147例原发性高血压住院患者的焦虑水平及相关因素分析

Anxiety level and related factors in patients with primary hypertension:An analysis of 147 cases

目的了解原发性高血压住院患者的焦虑水平及影响因素,探讨护理对策。方法采用HAMA焦虑量表及一般情况调查表,对147例原发性高血压患者进行调查,统计分析各变量对焦虑的影响程度。结果 147例住院原发性高血压患者的HAMA总分为(13.1±9.5)分;焦虑发生率为47.6%(70/147)。单因素分析显示,睡眠状况、血压水平、业余活动、病情监测、运动锻炼、社会支持、文化程度与焦虑水平具有相关性(P<0.05);多因素Logistic回归分析显示,原发性高血压并发焦虑的独立危险因素为睡眠状况差、无业余活动、血压控制差(P<0.05),其中睡眠状况差是主要的独立危险因素(OR=6.724,P<0.01)。结论原发性高血压患者的焦虑水平受多种因素影响,睡眠是最重要的影响因素;医院、家庭及社会应重视原发性高血压患者的焦虑水平和睡眠状况。

Objective To study the level of anxiety and influencing factors for inpatients with primary hypertension and discuss the nursing strategies. Methods Investigate 147 inpatients with HAMA （Hamilton Anxiety Scale） and individual general situation questionnaire. The data was analyzed with single-factor analysis and multi-factor logistic regression. Re- suits The incidence of anxiety in inpatients with primary hypertension was 47.6%, total score of HAMA was 13.1_＋9.5. The result of single-factor analysis indicated that there was significant difference in sleep quality, hobby, the level of BP, moni- toring state of illness, exercise, social support and education （P 〈 0.05）. The result of multi-factor logistic regression indi- cated that sleep quality,level of BP and hobby were associated with the level of anxiety for inpatients with primary hyper- tension （P 〈 0.05）, especially the insomnia（OR = 6.724,P 〈 0.01 ）. Conclusion The level of anxiety is affected by many factors. It and insomnia for inpatients with primary hypertension should be paid attention to by doctors, government and family.