ENABLEMENT AND QUALITY OF LIFE OF HYPERTENSIVE PATIENTS LIVING ON MADEIRA ISLAND
DOI:
https://doi.org/10.58043/rphrc.164Keywords:
Arterial Hypertension, enablement, quality of life, General PracticeAbstract
Introduction: Arterial Hypertension (AHT) is the most common chronic disease and the leading cause of death in Portugal. Adopting a healthy lifestyle is relevant to preventing hypertension and delaying the need to start pharmacological therapy. Enablement understood as the acquisition of information by patients about their pathology during a medical appointment, has benefits in reducing hypertension.Objectives: To assess the enablement of hypertensive patients followed up in the ACES (Group of Health Centers) of Madeira Island; to assess the quality of life (QoL) of hypertensive patients; to understand whether patients with greater enablement have better BP control and a better QoL, and to compare the enablement assessed by hypertensive patients with the enablement perceived by the general practitioners who follow them.
Material and Methods: Cross-sectional and observational study of a convenience sample of hypertensive patients, using the CapHTA questionnaire for patients, which assesses enablement in hypertension, the EQ-5D scale, which analyses QoL and questions that allow the sociodemographic characterization of the sample. The CapHTA questionnaire for doctors was administered to the respective primary care physicians. Descriptive and inferential parametric and non-parametric statistics were performed.
Results: A sample of 80 hypertensive patients was studied, predominantly female (57.5%) and with primary school education (65.8%). The worst results verified were found on questions 5 and 6 of the CapHTA questionnaire. Statistically significant differences were found in training according to level of education, with the groups with lower levels of education having a higher proportion of correct answers. There was no statistically significant correlation between blood pressure (BP) control and empowerment, nor between BP control and QoL.
Discussion: This study’s results suggest some deficits in the enablement of hypertensive patients, which must be corrected if patients are to achieve better BP control and better QoL.
Conclusion: Doctors’ perceptions of their patients’ knowledge of AHT coincide with what patients know about their condition. Further studies should be carried out on the island of Madeira with larger samples to reinforce the conclusions drawn.
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References
Direção Geral de Saúde. Abordagem Terapêutica da Hipertensão Arterial. Norma da Direção Geral de Saúde. 2011;026/2011:1-14.
Santos TASL, Ferreira AC, Santiago LM. Hipertensão Arterial em Portugal: O Custo do Controlo. Revista Portuguesa de Hipertensão e Risco Cardiovascular. 2022; Jul-Ago: 20:13-18.
Oparil S, Acelajado MC, Bakris GL, Berlowitz DR, Cifková, R et al. Hypertension. Nat Rev Dis Primers. 2019; 4:18014.
Direção Regional de Estatística da Madeira. Unidade de Cuidados de Saúde Primários 2018-2020. Funchal: DREM; 2023.
Direção Regional de Estatística da Madeira. Estatísticas Demográficas da Região Autónoma da Madeira 2019. Funchal: DREM; 2020.
Mancia G, Kreutz R, Brunstrom M, Burnier M, Grassi G, Januszewick A, et al. 2023 ESH Guidline for the management of arterial hypertension. J. Hypertens. 2023; 41:1874-2071.
Allen J, Gay B, Crebolder H, Heyrman J, Svab I, Ram P, et al. A definição Europeia de Medicina Geral e Familiar (Clínica Geral/ Medicina Familiar). Rev Port Clin Geral. 2005;21:511-6.
Reis AN, Santiago LM, Botas P. Medicina Centrada no Paciente e Capacitação do Consulente em Medicina Geral e Familiar. Rev ADSO. 2015 (05):19-32.
World Health Organization. Constitution of World Health Organization. [document on the Internet]. Geneva: World Heath Organization; [cited 2024 Mar 01]. Available from: https://www.who.int/about/accountability/governance/constitution.
Pereira S, Ribeiro JP, Leal I. Qualidade e Propósito de Vida. Livro de Actas do 13º Congresso Nacional de Psicologia da Saúde. 2020.
