), 12 médicos/as y 9 enfermeros/as. La edad media es de 43,9 ± 7,5 años y el 71,4% es mujer. En las preguntas comunes, interesa ver la pantalla al 54,3% de los pacientes, mientras que entre los profesionales este porcentaje es del 11%. Creen que ha cambiado la relación el 5,6% de los pacientes y el 31,6% de los profesionales, que ha aumentado la duración de la visita el 12,6% de los pacientes y el 38,1% de los profesionales y que hace perder confidencialidad el 10,6% de los pacientes y el 47,4% de los profesionales. Conclusiones. La introducción del ordenador en la consulta ha sido bien aceptada. Los profesionales, a diferencia de los pacientes, muestran más preocupación por la posible pérdida de confidencialidad, creen que ha habido mayores cambios en la relación y que ha aumentado la duración de las visitas
Objective. To compare the views of professionals and patients on the computerisation of consultations. Design. Cross-sectional. Setting. Rural health district in the province of Barcelona, with a population of about 15 000. Participants. Consecutive sampling of people seen in the health district and the group of health professionals working in it. Main measurements. Two anonymous self-filled questionnaires with closed questions aimed at health professionals and a sample of patients (accuracy, 0.05; confidence, 95%; prevalence, 50%). Results. The mean age of the 407 patients was 48.4 (SD, 17.2), with 63.6% women. 21 questionnaires were filled in by the professionals (91%), 12 by doctors, and 9 by nurses. Their mean age was 43.9 (SD, 7.5), and 71.4% were women. For common questions, 54.3% of patients were keen on seeing the screen, while professionals calculated this figure at 11%. 5.6% of patients thought computerisation had changed the relationship, whereas 31.6% of professionals did. 12.6% of patients thought it had made the visit longer, whereas 38.1% of the professionals thought it had. 10.6% of patients and 47.4% of professionals thought it had led to loss of confidentiality. Conclusions. The introduction of computers into consultations was accepted well. Professionals were more worried than patients about possible loss of confidentiality, and thought that there had been bigger changes in the doctor-patient relationship and that visits had become longer
