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Hypertension as a cause of temporary disability and its disabiliting consequences
DVOŘÁKOVÁ, Olga
One of the most common diseases of the circulatory system is hypertension. Its high prevalence in the adult population represents a serious health but also a social problem. Untreated hypertension leads to serious organ complications which fundamentally affect the quality of life of the patient. However, before hypertension starts to be treated, prevention should precede. Preventive measures can be divided into primary and secondary. Among the primary preventive measures belong stop smoking, weight reduction, sufficient physical activity, salt reduction in food, reduction of alcohol intake. To the secondary prevention, early revelations of patients with already existing hypertension are added. Prevention would lower the cost of treatment for both, the patient and the state, especially in the case of complications of hypertension and hospitalization. The more effective the treatment is, and the sooner it is started, the emergence of complications are more delayed and prolongs the full phase of life. Acute worsening of hypertension or complications are a common cause of temporary inability to work. During a period of temporary inability to work state of health should improve and it should lead to its cure or stabilization, in order to be allowed to return to original employment. If there is no cure or stabilization of the state of health and this state lasts for at least one year, disability can be taken into consideration. In our concept of disability, it is perceived not only as a restriction of ability to work causing loss of earnings and the possibility of economic activities, but other aspects such as health, social, labor-legal are also often included. Until 31. 12. 2009 disability was divided into full and partial (full and partial disability pensions). From 1. 1. 2010, dividing into the full and partial disability was abandonned and it was replaced with the three degrees of disability (disability pension). The aim of my bachelor´s thesis was to determine what proportion of hypertension and its complications on temporary disability and long-term follow-up rate of decline in ability to work in 2007 - 2011. Two hypotheses were set. The first hypothesis - the number of cases of temporary inability to work due to hypertension and its complications has an increasing tendency and the second hypothesis ? the number of cases of assessed disability due to hypertension and its complications is increasing. In order to obtain the necessary information I used a quantitative research. Within this quantitative research, I chose the method of secondary and content analysis of data of documents relating to the assessment of the health status of citizens for social security purposes. The first basic group consisted of policyholders who were exposed to temporary inability to work in 2007 - 2011 in the district of České Budějovice. The second group consisted of people who were granted with disability in 2007 - 2011 in the district of České Budějovice. The selection of respondents was purpose-built according to diagnoses. After the analysis and comparison of data, the first hypothesis was not confirmed because the insured people having a temporary inability to work due to hypertension and its complications in 2007 - 2011 did not have an increasing tendency. Also, the second hypothesis was not confirmed by when I found out that the number of cases of assessed disability due to hypertension and its complications is not increasing. As the proposal of further procedure, it would be interesting to focus on age, sex, education and career of the insured people and also whether the reason for submitting a request for a disability pension is actually state of health of the applicant or their socio-economic situation.
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