西安市碑林区老年原发性高血压患者心理状况调查及影响因素分析  

Investigation on Psychological Status of Elderly Patients with Hypertension in Beilin District of Xi′An City and Analysis of Influencing Factors

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作  者:刘瑛 张英 张青 LIU Ying;ZHANG Ying;ZHANG Qing(Military Special Clinic,The 986th Hospital of the Chinese People's Liberation Army Air Force,Xi′an 710054,China;Department of Psychology,The 986th Hospital of the Chinese People's Liberation Army Air Force,Xi′an 710054,China)

机构地区:[1]中国人民解放军空军第九八六医院军人特诊中心,西安710054 [2]中国人民解放军空军第九八六医院心理科,西安710054

出  处:《岭南心血管病杂志》2025年第1期74-79,共6页South China Journal of Cardiovascular Diseases

基  金:中国人民解放军空军第九八六医院课题基金资助(项目编号:22KYBJ07)。

摘  要:目的了解西安市碑林区老年原发性高血压(高血压)患者抑郁及焦虑情绪现状,并探讨其影响因素。方法选取2018年1月1日至2022年10月17日期间西安市碑林区的240例老年高血压患者为研究对象,采用健康问卷抑郁量表(health questionnaire depression scale,PHQ-9)及广泛性焦虑障碍量表(generalized anxiety disorder scale,GAD-7)评估患者抑郁及焦虑情绪,采用二元Logistic回归分析老年高血压患者抑郁状态、焦虑状态的影响因素。结果240例老年高血压患者中59例有抑郁状态(24.58%),其中轻度抑郁38例(15.83%),中度及以上抑郁21例(8.75%);36例有焦虑状态(15.00%),其中轻度焦虑24例(10.00%),中度及以上焦虑12例(5.00%)。单因素分析结果显示,不同年龄(60~70岁vs.≥70岁:9.42%vs.45.10%;10.14%vs.21.57%)、居住方式(独居vs.与配偶居住vs.与子女居住:80.00%vs.13.74%vs.42.42%;88.00%vs.2.20%vs.30.30%)、共慢性病数(≤1种vs.≥2种:15.53%vs.51.43%;6.47%vs.35.71%)的老年高血压患者抑郁状态、焦虑状态比较,差异有统计学意义(P<0.05);不同饮酒情况(极少或适度vs.过量:10.82%vs.82.61%)、遵医嘱服药情况(是vs.否:14.22%vs.83.33%)的老年高血压患者抑郁状态比较,差异有统计学意义(P<0.05)。独居、饮酒过量、共慢性病数≥2种均是老年高血压患者抑郁的独立危险因素(P<0.05)。独居、共慢性病数≥2种均是老年高血压患者焦虑的独立危险因素(P<0.05)。结论西安市碑林区老年高血压患者心理状况较差,存在抑郁和焦虑情况,社区医护人员可定期进行抑郁和焦虑筛查,进行针对性干预。Objectives To understand the status quo of depression and anxiety in elderly patients with hypertension in Beilin District of Xi′an City,and to explore the influencing factors.Methods A total of 240 elderly patients with hyper⁃tension in Beilin District of Xi′an from January 1,2018 to October 17,2022 were selected as the study subjects,the depression and anxiety of the patients were assessed with the health questionnaire depression scale(PHQ-9)and the generalized anxiety disorder scale(GAD-7),and the influencing factors of depression and anxiety in elderly hyperten⁃sive patients were analyzed by binary Logistic regression.Results Among 240 elderly patients with hypertension,59 patients had depression(24.58%),including 38 patients with mild depression(15.83%)and 21 patients with moderate or above depression(8.75%);36 patients had anxiety(15.00%),including 24 patients with mild anxiety(10.00%)and 12 patients with moderate or above anxiety(5.00%).There was a statistically significant difference(P<0.05)in the depression and anxiety states of the elderly hypertensive patients with different ages(60-70 years vs.≥70 years:9.42%vs.45.10%;10.14%vs.21.57%),living styles(living alone vs.with spouse vs.living with children:80.00%vs.13.74%vs.42.42%;88.00%vs.2.20%vs.30.30%),and the number of common chronic diseases(≤1 vs.≥2:15.53%vs.51.43%;6.47%vs.35.71%).There was a statistically significant difference in depression status among elderly hypertensive patients with different alcohol consumption patterns(minimal or moderate vs.excessive:10.82%vs.82.61%)and medication adherence(yes vs.no:14.22%vs.83.33%).Living alone,drinking too much,and having more than two chronic dis⁃eases were independent risk factors for depression in elderly hypertensive patients(P<0.05).Both living alone and hav⁃ing more than two chronic diseases were independent risk factors for anxiety in elderly hypertensive patients(P<0.05).Conclusions The psychological status of the elderly patients with hypertension in Beilin District of Xi′an Ci

关 键 词:高血压 抑郁 焦虑 西安市碑林区 

分 类 号:R544.1[医药卫生—心血管疾病]

 

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