县域医共体无临床并发症老年高血压患者焦虑抑郁情绪状况及影响因素研究  

Study on the status and influencing factors of anxiety and depression in elderly hypertensive patients without clinical complications in countywide medical communities

作　　者：丁育钧[1] 江玉文[1] 蔡文玉[1] 徐业传 吕晓伟[1] DING Yujun;JIANG Yuwen;CAI Wenyu;XU Yechuan;LV Xiaowei(Department of Cardiovascular Medicine,Jinjiang Hospital of Fujian Province,Jinjiang 362216,China)

机构地区：[1]福建省晋江市医院心血管内科,福建晋江362216

出　　处：《中国现代医生》2022年第14期86-89,96,共5页China Modern Doctor

基　　金：福建省泉州市科技计划项目(2019N007S)。

摘　　要：目的调查县域医共体无临床并发症老年高血压患者焦虑抑郁情绪的状况及影响因素。方法采用广泛焦虑问卷7项(GAD-7)和患者健康问卷9项(PHQ-9)评估2019年6月至2021年3月在县域医共体门诊就诊的273例无临床并发症老年高血压患者的焦虑抑郁情绪现状,通过单因素和多因素分析总结焦虑抑郁情绪的危险因素。结果在273例无临床并发症老年高血压患者中,检出焦虑情绪86例(31.50%)和抑郁情绪57例(20.88%);女性、非在婚、文化程度低、有临床症状、睡眠质量差和服药依从性低是焦虑情绪和抑郁情绪的独立危险因素(OR值分别为2.879、2.884、2.352、2.666、3.308、3.367和3.349、2.148、1.956、3.338、2.869、5.094,P<0.05),月收入低是抑郁情绪的独立危险因素(OR=2.384,P<0.05)。结论焦虑抑郁情绪在县域医共体老年高血压患者无临床并发症的病程早期普遍存在,掌握其危险因素,有助于及时识别和综合干预。Objective To investigate the status and influencing factors of anxiety and depression in elderly hypertensive patients without clinical complications in countywide medical communities.Methods The current status of anxiety and depression in 273 elderly hypertensive patients without clinical complications attending outpatient clinics in countywide medical communities from June 2019 to March 2021 was evaluated by using Generalized Anxiety Disorder Questionnaire-7(GAD-7)and Patient Health Questionnaire-9(PHQ-9),and risk factors for anxiety and depression were summarized by univariate and multivariate analyses.Results Among 273 elderly hypertensive patients without clinical complications,86 cases(31.50%)of anxiety and 57 cases(20.88%)of depression were detected.Female,non-marital,low education level,the presence of clinical symptoms,poor sleep quality and low medication compliance were independent risk factors for anxiety(OR=2.879,2.884,2.352,2.666,3.308,3.367)and depression(OR=3.349,2.148,1.956,3.338,2.869,5.094)(P<0.05),and low monthly income was an independent risk factor for depression(OR=2.384,P<0.05).Conclusion Anxiety and depression are prevalent in the early course of hypertension in elderly patients without clinical complications in countywide medical communities,and finding out its risk factors is helpful for timely identification and the implementation of the comprehensive intervention.

关 键 词：高血压 焦虑 抑郁 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]