高血压患者血压血脂水平与相关应激应付方式研究

Investigations of BP and blood-lipid levels and correlated coping style of stress in hypertension patients

目的探讨高血压患者血压、血脂水平与应激、应付方式的关系。方法对61例高血压病患者采用卡氏身心应激量表、应付方式问卷、焦虑特质量表进行评定,并与血压、血脂水平和生活方式进行相关分析。同时与52例正常健康体检者的应付方式进行对比分析。结果研究组焦虑特质得分与常模比较差异无显著性,问题定性应付、自信心、控制力分低于对照组(P<0.05或0.01),情绪缓冲应付、支持倾向、顺从回避分高于对照组(P<0.05或0.01)。相关分析显示,收缩压、脉压差与应付方式中支持倾向呈正相关(P<0.05),舒张压与饮酒呈正相关(P<0.05),收缩压与自信心呈负相关(P<0.05);血脂中总胆固醇与应付方式中情绪加工呈正相关(P<0.05);家庭气氛差、饮酒与生理心理应激及生理心理与焦虑呈正相关(P<0.05);吸烟与问题定性应付、自信心呈正相关(P<0.05)、与支持倾向呈负相关(P<0.05),文化程度与脉压差、生理应激、焦虑特质呈负相关(P<0.05),年龄与舒张压、低密度脂蛋白含量呈负相关(P<0.05)。结论高血压患者血压水平、总胆固醇含量与应付方式策略存在一定相关性,生活方式中饮酒、家庭气氛对血压有一定影响。

Objective To explore the relationships between BP and blood-lipid levels and stress and coping style in hypertension patients. Methods Assessments were conducted with the K-chiari Psychophysically Stressed Scale（KPSS）, Coping Style Questionniare（CSQ） and Trait Anxiety Inventory（TAI） in 61 patients with hypertension and correlation analyses for BP, blood-lipid and life style, and compared with 52 healthy adults. Results There was no significant difference in the score of trait anxiety between research group and norm, scores of the problem-oriented coping, self confidence and control were lower （P〈0.05 or 0.01） and those of affective-palliative coping, support tendency and compliance-avoidance higher（P〈 0.05 or 0.01） in the research group than in control group. Correlation analysis showed that systolic pres sure and pulse pressure were positively related to support tendency（P〈0.05）, diastolic pressure positively to alcohol drinking（P〈0. 05） and systolic pressure negatively to self-confidence（P〈0. 05）; total cholesterol was positively related to emotion processing（P〈0.05） ; worse family atmosphere, drinking and physi-psychological stress positively to anxiety（P〈0.05） ; smoking positively to problem-oriented coping and self-confidence（P〈0.05） and negatively to support tendency（P〈0.05）, culture levels negatively to pulse pressure, physical stress and trait anxiety（P〈0. 05）, and ages negatively to diastolic pressure and low density lipoprotein（P〈0.05）. Conclusion BP levels and total cholesterol contents of hypertention patients have a certain correlation to coping style, drinking and family atmosphere a certain effect on BP.