白大衣高血压患者睡眠状况与心理因素分析  

Analysis of Sleep State and Psychological Factors in Patients with White Coat Hypertension

作　　者：金秀慧 Jin Xiu-hui(General Practice Department of Yuyuantan Community Health Service Center,Beijing 100036,China)

机构地区：[1]玉渊潭社区卫生服务中心全科,北京100142

出　　处：《中国社区医师》2022年第17期34-36,共3页Chinese Community Doctors

摘　　要：目的:探讨白大衣高血压患者睡眠状态与心理特征的相关性。方法:选择2017-2021年在玉渊潭社区卫生服务中心确诊为白大衣高血压的患者40例为观察组,选择同时期血压正常者40例为对照组。对两组人员均使用睡眠质量量表、艾森克人格问卷(EPQ)、心理弹性量表、Zung's焦虑自评问卷和Zung's抑郁自评问卷进行调查。结果:观察组的内外向量表得分低于对照组,神经质量表得分明显高于对照组;心理弹性总分、力量、乐观得分低于对照组,而焦虑、睡眠质量得分高于对照组,差异均有统计学意义(P<0.01);观察组EPQ中的内外向与坚韧呈显著正相关,焦虑、抑郁与神经质呈显著正相关。抑郁与心理弹性总分、乐观呈显著负相关。睡眠质量得分与内外向呈显著负相关,与神经质呈显著正相关,与焦虑、抑郁呈显著正相关。结论:观察组与对照组相比倾向于内向与不稳定的情绪,心理适应性相对不足,面对压力时容易产生焦虑抑郁,影响睡眠质量。需要不断提高心理适应力,改善睡眠。Objective:To explore the correlation between sleep state and psychological characteristics in patients with white coat hypertension.Methods:Forty patients with white coat hypertension diagnosed in Yuyuantan Community Health Service Center from 2017 to 2021 were selected as the observation group,and 40 patients with normal blood pressure during the same period were selected as the control group.The two groups were investigated using the Sleep Quality Scale,Eysenck Personality Questionnaire,Psychological Resilience Scale,Zung's Self-rating Anxiety Questionnaire and Zung's Self-rating Depression Questionnaire.Results:The introversion and extroversion scale scores of the observation group were lower than those of the control group,and the scores of neuroticism scale were significantly higher than those of the control group;The total score of resilience,scores of strength and optimism were lower than those of the control group,while the scores of anxiety and sleep quality were higher than those of the control group,and the differences were statistically significant(P<0.01).There was a significant positive correlation between introversion and extroversion with toughness in the EPQ of the observation group,and between the anxiety and depression with neuroticism.Depression was significantly negatively correlated with total resilience score and optimism.Sleep quality score was significantly negatively correlated with introversion and extroversion,significantly positively correlated with neuroticism,and significantly positively correlated with anxiety and depression.Conclusion:Compared with the control group,the observation group tends to be introverted and unstable mood,and has relatively insufficient psychological adaptability,and is prone to anxiety and depression in the face of stress,which affect sleep quality.It is necessary to constantly improve mental resilience and improve sleep.

关 键 词：白大衣高血压 睡眠状况 心理因素 

分 类 号：R544.1[医药卫生—心血管疾病]