高血压患者情绪障碍和应对方式对生活质量的影响

Effect of depression and anxiety and coping style on quality of life in hypertensive patients

目的探讨高血压患者情绪障碍与应对方式对生活质量的影响。方法采用综合性焦虑抑郁量表（HADS）、医学应对方式问卷（MCMQ）和生活质量评定简表（SF-36）对326名高血压患者进行问卷调查，最后运用SPSSl7．0统计软件对数据进行方差分析、相关分析等统计分析。结果①被调查高血压患者抑郁、焦虑评分分别为（6．42±3．68）分、（6．02±3．49）分；面对、回避、屈服评分分别为（18．90±3．70）分、（14．75±3．84）分、（7．98±2．63）分；生活质量维度中社会功能和躯体疼痛维度评分高于常模，其他维度分数低于常模（P〈0．01）。②不同性别、年龄、学历、高血压级别的高血压患者生活质量比较，差异有统计学意义（P〈0．05）。③高血压患者的情绪障碍与生活质量各维度呈负相关、与应对方式中的屈服因子呈正相关、生活质量各维度与应对方式中的屈服因子呈负相关（P〈0．05）。④情绪障碍中的抑郁和应对方式中的屈服、回避因子均负向预测生活质量。人口学变量中的受教育程度正向预测不同应对方式的总体健康，性别和是否合并其他疾病负向预测焦虑抑郁的高血压患者的总体健康水平。结论情绪障碍和应对方式影响高血压患者生活质量，情绪障碍越严重，应对方式越消极，生活质量越低。

Objective To explore the effect of depression anxiety and coping style on the quality of life in hypertensive patients. Methods All 326 hypertensive patients were surveyed with HADS, MCMQ and SF-36 and data were analyzed with SPSS17.0. Results ①The scores of confronce factor, avoidance factor and resignation factor were （ 18.90±3.70）, （14.75±3.84） and （7.98±2.63） respectively,and the scores of confronce factor and resignation factor were lower than the norm of patients. The scores of SF and BP dimension of SF-36 were higher than the norm, and the scores of other dimension were significantly lower than those of the norm. ②The scores quality of life had significant difference in sex, age, degree,level of blood pressure and other factors（P〈0.05 ）. ③The depression/anxiety and the quality of life of hypertensive patients had negative relation（P〈0.01）, the depression/anxiety and resignation factor had positive relation （P〈0.05）, the quality of life and resignation factor had negative relation（P〈0.05 ）. ④The depression avoidance factor and resignation factor negatively predicted the quality of life. The education positively predicted the different types of coping styles of the quality of life, sex and merge others disease negatively predicted the quality of life. Conclusion The depression/anxiety and coping style have impact on the quality of life. The more serious deoression the lower aualitv of life and the more nezative cooinz style, the lower quality of life.