社区高血压病患者的心理状况调查分析  

A surey on mental health status in patients with primary hypertension

作　　者：林乐平 杨涛 王谷亮[2] 岳英 

机构地区：[1]上海市黄浦区五里桥街道社区卫生服务中心,上海200023 [2]上海交通大学医学院附属瑞金医院高血压研究所,上海200025 [3]上海市黄浦区第二精神卫生中心,上海200023

出　　处：《内科理论与实践》2012年第3期222-225,共4页Journal of Internal Medicine Concepts & Practice

摘　　要：目的:了解社区原发性高血压患者的心理状况,为临床干预提供参考依据。方法:于2011年12月对上海市黄浦区五里桥街道的110例高血压病患者采用症状自评量表(SCL-90)、汉密尔顿抑郁(HAMD)和焦虑(HAMA)量表进行调查,并以101名健康老人作为正常对照。结果:高血压组SCL-90总均分及躯体化、强迫、抑郁、焦虑、恐怖、精神病性、睡眠饮食等均分都高于正常对照组,两者差异有统计学意义(均P<0.05)。无论是高血压组还是正常对照组,男性与女性SCL-90总均分及因子分比较差异均无统计学意义(均P>0.05)。高血压组中31例(28.2%)患者至少有1项因子高于2分,6例(5.45%)患者至少有1项因子高于3分,出现躯体化、饮食睡眠、强迫等问题的较多。高血压组HAMD、HAMA量表总分及HAMA量表精神焦虑因子分明显高于正常对照组,差异有统计学意义(均P<0.05)。结论:社区原发性高血压患者存在心理健康问题,需特别关注。Objective To study the mental health status of patients with primary hypertension. Methods At Wuliqiao Street community of Shanghai Huangpu district, 110 patients with primary hypertension and 101 healthy elder subjects completed the symptom checklist-90, Hamilton anxiety scale （HAMA） and Hamilton depression scale （HAMD）, and the results were analyzed. Results The SCL-90 total average score and the average scores of somatization, obsessions, depression, anxiety, phobias, psychopathic symptoms, sleeping and diet deficit in patients with primary hypertension were significantly higher than those of healthy controls （P〈0.05）. There were no significant difference between male and female both in patients with primary hypertension and healthy controls （P〉0.05）. At least the score of one factor higher than 2 was seen in 28.2% （31） and higher than 3 was seen in 5.45%（6） of patients with primary hypertension. The most commonly seen problems were somatization, obsession, sleeping and diet deficit . The total scores of HAMD, HAMA and the anxious factor of HAMA in hypertensive patients were significantly higher than that in healthy controls （P〈0.05）. Conclusions Some problems in mental health status were seen in patients with primary hypertension and should be specifically concerned.

关 键 词：高血压病 抑郁 焦虑 

分 类 号：R473.2[医药卫生—护理学]