Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas: the importance of nurses' role

Tavares, Darlene Mara dos Santos; Paiva, Mariana Mapelli de; Dias, Flavia Aparecida; Diniz, Marina Aleixo; Martins, Nayara Paula Fernandes

doi:10.1590/S0104-11692013000200007

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Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 21 (2) • Mar-Apr 2013 • https://doi.org/10.1590/S0104-11692013000200007 copy

Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas: the importance of nurses' role¹ 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process # 503646/2009-1.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To describe the socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension; to correlate the quality of life with the time of diagnosis and number of medication, as well as to compare the quality of life with the type of medication.

METHOD:

In this cross sectional home survey design, 460 elderly people from rural areas were involved. The data was collected with the use of the following instruments: World Health Organization Quality of Life-bref and World Health Organization Quality of Life Olders. A descriptive analysis, Pearson correlation and t-Student test (p<0.05) were undertaken.

RESULTS:

Predominant patient characteristics were: women between the age of 60 and 70, married, four to eight years of formal education, income of one minimum wage, living with their partners. The time of diagnosis was associated with lower quality of life in the physical domain. Elderly patients who used Inhibitors and Angiotensin Converting Enzyme and who did not use AT1 blocker had lower scores in relation to functioning of the senses. Those who used calcium channel blocker scored higher in relation to autonomy.

CONCLUSION:

there is a need for actions to control systemic arterial hypertension and its associated complications, with the purpose of improving quality of life.

Hypertension; Quality of Life; Health of the Elderly; Rural Population; Nursing

Medication		Physical	Psychological	Social relationships	Environment
IACE
	Yes	66.48	69.04	73.34	61.53
	No	64.59	68.80	74.03	63.24
		t=1.280	t=0.202	t=-0.579	t=-1.558
		p=0.201	p=0.840	p=0.563	p=0.120
Calcium Channel Blocker
	Yes	62.75	68.60	76.49	62.28
	No	66.03	68.98	73.26	62.30
		t=-1.460	t=-0.205	t=1.786	t=-0.014
		p=0.145	p=0.838	p=0.075	p=0.989
Direct Vasodilator
	Yes	50	47.91	66.66	54.68
	No	65.70	69.02	73.68	62.33
		t=-1.406	t=-2.290	t=-0.779	t=-0.921
		p=0.160	p=0.022	p=0.436	p=0.357
Diuretics
	Yes	64.84	67.96	73.55	62.23
	No	66.39	69.85	73.74	62.35
		t =-1.058	t=-1.560	t=-0.160	t=-0.110
		p=0.291	p=0.119	p=0.873	p=0.912
Central Adrenergic Inhibitor + Beta blocker
	Yes	66.05	69.20	73.84	62.25
	No	63.33	67.49	72.65	62.59
		t=-1.341	t=1.015	t=-0.721	t=-0.227
		p=0.181	p=0.311	p=0.471	p=0.821
BRA II
	Yes	64.08	68.45	73.69	61.74
	No	65.92	69.03	73.64	62.40
		t=-0.896	t=-0.336	t=0.027	t=-0.432
		p=0.371	p=0.737	p=0.979	p=0.666
Adrenergic Inhibitor
	Yes	61.94	68.53	74.71	61.85
	No	65.88	68.96	73.58	62.33
		t =-1.303	t=-0.171	t=0.464	t=-0.211
		p=0.193	p=0.864	p=0.643	p=0.833

Medication		Functioning of senses	Autonomy	Past, present and future activities	Social participation	Death and dying	Intimacy
IACE
	Yes	68.40	67.27	69.24	66.02	70.20	72.59
	No	73.13	67.12	70.07	67.33	73.70	74.15
		t=-2.208	t=0.074	t=-0.763	t=-1.091	t=-1.544	t=-0.959
		p=0.028	p=0.941	p=0.446	p=0.276	p=0.123	p=0.338
Calcium Channel Blocker
	Yes	70.76	73.66	68.52	67.52	70.53	72.99
	No	70.48	66.31	69.76	66.48	71.93	73.33
		t=0.085	t=2.448	t=-0.733	t=0.569	t=-0.405	t=-0.139
		p=0.932	p=0.015	p=0.464	p=0.569	p=0.686	p=0.889
Direct Vasodilator
	Yes	40.62	37.50	71.87	59.37	21.87	87.50
	N0	70.64	67.32	69.60	66.63	71.98	73.22
		t=-1.848	t=-1.994	t=0.271	t=-0.800	t=-2.940	t=1.182
		p=0.65	p=0.47	p=0.786	p=0.424	p=0.003	p=0.238
Diuretics
	Yes	70.61	66.47	69.63	66.97	71.47	74.19
	No	70.42	67.88	69.59	66.26	72.04	72.44
		t=-1.210	t=-0.498	t=0.405	t=-0.567	t=-0.593	t=-0.707
		p=0.227	p=0.618	p=0.685	p=0.571	p=0.554	p=0.480
Central Adrenergic Inhibitor + Beta blocker
	Yes	70.96	66.94	69.72	66.85	72.48	73.63
	No	68.04	68.66	69.01	65.23	67.78	71.39
		t=-0.984	t=-0.631	t=0.463	t=0.987	t=1.507	t=1.020
		p=0.326	p=0.528	p=0.644	p=0.324	p=0.133	p=0.308
BRA II
	Yes	75.53	67.23	68.92	67.94	71.96	76.52
	No	69.62	67.19	69.73	66.37	71.73	72.72
		t=1.990	t=0.013	t=-0.525	t=0.949	t=0.074	t=1.723
		p=0.047	p=0.462	p=0.600	p=0.343	p=0.941	p=0.086
Adrenergic Inhibitor
	Yes	65.52	65.30	68.75	65.30	69.18	71.12
	No	70.85	67.33	69.67	66.69	71.94	73.43
		t=0.047	t=0.594	t=-0.254	t=1.110	t=-0.088	t=-0.719
		p=0.962	p=0.553	p=0.800	p=0.268	p=0.930	p=0.473

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Darlene Mara dos Santos Tavares Universidade Federal do Triângulo Mineiro Pç. Manoel Terra, 330 Bairro: Abadia CEP: 38100-000, Uberaba, MG, Brasil E-mail: darlenetavares@enfermagem.uftm.edu.br

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Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas: the importance of nurses' role1 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process # 503646/2009-1.

OBJECTIVE:

METHOD:

RESULTS:

CONCLUSION:

Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas: the importance of nurses' role¹ 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process # 503646/2009-1.