Qualidade de vida em pacientes hipertensos e validade concorrente do Minichal-Brasil

Abstract

Quality of Life in Hypertensive Patients and Concurrent Validity of Minichal-BrazilAna Carolina Melchiors, Cassyano Januário Correr, Roberto Pontarolo, Felipe de Oliveira de Souza Santos, Rodrigo Augusto de Paula e Souza Universidade Federal do Paraná, Curitiba, PR -Brazil extrapolations to be made from one patient to another 4 . Also, interpretations from patients, family and the health team may vary, thus creating assessment disparities, and this reinforces the importance of the patient himself assessing his health condition 4 .According to the World Health Organization, quality of life is defined as "individuals' perceptions of their position in life in the context of the culture and value system in which they live and in relation to their goals, expectations, standards and concerns" 5 .Instruments for the measurement of quality of life were created so that health professionals could effectively measure the impact of health interventions on the quality of life and, more specifically, the health-related quality of life. For that purpose, valid measurement questionnaires are required 6 . In Brazil, there are several studies of cultural adaptation of health-related quality of life instruments. The most widely used generic instrument for the hypertensive population is the Medical Outcomes Study 36-Item Short Form (SF-36) 7,8 . Recently, a study of cultural adaptation and validation of Minichal for Brazilian Portuguese was published. It evaluated criteria of content, construct and internal consistency of the instrument, by comparing results in hypertensive patients and normotensive individuals. Data on concurrent validity comparing Minichal to other QoL measurement instruments were not obtained, thus making further studies necessary 9,10 .The objective of the present study was to describe the quality of life profile of hypertensive patients and to assess the concurrent validity of the Minichal-Brazil instrument, by comparing its performance to that of the generic QoL assessment instrument known as WHOQOL-Bref. MethodsCross-sectional, non-randomized study conducted in the public health system in Southern Brazil by means of interviews carried out by trained professionals with proper skills for the study. All patients included were diagnosed with SH according to local diagnostic criteria; they attended the primary health care units where the study was conducted, were taking at least one medication to control hypertension, and were 18 years old or older.By convenience, the sample was composed in an independent manner by all patients who agreed to participate in the research and attended the primary health care unit in the days of the interviews.Patients with secondary hypertension, pregnant women or individuals with severe acute or chronic mental disorders were excluded. The study period extended from January to October 2007.Araucária was the town chosen for the study; it belongs in the Metropolitan Region of the city of Curitiba and has a per capita income of 136.45 dollars (242.06 real) as analyzed in 2000, th...

Qualidade de vida e adesão medicamentosa para pessoas hipertensas

“…On this scale, the closer to 0 is the result, the better the quality of life. (12)(13)(14) For the assessment of medication adherence, was used the medication adherence scale of Morisky, Green and Levine, version adapted to the Brazilian culture. The scale contains four questions related to factors of non-adherence.…”

The Influence of Stress on the Quality of Life of Hypertensive Patients

“…Previous investigations have shown that clinical and sociodemographic variables affect the patient's quality of life, reporting that in hypertension patients there is a decrease of it (Carvalho et al, 2012;Cavalcante et al, 2007;Melchiors, 2008;Melchiors, Correr, Pontarolo, Santos, & Souza, 2010). However there are studies that have concluded the opposite and state that there is no decrease in the quality of life of hypertension patients (Ramos, Oliveira, & Freitas, 2009).…”

Qualidade de vida relacionada à saúde entre pessoas com hipertensão arterial sistêmica em uma unidade de estratégia de saúde da família do Sul de Minas Gerais

“…Estudos têm apontado o MINICHAL como um instrumento útil, rápido, fácil de ser aplicado e que pode ser usado de forma complementar para avaliar a QVRS de pessoas com HAS (MELCHIORS et al, 2010;SOUTELLO et al, 2011;CARVALHO et al, 2012 (MELCHIORS et al, 2010;BÜNDCHEN et al, 2010;CARVALHO et al, 2012;SOUTELLO et al, 2011;MIAN;GASPARINO, 2012 …”

“…Item VIII -MINICHAL : composto por dezessete subitens que avaliam a QVRS de pessoas com HAS, trata-se de um instrumento validado no Brasil, sendo considerado uma ferramenta útil, rápida e eficaz para medir essa variável (BADIA et al, 2002;CAVALCANTE et al, 2007;SCHULZ et al, 2008;BÜNDCHEN et al, 2010;MELCHIORS et al, 2010;CARVALHO et al, 2012;VIEIRA et al, 2012).…”

“…Outra pesquisa que também analisou a associação de tabagismo com a QVRS entre pessoas com HAS foi a de Melchiors et al (2010) que também utilizaram, além do MINICHAL, o WHOQOLbref para avaliar a QVRS de pessoas com HAS, e da mesma forma não encontraram diferença na QVRS entre os tabagistas e os não tabagistas.…”