吉林省长春市高血压患者神经症患病现状及影响因素调查分析  

Analysis of prevalence and influencing factors of neuroses in patients with hypertension of Changchun city in Jilin province

作　　者：周婕[1] 寇长贵[1] 史杰萍[1] 吴燕华[1] 王崇[1] 艾立哲[1] 于雅琴[1] 刘粹[2] 王希林[2] 

机构地区：[1]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021 [2]北京大学精神卫生研究所,北京100191

出　　处：《吉林大学学报（医学版）》2014年第1期193-198,共6页Journal of Jilin University：Medicine Edition

基　　金："十一五"国家科技支撑项目资助课题(2009BA77B00)

摘　　要：目的：调查吉林省长春市高血压患者神经症的患病情况，探讨其影响因素，为高血压患者神经症的防治提供决策依据。方法：应用分层整群抽样方法抽取15家社区卫生服务中心，由社区医生电话预约该社区登记的高血压患者1216人，采用世界卫生组织复合性国际诊断交谈表计算机版（CID13．0-CAPI）对患者进行访谈，共完成有效问卷999份，按《国际疾病分类第十版（ICD-10）》诊断标准进行神经症的诊断。高血压患者各种神经症的患病情况采用终生患病率、12个月患病率和30d患病率3个指标描述；12个月患病率人群分布特征组间比较采用χ2检验；对高血压患者的一般人口学特征和心理社会因素进行单因素和多因素非条件Logistic回归，筛选主要影响因素。结果：高血压患者神经症的终生患病率为14．6％，12个月患病率为10．8％，30d患病率为7．9％；Logistic回归分析，年龄（60～69岁和≥70岁）、负性生活事件、简易积极应对和生活满意程度均是高血压患者神经症的影响因素，其OR（OR95％CI）分别为o．412（0．216，0．784）、0．308（0．139，0．683）、1．010（1．003，1．017）、0．670（0．454，0．989）和0．934（0．896，0．974）。结论：高血压患者神经症患病率较高，年龄是其影响因素之一，60岁以后随年龄增加神经症的患病率降低；负性生活事件刺激会增加高血压患者患神经症的风险，而积极的应对方式和高生活满意程度可有效降低高血压患者患神经症的风险。Objective To investigate the condition of neuroses in the patients with hypertension of Changchun city in Jilin province , and to analyze its influencing factors and provide evidence for the prevention and treatment of the patients with hypertension. Methods Stratified cluster sampling method was conducted in the local health service centers. 15 health service centers were chosen. 1 216 patients with hypertension were informed by the doctors and 999 participants who were interviewed face to face using the version 3.0 of the World Health Organization Composite International Diagnostic Interview （WHO-CIDI-3.0） successfully completed the interviews and diagnosed by International Statistical Classification of Diseases and Related Health Problems, tenth revision （ICD-10）. Lifetime prevalence, 12-month prevalence and 30 d prevalence were used to describe the different kinds of neuroses in the patients with hypertension. The χ2 test was used to compare the distribution characteristics of 12-month prevalence of neuroses in the patients with hypertension between various groups. Logistic regression was used to analyze the general demographic characteristics and psychosocial factors. Results The lifetime prevalence of neuroses in the patients with hypertension was 14.6%, the 12-month prevalence was 10.8%, and the 30 d prevalence was 7.9%. The Logistic analysis results showed that four influencing factors were found, age （60-- 69 years, ≥70 years）, negative life events, positive coping style, and life satisfaction and their OR （OR95%CI） valueswere0.412 （0.216, 0.784）, 0.308 （0.139, 0.683）, 1.010 （1.003, 1.017）, 0.670 （0.454, 0.989）, and 0.934 （0.896, 0.974）, respectively. Conclusion The prevalence of neuroses in the patients with hypertension is higher. Age is one of the influencing factors, and after 60 years old, the older the patient is, the lower prevalence of neuroses. Negative life events can increase the risk of neuroses in the patients with hypertension. Positive coping style an

关 键 词：高血压 神经症 影响因素 患病率 

分 类 号：R749[医药卫生—神经病学与精神病学]