Regime terapêutico e qualidade de vida de pacientes hipertensos

Abstract

Introduction: Patients with chronic non-communicable diseases, such as systemic arterial hypertension (SAH), may have their quality of life (QOL) compromised by factors related to their clinical condition and management. Objective: To assess whether the treatment regimen is a factor associated with QOL of patients with SAH. Methods: This is a cross-sectional study with a representative sample of the population involving 235 users of 27 units of Family Health Program in the city of Jequié / BA. We used a questionnaire with four thematic blocks: socio-demographic, clinical, medication use and QOL, which was measured by the Quality of Life-Bref Questionnaire (WHOQOL-BREF). Results: Of 235 hypertensive 74.9% were female, 91% were 50 years or older, 81.7% had low education and 74% of black ethnicity. It was shown that the highest median QOL was for social relationships domain (71.7) and the lowest median was for the envi¬ronment domain (56.25). Diuretics, and angiotensin II receptor antagonists were the most prescribed, with polytherapy being the most frequent regimen (75.7%). Significant results of impaired QOL were observed using Kruskal-Wallis test and Mann-Whitney, with special attention for the physical domain and the use of drugs in polytherapy with the General Index of Quality of Life (GIQL). Conclusion: The treatment regimen was shown to be important for understanding of QOL in hypertensive patients, and the variables raised showed higher QOL scores in treatments with fewer drugs.