Poster Presentation
Friday, July 13, 2007
9:30 AM - 10:15 AM
Friday, July 13, 2007
3:15 PM - 4:00 PM
Health-Related Quality of Life and Blood Pressure Control in Complicated and Non-Complicated Hypertensives in a Developing Country
Josiane Lima de Gusmao, PhD, Mestrado em Enfermagem, Universidade Guarulhos, Guarulhos-SP, Brazil, Decio Mion Jr, PhD, Hypertension Unit, General Hospital, São Paulo, Brazil, and Angela Maria Geraldo Pierin, PhD, School Nursing, University of Sao Paulo, Sao Paulo - SP, Brazil.
| Learning Objective #1: assess the hypertension control role in HRQL of complicated and non-complicated hypertensives. |
| Learning Objective #2: discover the main points affected in the HRQL of hipertensives to improve the blood pressure control in a developing country. |
Introduction: The antihypertensive treatment should reduce blood pressure, without interference in health-related quality of life (HRQL) Objective: To assess the hypertension control role in HRQL of complicated and non-complicated hypertensives. Materials and Methods: One-hundred and eleven hypertensives outpatients attending a 12-month special care program were assessed in two times: in 2002 (phase 1) and after three years, in 2005 (phase 2) by Bulpitt and Fletcher’s Specific Questionnaire for HRQL assessment of hypertensives as well as the Medical Outcomes Study 36-item short-form Health Survey (SF-36). Seventy-seven of them showed up. The hypertensives were divided into complicated (DBP ³ 110 mm Hg for patients under treatment or not, with clinically evident target-organ or other associated) and non-complicated. Results: Complicated hypertensives showed lowering in bodily pain, vitality, and mental health component summary scores in phase 1 and 2. Non-complicated hypertensives, in phase 2, showed significantly better scores (p<0.05) than complicated hypertensives in Bulpitt and Fletcher’s Specific Questionnaire for HRQL assessment of hypertensives and in the SF-36 assessment in the physical capacity, bodily pain, and vitality domains summary scores. Regarding hypertension control, there was a significant decrease (p<0.05) from phase 1 to phase 2 in the vitality component summary scores and an increase in the emotional aspect component summary scores assessed by SF-36 whereas Bulpitt and Fletcher’s instrument did not show any differences. Conclusion: The lack of hypertension control poor the HRQL in complicated hypertensives.