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ResumenIntroducción: las cardiopatías son enfermedades crónicas que alteran la calidad de vida de las personas. En este sentido la espiritualidad juega un papel importante, pues a partir de sus creencias y prácticas los pacientes pueden encontrar la fortaleza necesaria para sobrellevar la enfermedad. Objetivo: analizar la calidad de vida y la perspectiva espiritual que tienen los pacientes hospitalizados ante una enfermedad cardiovascular.Metodología: estudio transversal analítico en una muestra aleatoria de 297 pacientes cardiópatas de ambos sexos. Los datos se recolectaron bajo consentimiento informado con el Spiritual Perspective Scale y el WHOQoL-BREF. El análisis estadístico fue descriptivo y se aplicaron pruebas de correlación de Pearson y Spearman, y comparación con t de Student y U de Mann-Whitney para las variables calidad de vida y espiritualidad.Resultados: el 53.5% percibió su calidad de vida como normal y 44.8% como buena; 68% tuvo un nivel alto de espiritualidad. La calidad de vida se relacionó con la espiritualidad (r = 0.164, p = 0.005), especialmente con las creencias (r = 0.214, p = 0.000); el grado académico se asoció con la calidad de vida (rs = -0.288, p = 0.000), pero no con la espiritualidad (rs = -0.030, p = 0.606). La espiritualidad fue mayor en las mujeres (Z = -2.245, p = 0.025).Conclusiones: los pacientes con enfermedad cardiovascular incrementan sus prácticas y creencias espirituales. Esto contribuye en la percepción que tienen sobre su calidad de vida.

AbstractIntroduction: Heart diseases encompass several chronic diseases that can affect the quality of life (QoL) of people. In this sense, spirituality plays an important role, given that by using it patients can find the necessary strength to overcome the disease on the basis of their beliefs and practices. Objective: To analyze the QoL and the spiritual perspective of hospitalized patients facing a heart disease.Methods: Analytical cross-sectional study in a random sample of 297 heart disease patients of both sexes. Data were collected under informed consent with the Spiritual Perspective Scale and the WHOQOL-BREF. The analysis was descriptive. To analyze the variables quality of life and spirituality we used Pearson's correlation coefficient and Spearman's rank correlation coefficient, and we compared them with Student's t test and Mann-Whitney U test.Results: 53.5% perceived their QoL as normal, and 44.8% as good; 68% had a high level of spirituality. The QoL was related to spirituality (r = 0.164, p = 0.005), especially with the beliefs (r = 0.214, p = 0.000); the academic degree was associated with QoL (rs = - 0.288, p = 0.000), but not with spirituality (rs= -0.030, p = 0.606). Spirituality is greater in women (Z = 2.245, p = 0.025). Conclusions: Patients with heart disease increase their practices and spiritual beliefs. This contributes to the perception of their quality of life.

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The World Health Organization (WHO) and several other international committees on the study of hypertension define that a patient with blood pressure between 140/90-150/95 mmHg must be treated. In the first stage of hypertension it is possible to modify it with life style changes, but if high blood pressure persists, then drug therapy must be evaluated carefully. Drug therapy management is individualized and based upon age, race, previous history of hypertension, and risks for target systemic organs. At the National Institute of Cardiology "Ignacio Chávez" in Mexico City there is a wide experience with drugs of several groups, and treatment is chosen to give the patient the greatest advantage and quality of life. Nursing requires a clear and precise knowledge of drug therapy in hypertension, as well as the understanding of its physiopathology to support in an effective way each one of the interventions. Through the Nursing process, Nurses direct their actions not only to the correct administration of drugs, but also, based on the patients background, to orient, inform, and educate the patient about disease to achieve a strict drug therapy compliance, in order to reach the main goal of the process, the which is the best quality of life possible.

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