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哈萨克族高血压患者心血管反应与觉察压力的关系研究 被引量:5

Relationship between Cardiovascular Reactivity and Perceived Stress Scale in Kazakh Hypertension Patients
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摘要 目的探讨哈萨克族高血压患者心血管反应特点及其与觉察压力之间的关系,为哈萨克族人群高血压的临床防治提供理论依据。方法于2012年3—9月,对新疆哈萨克族高血压患者(病例组)和哈萨克族非高血压患者(对照组)采用问卷调查与实验研究相结合的方法进行研究,问卷为觉察压力量表,以收缩压(SBP)、舒张压(DBP)、心率、血氧饱和度(SPO2)为观察指标,采用描述性统计、相关及线性回归分析的方法分析心血管反应与觉察压力的关系。结果 (1)两组受试者基线期、任务期、恢复期的SBP、DBP比较,差异均有统计学意义(P<0.05);两组受试者任务期、恢复期的SPO2比较,差异有统计学意义(P<0.05)。(2)控制感与病例组基线期、任务期、恢复期的SBP、DBP均呈正相关(P<0.05)。预测感、控制感与对照组基线期、任务期、恢复期的SPO2均呈负相关,与基线期-任务期心率波动呈负相关(P<0.05);超载感与对照组基线期、恢复期的心率均呈正相关,与恢复期SPO2、基线期-任务期心率波动均呈负相关(P<0.05)。(3)逐步回归分析显示,基线期SBP对病例组觉察压力中控制感的影响有统计学意义(P=0.003);恢复期SPO2对对照组预测感、控制感和超载感的影响均有统计学意义(P=0.001、0.001、0.014)。结论哈萨克族患者的高血压易受心理因素影响,血压波动大,对觉察压力中预测感、控制感和超载感进行调控有利于其血压的控制。 Objective To explore the relationship between cardiovascular reactivity (CVR) and Perceived Stress Scales in Kazakh hypertension patients, to provide a theoretical basis for clinical prevention and treatment of hypertension. Methods A questionnaire combined with experimental study was performed in Kazakh hypertension or non - hypertension pa- tients from March to September of 2012. Perceived Stress Scales were used to observe systolic blood pressure ( SBP), diastolic blood pressure (DBP), heart rate (HR), oxygen saturation (SPO2 ). The relationship between CVR and Perceived Stress Scales were analyzed with descriptive statistics, correlation and linear regression analysis. Results ( 1 ) There was significant difference in SBP, DBP during periods of baseline, task, recovery between 2 groups (P 〈 0. 05 ), and in SPO2 during periods of task, recovery ( P 〈 0.05 ). ( 2 ) Feeling of control was positively correlated with SBP, DBP during periods of baseline, task, recovery in hypertension group (P 〈 0.05 ) ; In control group, predictive sense, feeling of control negatively with SPO2 during periods of baseline, task, recovery, negatively with baseline - task HR ( P 〈 0. 05 ) ; Feeling of overload positively with HR during periods of baseline, recovery, negatively with recovery SPO2 and baseline - task HR fluctuation ( P 〈 0.05 ). (3) By stepwise regression analysis, there was significance in effect of baseline SBP on feeling of control in Perceived Stress Scales in hy- pertension group (P = 0. 003), and in effect of recovery SPO2 on predictive sense, feeling of control and feeling of overload in control group (P = 0. 001, 0. 001, 0. 014, respectively). Conclusion Kazakh hypertension patients are susceptible to the im- pact of psychological factors, the fluctuation of BP being big. Regulation of predictive sense, feeling of control, feeling of over- load is beneficial to control of their BP.
作者 闫香华 张澜
出处 《中国全科医学》 CAS CSCD 北大核心 2013年第23期2685-2687,共3页 Chinese General Practice
基金 国家自然科学基金项目(31160202) 成果来自石河子大学重点人文研究基地:石河子大学心理应用研究中心
关键词 高血压 哈萨克族 血压 心率 应激 心理学 觉察压力 Hypertension Kazakh Blood pressure Heart rate Stress, psychological Perceived Stress
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