Life quality and psychological comorbility in patients with arterial hypertension diagnosis and / or diabetes according to health coverage.

Abstract

One of the priorities of health problems in the countries of the region are cardiovascular diseases and diabetes.

The objective was to analyze risk habits, life quality and psychological comorbidity in people with hypertension and/or diabetes according to the public health care or health insurance in Córdoba city.

An observational and cross-sectional study was accomplished. Inclusion criteria: be over 18 years old, have a presumptive diagnosis of arterial hypertension (I10-I15 del CIE-10) and/or diabetes. The sample was for convenience in patients of the public health care (PHC) (n = 60) and those with health insurance (HI) (n = 80). The instruments selected for the study were: GHQ-12 Goldberg General Health Questionnaire (GHQ) that assesses psychological comorbidity, WHOQOL-BREF Brief Version- WHO Quality of Life and risk habits (alcohol and tobacco). Statistical analysis: Chi-square test for categorical data and ANOVA for measurable data. 95% confidence level. The ethical safeguards correspond to the requirements of the CIEIS-HNC.

In both groups the distribution of sex and age was similar (PHC = 55.3 years old; HI = 55.5 years old; women 53% and men 47%). In both study groups a sedentary lifestyle prevailed (PHC = 63%; HI 68%), alcohol and tobacco consumption were 41% in the PHC group and 36% in the HI group. The psychological comorbidity evaluated by GHQ was 12% in PHC and 17% in HI; the perception of life quality was expressed with a higher score in social relationship dimension in the HI group in relation to PHC group = 50.50 and = 42.55 respectively p <0.01). The dimensions of the environment, emotional and physical aspects were similar in both groups with average values in the 50th percentile. When analyzing the relationship between GHQ and WHOQOL-BREF in both groups, the social relationship score is higher in patients who do not present psychological comorbidity.

In patients receiving health care in the PHC as well as in HI, difficulties are expressed in healthy lifestyle habits, while the social relationship is more affected in the PHC group.