北京市某社区老年高血压人群抑郁和焦虑状况的研究  

Study on depression and anxiety conditions of the elderly hypertensive patients in a community in Beijing

作　　者：李志新[1] 张保利[1] 

机构地区：[1]北京回龙观医院老年科19区,100096

出　　处：《中华现代护理杂志》2011年第21期2481-2483,共3页Chinese Journal of Modern Nursing

摘　　要：目的了解社区老年高血压患者的抑郁和焦虑状况。方法采用自行设计的一般情况问卷、Zung抑郁自评量表（SDS）、焦虑自评量表（SAS）和社会支持评定量表（SSRS）对北京市某社区高血压老年患者270例进行调查，并与250例非高血压患者进行比较。结果高血压组抑郁和焦虑自评量表的总分高于对照组（t=-2．55，P〈0．01），高血压组的抑郁和焦虑检出率分别为18．1％，12．5％，均高于对照组（P〈0．01），多因素分析显示抑郁和焦虑可能是高血压的危险因素，焦虑、抑郁情绪与社会支持呈负相关（P〈0．01）。结论高血压与抑郁和焦虑可能存在一定的关联，关注患者的抑郁和焦虑状况，提供良好的社会支持，采取相应的护理对策，有助于高血压的预防和治疗。Objective To discuss the depression and anxiety conditions of elderly hypertensive patients in a community in Beijing, and provide basis for well social supports and responsive nursing. Methods Test the 520 elderly hypertensive patients （270 in hypertension group and 250 in control group ） by self-designed questionnaire, self-rating depression scale （SDS） and self-rating anxiety scale （SAS）. The data was compare between the two groups. Results Depression and anxiety rate in hypertensive group were 18.1% and 12.5%, and were higher than control group （P 〈0. 01 ） ; the score and standard score of the SDS and SASlin group of hypertensive patients were significantly higher than in healthy control group [ （28.56 ± 9.21 ）vs （20.42 ± 6.67 ） and t = 1.92 for SAS, P 〈0.01 for both SAS and SDS] ; the social suppot score in hypertension group was in the range of 24 - 42, and average score was （ 30.45 ± 6.32 ）, and （35.57 ± 4.75 ） in control group, the difference was significant （t = -2. 55, P 〈0. 01 ） ; multiple factor analysis showed that depression and anxiety may be a risk factor of hypertension; anxiety and depression were negatively correlated with social support （r = -0. 112, and -0. 135, respectively, P 〈 0. 01 ）. Conclusions Hypertension was related to depression and anxiety. Concerning about the condition of patients with depression and anxiety, providing a good social support and taking the appropriate care measures can help prevent and treat hypertension .

关 键 词：高血压 抑郁 焦虑 

分 类 号：R544.1[医药卫生—心血管疾病]