基层官兵高血压患者焦虑抑郁状态评估

The hypertension soldiers' anxiety,depression and the complications are estimated by the study

目的探究高血压患者的心理特征及其影响因素,评估不同高血压分级与基层官兵患者焦虑、抑郁之间的关系。方法抽取北京市某三级甲等综合医院心内科高血压基层官兵患者956例,以不同血压分级为分组变量,以心内科病例为基础,用血压指标、艾森克人格问卷、焦虑自评量表、抑郁自评量表为检测手段,观察不同分级高血压基层官兵患者的生理、心理特征。结果高血压基层官兵患者年龄与收缩压呈正相关(r=0.601,P<0.01),收缩压与舒张压、焦虑、抑郁分数、N标准分呈正相关(r分别为0.785、0.597、0.456、0.576,P<0.05)。收缩压、N标准分两个危险因素进入焦虑、抑郁回归模型,回归系数分别为0.605、0.701、0.633、0.743,差异有显著性(P<0.05)。结论收缩血压越高,基层官兵患者的焦虑、抑郁程度越严重,改善高血压患者的情绪状态有助于保持血压的稳定。中老年年龄段高血压与焦虑、抑郁情绪关系密切。情绪不稳定、内向患者的情绪波动对其血压影响较大。

Objective To explore the psychological characteristics of patients with hypertension and its influencing factors, and explore the relationship between the soldiers＇ age, blood pressure and psychological factors with the intention of a better understanding of the risk factors that influence psychological characteristics. Method 956 hypertension grassroots officers and soldiers which from cardiology department of a third grade first-class comprehensive hospital in Beijing were extracted. With different blood pressure grades as the grouping variable, department of cardiology to case based,blood pressure index, eysenck personality questionnaire, beck depression inventory and beck anxiety inventory were used to as testing method. Hypertension patients＇ physical and psychological characteristics were observed at different levels. Result Hypertension soldiers＇ age and systolic blood pressure are positively related （r=0. 601, P〈0.01 ）, systolic blood pressure and diastolic blood pressure, anxiety, depression score and mood N norm are positively related （r was 0. 785,0. 597,0. 456,0.576 respectively,P〈0.05 ）. When systolic blood pressure and N norm were taken into consideration in anxiety, depression regression model equation, regression coefficientwere 0.605,0. 701, 0. 633, 0. 743, respectively, and the differences are statistically significant（P〈0.05 ）. Conclusion Age and hypertension are creatable. Systolic blood pressure and the soliers＇ anxiety, degree of depression and emotional stability are correlated, diastolic blood pressure and soldiers＇ anxiety score and emotional stability are creatable. For the hypertensionsoldiers＇ in this research, the risk factors of anxiety and depression are systolic blood pressure and N norm. Reducing systolic blood pressure and improve emotional stability can relieve the soldiers＇ anxiety and depression.