ANALYSIS OF PSYCHOSOCIAL FACTORS AFFECTING THE QUALITY OF LIFE OF PATIENTS WITH ARTERIAL HYPERTENSION

Introduction. In recent years, in Ukraine, the role of socio-economic factors in the mechanisms of arterial hypertension (AH), which provide for socially determined economic factors, has been increasing. The level of health of citizens, and accordingly the average duration of their quality life, is formed under the influence of such internationally recognized components: natural, socio-economic, socio-political, preventive conditions and medical care. According to the WHO, 1,130 million people worldwide suffer from AH, and most of them (about two-thirds) live in low- and middle-income countries; in 2015, AH affected 1 in 4 men and 1 in 5 women; only 1 in 5 people with AH control the condition; AH is one of the main causes of premature death in the world. The research is aimed at studying the role of medico-social and social factors, general well-being, and the level of quality of life in patients with AH and shows that AH definitely worsens their quality of life, which is characterized by a decrease in indicators of both physical and psychological conditions. Aim. To conduct an analysis of psychosocial factors affecting the quality of life of patients with hypertension. Materials and methods. In total, 120 patients with diagnostically confirmed hypertension aged 23 to 79 years participated in the study, among whom 56.67% were women and 43.33% were men. The main part of patients, 60.83%, had AH of the first degree, 24.17% – of the second, and 15% – of the third degree. A questionnaire was conducted among all respondents to study the influence of medical and social factors on the development, course and quality of life of patients with hypertension. Results. Among the patients with AH who participated in the study, the preference was for persons with secondary special education and those who work (71.62%), with excellent and good sanitary and technical conditions (60.47%) and satisfactory and poor psychological working conditions (39.53%), with an average material condition (42.5%) and a fluctuation in the level of quality of life from very high to extremely low, and deterioration of the quality of life of patients with AH was established, which, accordingly, causes a decrease in indicators of both physical and psychological conditions. Conclusions. AH worsens the quality of life of patients, so it is necessary to develop the patient's ability to understand, control and correct risk factors for cardiovascular diseases.