Arquivos Brasileiros de Cardiologia (Feb 2013)
A influência da hipertensão arterial na qualidade de vida The influence of hypertension on quality of life
Abstract
FUNDAMENTO: A Hipertensão Arterial Sistêmica (HAS) é um dos principais fatores de risco cardiovascular e de alta prevalência em quase todos os países. Estudos mostram o efeito negativo da HAS na qualidade de vida relacionada à saúde. OBJETIVO: Avaliar a Qualidade de Vida de pacientes hipertensos comparando com a população geral. MÉTODOS: Avaliados 333 indivíduos de ambos os sexos, maiores que 18 anos, divididos em Grupo Estudo, composto de 246 pacientes hipertensos sob tratamento em serviço multiprofissional e Grupo Controle, formado por 87 indivíduos normotensos da comunidade. Aplicaram-se a ambos os grupos, questionário sociodemográfico e o SF-36 de qualidade de vida. Para a análise estatística, utilizados os testes qui-quadrado, de Kolmogorov-Smirnov, de Mann Whitney U, de Kruskal-Wallis e análise multivariada. Os dados foram analisados pelo programa SPSS e valores de p BACKGROUND: Systemic Hypertension (SH) is a major cardiovascular risk factor with a high prevalence in almost all countries. Studies show the negative effect of SH on health-related quality of life. OBJECTIVE: To evaluate the quality of life of hypertensive patients when compared with the general population. METHODS: A total of 333 individuals of both genders and older than 18 years were evaluated; they were divided into the Study Group, consisting of 246 hypertensive patients undergoing treatment in a multidisciplinary service and the Control group, comprised of 87 normotensive individuals from the community. A sociodemographic questionnaire and the SF-36 for quality of life assessment were administered to both groups. The Chi-square, Kolmogorov-Smirnov test, Mann Whitney U-test, Kruskal-Wallis test and multivariate analysis were used for the statistical analysis. Data were analyzed using SPSS and p values <0.05 were considered significant. RESULTS: The groups were homogeneous for age, gender, ethnicity, educational level and marital status. It was observed that normotensive individuals showed a better health-related quality of life when compared with hypertensive patients. CONCLUSIONS: Although considered to be almost always a clinically silent disease, systemic hypertension impairs the quality of life of patients who suffer from it.