World Health Organization. WHOQOL Instruments [document on the Internet]. Geneva: World Heath Organization; [cited 2024 Mar 01]. Available from: https://www.who.int/tools/whoqol.
Ferreira P, Ferreira L, Pereira L. Contributos para a validação da versão portuguesa do EQ-5D. Acta Med Port. 2013; (26):664-75.
Ferreira LN, Ferreira PL, Pereira LN, Oppe M. EQ-5D Portuguese population norms. Qual Life Res. 2014; 23(2):425-30.
Serviço de Saúde da Região Autónoma da Madeira – SESARAM. Diretório de Serviços – Centros de Saúde. [document on the Internet]. Funchal: SESARAM; [cited 2024 Feb 18]. Available from: https://www.sesaram.pt/portal/utente/diretorio-de-servicos/centros-de-saude.
Serviço de Saúde da Região Autónoma da Madeira – SESARAM. Quem somos [document on the Internet]. Funchal: SESARAM; [cited 2024 Feb 18]. Available from: https://www.sesaram.pt/portal/o-sesaram/o-sesaram/quem-somos.
Ágrela PJ. Análise da Capacitação dos doentes com Hipertensão Arterial comparativamente à perspetiva dos Médicos de Medicina Geral e Familiar [dissertação]. Covilhã: Universidade da Beira Interior; 2016. Available from: https://ubibliorum.ubi.pt/handle/10400.6/5269
Pereira PN. Adesão à terapêutica, capacitação e qualidade de vida: relação com o controlo da Hipertensão Arterial [dissertação]. Coimbra: Universidade de Coimbra; 2018. Available from: https://estudogeral.uc.pt/handle/10316/82013
Fernandes ANR. Capacitação e qualidade de vida dos doentes hipertensos seguidos nos Centros de Saúde na Cidade da Praia em Cabo Verde [dissertação]. Praia: Universidade de Cabo Verde; 2021.
Antunes BM. Capacitação e Qualidade de vida dos doentes hipertensos seguidos no Centro de Saúde de Góis [dissertação]. Coimbra: Universidade de Coimbra; 2023. Available from: https://estudogeral.uc.pt/handle/10316/111530
Santiago LM, Pereira C, Botas P et al. Pacientes com hipertensão arterial em ambiente de medicina geral e familiar: análise comparativa entre controlados e não controlados. Rev Port Cardiol. 2014;33(7-8):419-424.
Machaalani M, Seifeddine H, Ali A, Bitar H, Briman O, Chahine MN. Knowledge, attitude and practice toward hypertension among hypertensive patients residing in Lebanon. Vasc Health Rise Manag. 2022;18:542-553.
Wolde M, Azale t, Demissie GD, Addis B. Knowledge about hypertension and associated factor among patients with hypertension in public health facilities of Gondar city, Northwest Ethiopia: Ordinal logistic regression analysis. J Heath Sci. 2019;29(4):421-430.
Wang Y, Chen T, Gan W, Yin J, Song L, Qi H et al. Association among high blood pressure health literacy, social support and health-related quality of life among a community population with hypertension: a community-based cross-sectional study in China. BMJ open. 2022; 12(6):e057495.
Agung AA, Hermansyah Y, Raharjo AM, Firdaus J, Wulandari P. Relation between Hypertension Knowledge and behavior with Blood Pressure on Hypertensive Farm Workers in Mumbairazi Public Health Center Working. JMJ. 2023; 2(1): 26-42.
Patil M, Hedao RP, Shah RP, Tauseef SM, Marzo RR, Ching SM et al. Assessment of Health-Related Quality of Life Among Male Patients With Controlled and Uncontrolled Hypertension in Semi Urban India. Inquiry-J Heath Car. 2023; 60: 1-10.
Yulianti Y, Tresnawan T, Purnairawan Y, Oktavia A. Identification of factors affecting the quality of life in Hipertensive patients. HNJ. 2023;5(2):711-721.
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