综合医院住院老年高血压患者焦虑状况  

An Analysis of Anxiety among Hospitalized Elderly Patients with Hypertension in General Hospital

作　　者：艾陈涵 王科化 郭一博 李颖[1] 李燕[1] AI Chen-han1, 2,WANG Ke-hua1,GUO Yi-bo1,LI Ying1,LI Yan1(1.Dept. of Cadre Health Care,Then First People＇s Hospital of Yunnan Province,Kunming Yunnan 650032;2.Dept. of Clinical of Medicine,Yunnan University of Traditional Chinese Medicine,Kunming Yunnan 650500,China)

机构地区：[1]云南省第一人民医院干部保健科,云南昆明650032 [2]云南中医学院临床医学系,云南昆明650500

出　　处：《昆明医科大学学报》2018年第4期95-99,共5页Journal of Kunming Medical University

基　　金：云南省医疗卫生单位内设研究机构科研项目(2017NS222;2017NS221)

摘　　要：目的评估了解目前综合医院老年高血压病人焦虑的发病率及相关危险因素,为临床干预提供依据.方法随机选择云南省第一人民医院老年病科确诊原发性高血压317例患者为研究对象,由专业评估医师对入组患者进行老年综合评估,并填写评估量表,以汉密尔顿焦虑量表(HAMA)评定高血压患者中焦虑的发病率,并识别相关的危险因素.结果入组的老年高血压患者317例年龄60~96岁,平均(82.6±6.4)岁,其中男性173人(54.6%),女性144人(45.4%),总体焦虑发生率为27.1%(86/317).高血压伴焦虑患者在性别、24 h平均血压、日常生活能力、认知功能、睡眠质量、营养状况和平衡功能方面与一般高血压患者存在显著差异(P<0.05),而在年龄、婚姻状况、高血压程度、文化程度、体重指数、合并疾病数量、住院天数方面无明显差异(P>0.05);对高血压有无合并焦虑与上述因素进行相关性分析,采用二元Logistic回归分析显示:24 h平均血压、日常生活能力和睡眠质量的差异具有统计学意义(P<0.05).结论老年高血压患者焦虑状态的产生与多种因素相关,采用老年综合评估可早期发现患者潜在的问题,并制定个性化干预措施,提高老年人生活质量.Objective Through the comprehensive geriatric assessment, the incidence of anxiety and related risk factors of the elderly hypertensive patients in the general hospital are understood and the basis for clinical intervention is provided.Me thods We randomly selected the patients with primary hypertension diagnosed in the Department of Geriatrics in our hospital as the research objects. The elderly patients were evaluated comprehensively.The Hamilton Anxiety Scale（HAMA） was used to assess the incidence of anxiety in hypertensive patients and to identify the related risk factors.Re s ults A total number of 317 elderly hypertensive patients were enrolled in this study. The age was 60~96 years old. The average age was（82.6 ± 6.4） years old. Among all the participants,173 were men（54.6%） were male and 144 were women（45.4%） were female.The incidence of anxiety mong all pecrticipants was 27.1%（86/317）,with 10.7%（34/317） in male and 16.4%（52/317） in femde.The independent risk factors for hypertension and anxiety in the elderly were 24 hours average blood pressure,disability and insomnia（P0.05）.Conclus ions Multiple factors can effect anxiety symptoms of inpatients.Using CGA can detect potential problems in early stage,and develop personalized intervention measures to improve the quality of life of the elderly.

关 键 词：老年综合评估 高血压 焦虑 

分 类 号：R592[医药卫生—老年医学]