老年原发性高血压患者的心理健康分析

Analysis of mental health condition in elderly patients with primary hypertension

目的:观察老年原发性高血压患者精神心理症状,探讨其对高血压的影响,寻求可进行靶干预的针对性。方法:应用症状自评量表(SCL-90)对106例老年原发性高血压患者(≥60岁)进行评定,并与相同年龄和性别的健康老人1:1配对比较。结果:老年高血压组在躯体化(1.64±0.50)、强迫(1.79±0.59)、人际关系(1.80±0.61)、忧郁(1.48±0.44)、焦虑(1.30±0.46)、因子评分均高于对照组差异均有显著性意义(t=2.082～2.316,P均<0.05)。按高血压水平分级后和按有无合并危险因素后及按危险性量化分级比较,依次先后比较,亦同上述结果(t=2.09～2.253,P均<0.05;t=2.013～2.236,P均<0.05;t=2.062～2.281,P均<0.05)。结论:老年原发性高血压患者精神心理症状是明显的。其发生前位频率依次为强迫、敌对、人际关系、躯体化、抑郁和焦虑。可为靶干预所注重。

AIM:To investigate the psychological symptoms in elderly patients with primary hypertension,and explore its influence on hypertension,so as to seek the pertinence of target intervention. METHODS:Totally 106 elderly patients( ≥60 years old) with hypertension were measured with the symptom checklist 90 (SCL 90),and normotensive subjects of the same age and sex were selected for comparison at the ratio of 1 to 1. RESULTS:The scores of somatiztion (1.64±0.50), compulsion (1.79±0.59), interpersonal relationship (1.80±0.61),depression(1.48±0.44) and anxiety(1.30±0.46) in the elderly hypertension group were all significantly higher than those in the control group(t=2.082 to 2.316,P< 0.05). According to the classification of hypertensive level,having risk and riskless factors and hierarchical quantity analysis of risk factors, the comparison showed the same results as mentioned above(t=2.09 to 2.253,t=2.013 to 2.236,t=2.062 to 2.281,all P < 0.05). CONCLUSION:Psychological symptoms are obvious in elderly patients with primary hypertension, and the measurements in an interval of a frequency distribution are compulsion,hostility, interpersonal sensitivity,somatiztion,depression and anxiety which are the focuses of target intervention.