Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro

Detalhes bibliográficos
Autor(a) principal: Halfoun, Vera Lúcia R. C.
Data de Publicação: 2007
Outros Autores: Mattos, Denise S., Aguiar, Odaleia B.
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/350
Resumo: The quality of life (QL) and the blood pressure (BP) control of patients with arterial hypertension followed by two different models of health care in a primary care Unit in Rio de Janeiro were studied. A hundred and thirty-eight patients were followed up during 12 months in a primary care center. Sixty-nine were assisted in a model using an interdisciplinary approach (group A) and 69 in a model focused on medical consultation (group B). The QL was studied by the shortform health survey (SF-36) questionnaire. The Mann-Whitney test was applied to compare the scores obtained between groups and the systolic and diastolic blood pressure pre and post treatment differences ( SBP and DBP respectively) in each group. In group A, the Spearman test was used to correlate pre and post treatment BP, ?SBP and ?DBP to each QL score (p<0,05 was required). The functional capacity showed statistically the best result in the patients of group A (p=0,03), but lower scores with regard to mental health (p=0,03). The SBP dropped more significantly in group A than in group B (p<0,0001 X p<0,0003). The DBP dropped significantly only in group A (p<0,0001) Conclusion: The patients with arterial hypertension assisted in an interdisciplinary health care model showed a better response to treatment than those assisted in a conventional model, however this fact could not be related satisfactorily to a better QL
id SBMFC-1_4232ca3a894671cb683a29bd2b339937
oai_identifier_str oai:ojs.rbmfc.org.br:article/350
network_acronym_str SBMFC-1
network_name_str Revista Brasileira de Medicina de Família e Comunidade (Online)
repository_id_str
spelling Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de JaneiroQualidade de vida e controle da pressão arterial em pacientes de uma unidade primária do município do Rio de Janeiro.Quality of lifeHypertensionPrimary Health CareQualidade de VidaHipertensãoAtenção Primária à SaúdeThe quality of life (QL) and the blood pressure (BP) control of patients with arterial hypertension followed by two different models of health care in a primary care Unit in Rio de Janeiro were studied. A hundred and thirty-eight patients were followed up during 12 months in a primary care center. Sixty-nine were assisted in a model using an interdisciplinary approach (group A) and 69 in a model focused on medical consultation (group B). The QL was studied by the shortform health survey (SF-36) questionnaire. The Mann-Whitney test was applied to compare the scores obtained between groups and the systolic and diastolic blood pressure pre and post treatment differences ( SBP and DBP respectively) in each group. In group A, the Spearman test was used to correlate pre and post treatment BP, ?SBP and ?DBP to each QL score (p<0,05 was required). The functional capacity showed statistically the best result in the patients of group A (p=0,03), but lower scores with regard to mental health (p=0,03). The SBP dropped more significantly in group A than in group B (p<0,0001 X p<0,0003). The DBP dropped significantly only in group A (p<0,0001) Conclusion: The patients with arterial hypertension assisted in an interdisciplinary health care model showed a better response to treatment than those assisted in a conventional model, however this fact could not be related satisfactorily to a better QLEstudamos a qualidade de vida (QV) e o controle da pressão arterial (PA) em pacientes hipertensos acompanhados em dois modelos de atendimento em um Centro Municipal de Saúde do Rio de Janeiro. Foram acompanhados 138 pacientes durante um ano, sendo que: 69 pacientes (grupo A), por um modelo multidisciplinar, e 69 (grupo B), por um modelo centrado no atendimento médico. A QV foi avaliada por questionário padrão (SF-36). Os escores de cada grupo e a comparação entre as pressões sistólicas (PS) e diastólicas (PD) pré-tratamento e pós-tratamento foram analisadas pelo teste de Mann-Whitney. Foram correlacionados os escores das dimensões do SF-36 com: PA pré-tratamento e póstratamento, e as diferenças de pressões pré-tratamento e pós-tratamento ( PS, PD) pelo teste de Spearman (p<0,05 exigido). Os escores relacionados à capacidade funcional foram maiores no grupo A do que no B (p=0,01), mas, para saúde mental, foram menores (p=0,03). Houve queda mais significativa da PS no grupo A (p=0,0001) do que no B (p=0,0003). A PD reduziu-se de forma significativa apenas no grupo A (p=0,0001). Concluímos que os pacientes com hipertensão arterial atendidos pelo modelo interdisciplinar tiveram maior queda dos níveis de pressão arterial, quando comparados aos atendidos apenas pelos médicos, porém, a relação deste controle com a qualidade de vida não foi satisfatoriamente comprovadaSociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2007-11-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original Articlesapplication/pdfapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/35010.5712/rbmfc3(10)350Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 No. 10 (2007); 82-90Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 Núm. 10 (2007); 82-90Revista Brasileira de Medicina de Família e Comunidade; v. 3 n. 10 (2007); 82-902179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporenghttps://www.rbmfc.org.br/rbmfc/article/view/350/242https://www.rbmfc.org.br/rbmfc/article/view/350/243Copyright (c) 2007 Vera Lúcia R. C. Halfoun, Denise S. Mattos, Odaleia B. Aguiarinfo:eu-repo/semantics/openAccessHalfoun, Vera Lúcia R. C.Mattos, Denise S.Aguiar, Odaleia B.2020-05-21T21:36:03Zoai:ojs.rbmfc.org.br:article/350Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2020-05-21T21:36:03Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false
dc.title.none.fl_str_mv Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
Qualidade de vida e controle da pressão arterial em pacientes de uma unidade primária do município do Rio de Janeiro.
title Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
spellingShingle Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
Halfoun, Vera Lúcia R. C.
Quality of life
Hypertension
Primary Health Care
Qualidade de Vida
Hipertensão
Atenção Primária à Saúde
title_short Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
title_full Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
title_fullStr Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
title_full_unstemmed Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
title_sort Quality of Life and Blood Pressure Control in Patients of a Primary Care Unit in Rio de Janeiro
author Halfoun, Vera Lúcia R. C.
author_facet Halfoun, Vera Lúcia R. C.
Mattos, Denise S.
Aguiar, Odaleia B.
author_role author
author2 Mattos, Denise S.
Aguiar, Odaleia B.
author2_role author
author
dc.contributor.author.fl_str_mv Halfoun, Vera Lúcia R. C.
Mattos, Denise S.
Aguiar, Odaleia B.
dc.subject.por.fl_str_mv Quality of life
Hypertension
Primary Health Care
Qualidade de Vida
Hipertensão
Atenção Primária à Saúde
topic Quality of life
Hypertension
Primary Health Care
Qualidade de Vida
Hipertensão
Atenção Primária à Saúde
description The quality of life (QL) and the blood pressure (BP) control of patients with arterial hypertension followed by two different models of health care in a primary care Unit in Rio de Janeiro were studied. A hundred and thirty-eight patients were followed up during 12 months in a primary care center. Sixty-nine were assisted in a model using an interdisciplinary approach (group A) and 69 in a model focused on medical consultation (group B). The QL was studied by the shortform health survey (SF-36) questionnaire. The Mann-Whitney test was applied to compare the scores obtained between groups and the systolic and diastolic blood pressure pre and post treatment differences ( SBP and DBP respectively) in each group. In group A, the Spearman test was used to correlate pre and post treatment BP, ?SBP and ?DBP to each QL score (p<0,05 was required). The functional capacity showed statistically the best result in the patients of group A (p=0,03), but lower scores with regard to mental health (p=0,03). The SBP dropped more significantly in group A than in group B (p<0,0001 X p<0,0003). The DBP dropped significantly only in group A (p<0,0001) Conclusion: The patients with arterial hypertension assisted in an interdisciplinary health care model showed a better response to treatment than those assisted in a conventional model, however this fact could not be related satisfactorily to a better QL
publishDate 2007
dc.date.none.fl_str_mv 2007-11-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos Originais; Original Articles
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/350
10.5712/rbmfc3(10)350
url https://www.rbmfc.org.br/rbmfc/article/view/350
identifier_str_mv 10.5712/rbmfc3(10)350
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/350/242
https://www.rbmfc.org.br/rbmfc/article/view/350/243
dc.rights.driver.fl_str_mv Copyright (c) 2007 Vera Lúcia R. C. Halfoun, Denise S. Mattos, Odaleia B. Aguiar
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2007 Vera Lúcia R. C. Halfoun, Denise S. Mattos, Odaleia B. Aguiar
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
dc.source.none.fl_str_mv Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 No. 10 (2007); 82-90
Revista Brasileira de Medicina de Família e Comunidade; Vol. 3 Núm. 10 (2007); 82-90
Revista Brasileira de Medicina de Família e Comunidade; v. 3 n. 10 (2007); 82-90
2179-7994
1809-5909
reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)
instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
instacron:SBMFC
instname_str Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
instacron_str SBMFC
institution SBMFC
reponame_str Revista Brasileira de Medicina de Família e Comunidade (Online)
collection Revista Brasileira de Medicina de Família e Comunidade (Online)
repository.name.fl_str_mv Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
repository.mail.fl_str_mv ||david@sbmfc.org.br
_version_ 1752122105751666688