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Volume 52, Issue 1, 2023

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 52 , Issue 1, (2023)

Published: 01.11.2024.

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01.12.2021.

Professional paper

Arterial hypertension in geriatric population

INTRODUCTION Chronic non-contagious diseases: heart and blood vessel diseases, malignant tumors, diabetes, obstructive pulmonary disease, injuries and poisoning, mental health disorders and others, have dominated the world and our national pathology for decades. Arterial hypertension is one of the most common diseases of the present, which affects in more than 60% of people over the age of 60, and represents a risk factor for infarction, insult, chronic heart failure, renal insufficiency, progressive atherosclerosis and dementia, indicating the importance of hypertension frequency testing in the geriatric population in our country and in the world. OBJECTIVE is to point out the specificity, the high frequency and the risk of hypertension in the geriatric population in our country and in the world. METHODS We analyzed the data and literature in the field of geriatrics, internal medicine, neurology, public health, social medicine and health statistics in the part dealing with the protection of the health of the elderly in our country and in the world. The research was conducted through the analysis of previous scientific research obtained from the literature and the search of electronic databases in accordance with the areas defined in the aim of the work. Using the analytical observational method, all necessary data on this topic were collected, recorded and analyzed. A systematic review of the literature in the researched area was carried out, with the aim of reviewing the methodological characteristics of published studies in the mentioned area. Relevant papers based on this search were collected in full text. Data were extracted from such works, analyzed and presented in this paper. RESULTS AND DISCUSSION Cardiovascular disease is the primary cause of elderly mortality, and it is believed that by removing it in people over the age of 65, the life expectancy would be prolonged for 16 years. The results of some studies show that a third of patients over the age of 65 have isolated systolic hypertension, which is a significant risk factor for apoplexy. In developed countries, the geriatric population is on the rise and reaches more than 30% of the general population, and cardiovascular disease is one of the most common diseases and causes of mortality in this population. Studies have shown that the incidence of myocardial infarction and cerebrovascular events is doubled in patients over 65 years of life with hypertension. Only two groups of diseases, heart and blood vessels diseases and malignant tumors, account for over half of all causes of death. In the Republic of Serbia, in 2021 the population aged 65 and over accounted for 21.28% of the population, while the percentage representation of very old people, over 85 years of age, is constantly increasing. Observed since 2002, more than 100,000 people die annually in Serbia from all causes of death, and almost every second resident of Serbia dies from diseases of the heart and blood vessels. The burden of diseases of the circulatory system or diseases of the heart and blood vessels is on the rise globally, and in recent years in Serbia, on average, 55% of people who have died are victims of one of the diseases from this group. The most common diagnosis within the group of diseases of the cardiovascular system is essential arterial hypertension. The most common causes of death in 2021 belong to the following groups of diseases (according to ICD-10 - International Classification of Diseases of the World Health Organization): Diseases of the circulatory system 41.4%; Tumors 15.1%; Diseases of the respiratory system 5.3%; Diseases of glands with internal secretion, nutrition and metabolism 2.6%. Diseases of the heart, blood vessels and malignant tumors accounted for over half (55.7%) of all causes of death in 2021 in Serbia. As many as 41.4% of all deaths were the result of dying from diseases of the circulatory system, and every sixth person who died (15.1%) was a victim of a malignant tumor. Studies have shown that in patients over 65 years of age with hypertension, the frequency of myocardial infarction and cerebrovascular events is twice as high. CONCLUSION Hypertension is very common in elderly and is a growing problem for them, their family and entire community, as it significantly affects the quality of their lives. The number of elderly in general population is increasing and a growing number of them is with hypertension. Successful prevention can significantly affect the reduction in the incidence of this disease in the population of elderly, which would certainly be one of the priority tasks in improving their health and quality of life.

Ljiljana Kulić, Vesna Krstović-Spremo

01.12.2018.

