太原市某社区“H型”高血压患者抑郁状况及影响因素分析  

Study on the depression and influencing factors of patients with hyperhomocysteinima-related hypertension in Taiyuan

作　　者：张建霞[1] 李茂莲[2] 唐玉萍[3] 张晓玲[1] 

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西医科大学第二附属医院,太原030001 [3]山西医科大学风湿科,太原030001

出　　处：《中华现代护理杂志》2013年第9期1031-1034,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解山西省太原市某社区“H型”高血压患者的抑郁状况及相关影响因素，为“H型”高血压伴发抑郁患者的预防干预提供参考依据。方法采用简单随机抽样的方法抽取太原市坝陵桥社区2000例高血压患者中的240例进行调查，对其中资料完整的230例患者进行调查。结果230例患者中，抑郁的发生率是26．1％，其中女44例占女性总人数的30％，男16例占男性总人数的19％。“H型”高血压伴发抑郁的影响因素包括血浆同型半胱氨酸（Hey）、职业、医保类型、高龄、独居、病程时间及家庭经济状况。结论家庭经济状况、职业、医保类型及同住亲友，是“H型”高血压伴发抑郁的危险因素。Hcy水平对抑郁得分有影响，因此在对“H型”高血压伴发抑郁患者干预时要重视Hcy水平的影响。Objective To explore the prevalence of depression and related factors of patients with hyperhomoeysteinima-related hypertension, so as to provide references for prevention intervention. Methods Totals of 240 hypertension patients were selected by simple random sampling from 2000 cases in a community, and 230 patients with integrated materials were investigated. Results 26. 1% of 230 patients suffered from depression, in which, 44 females accounted for 30% of total female patients and 16 male accounted for 19% of total male patients. The influencing factors of patients with hyperhomocysteinima-related hypertension associated with depression included homocysteine, occupation, health insurance type, old age, living alone, course of disease and family economic status. Conclusions Family economic status, occupation, health insurance type and families and friends living together are the risk factors of patients with hyperhomocysteinima-related hypertension associated with depression. The homoeysteine level can also affect depression scores, so attention should be paid during the intervention of patients with hyperhomocysteinima- related hypertension associated with depression.

关 键 词：高血压 抑郁 同型半胱氨酸 

分 类 号：R544[医药卫生—心血管疾病] R74[医药卫生—内科学]