影响老年原发性高血压患者抑郁的因素

Study on Depression of Hypertension and Associated Factors in Elderly Population in the Community of Beijing

目的了解北京社区老年原发性高血压(EH)患者抑郁及影响因素。方法抽样调查了北京城乡社区1064例老年 EH 患者,并进行抑郁量表的测试等。结果居住在农村(21.6%比城市7.3%)、文盲(19.9%比非文盲11.2%)、无配偶(19.7比有配偶12.4%)、经济收入低(21.9%比收入高9.8%)、有生活事件(23.2%比无生活事件8.6%)、睡眠质量差(31.0%比睡眠好8.7%)和生活活动能力差(26.7%比生活活动能力好9.0%)的老年 EH患者抑郁症患病率高(P 均<0.01);Logistic 回归分析显示文化程度(P=0.023)、重要不幸生活事件(P=0.001)、睡眠质量(P=0.0001)和生活活动能力(农村21.6%比城市7.3%)(P=0.001)对老年 EH 患者抑郁具有独立影响作用。结论积极进行降压治疗,控制影响因素,并积极进行心理调节,是减少老年 EH 患者抑郁的关键。

Objective To explore the depression status of hypertension and analyze the associated factors in the elderly population in a community of Beijing. Methods This cohort of 1064 elderly people in the community were screened with Centerfor Epidemiology Scale（CES-D）. Results Those who lived in rural（21.6% vs city 7.3 % ）, illiterate（19.9 % vs literate 11.2 % ）, mateless（ 19.7 % vs mate 12.4 % ）, lower income（ 21.9 % vs high income 9.8%）, life accidents（23.2% vs without life accidents 8.6%）, sleep disorder（31.0% vs sleep good 8.7%） and lower living abilities（26.7% vs high living ability 9.0%） had higher incidence of depression （all P〈O. 01）; Logistic regression analysis indicated illiterate （P= 0. 023）, life unfortunate accidents（P= 0. 001）, sleep disorder（P=0. 001） and lower living abilities （P=0. 001） were predisposed factors for depression in the elderly of hypertension. Conclusion Antihypertensive treatment in elderly patients should include controlling the associated factors and alleviating depression.