Professional paper

The impact of occupational stress on work ability of electricians

Ljiljana Kulić, J. Jovanović, M. Galjak, V. Krstović-Spremo, S. Đurić, M. Mirković, J. Milošević, J. Jovanović

01.12.2018.

Professional paper

Testing the correlation between occupational stress and occupational burnout among nurses working in public health institutions

Oliver Bojčeski, Milivoje Galjak, Ljiljana Kulić, Slađana Đurić, Momčilo Mirković, Jovana Milošević

01.12.2019.

Original scientific paper

EXAMINATION OF THE IMPACT OF CHARACTERISTICS OF THE HEALTH ISSUES, LENGTH OF TIME SINCE THEMYOCARDIAL INFARCTION AND COMORBIDITY TO THE QUALITY OF LIFE OF DISEASED OF MYOCARDIAL INFARCTION

Introduction: Acute myocardial infarction is a common and urgent disease with potentially poor prognosis, so the examination of the quality of life of diseased and all factors that affect it are very important. Objective of the paper is to examine the impact of the characteristics of the health issues, thelength of time since the myocardial infarction as well as the comorbidity to the quality of life of diseased of myocardial infarction.

Methods: In order to assess the impact of acute myocardial infarction on the quality of life of diseased, a retrospectiveprospective study was conducted, designed as a cross sectional study. The followingwas used during the research: sociodemographic questionnaire, questionnaire for assessment of health status, comorbidity and characteristics of health issues of patients and Short Form 36 Health Survey, i.e. SF-36. Statistical analysis of data was made using the SPSS software statistical program.

Results: The study covered 175 subjects, of which 113 (64.6%) were male and 62 (35.4%) female. In relation to the time of diagnosis of AMI in 29.7% of subjects, the diagnosis was set in the last month, while in the remaining 70.3% it was diagnosed in the last year to a month. The highest number of respondents (68.6%) felt a strong pain before reporting to a healthinstitution for treatment, 63.4% of the respondents had cardiovascular comorbidity and the highest number of respondents (83.4%) has diagnosed arterial hypertension. Physical functioning (65.48: 81.42) (t = -6.841; p = 0.001), limitation due to physical health (51.44: 76.62) (t = -7.364; p = 0.001), the presence of bodily pains (35.88: 57.05) (t = - 7.943; p = 0.001), general health (59.04: 75.75) (t = -7.277; p = 0,001), vitality (52.78: 56.99) (t = -4.796; p = 0.001), social functioning (39.42: 63.31) (t = -7.099; p = 0.001), limitation due to emotional problems (33.97: 61.51) = -6.693; p = 0.001) and mental health (36.69: 53.97) (t = -7.714; p = 0.001) are domains in which there is a high statistically significant difference in mean values between groups of subjects compared to the time of diagnosis, whereby respondents which diagnosis was set in the last year to a month have statistically significantly better quality of health compared to those which diagnosis was set in the last month. When it comes to a common measure of physical health and mental health, a group of subjects diagnosed in the last year to a month also showed statistically significantly better results than respondents in whom AMI diagnosis was found in the last month (t = -4.152; p = 0.001; t = -7.147; p = 0.001).

Discussion: The quality of life related to health is significantly lower in subjects diagnosed with AMI in the last month compared to respondents who have been diagnosed in the last year to a month and between groups of subjects of different sexes there is no statistically significant difference in any of the quality life domains related to health. When it comes to the age of respondents, HRQOL is significantly higher in all domains of physical and mental health in the younger group of respondents.

Conclusion: Myocardial infarction affects the quality of life of the diseased,which is significantly better in the younger age group compared to the older respondents, and does not differ in relation to gender. The quality of life of patients with myocardial infarction differs in relation to the time since myocardial infarction and those diagnosed with AMIduring the reception to the hospital in the last month have significantly lower quality of life compared to subjects with AMI diagnosed in the last year to a month. The quality of life of patients with myocardial infarction is worse if the health issues are more expressed and there is comorbidity.

Ljiljana Kulić, Milica Vujović

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