摘要
目的了解高血压前期患者的代谢及抑郁状态,并探讨高血压前期的综合护理模式。方法随机入选243例体检部及心血管内科门诊初诊者,其中正常血压组81例、高血压前期组162例。检测体质量指数、血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇水平,并测定患者健康状况问卷抑郁量表(PHQ-9)的得分情况后,将高血压前期组分为空白组和干预组(各81例),综合护理1年后再次检测其代谢指标水平和PHQ-9得分。结果高血压前期患者体质量指数、血糖、总胆固醇、甘油三酯和低密度脂蛋白胆固醇较正常血压者高(P<0.05),但高密度脂蛋白胆固醇低于后者(P<0.05);此外,前者的PHQ-9得分也较后者高(P<0.05)。在综合护理后,与高血压前期空白组比较,高血压前期干预组患者的体质量指数、血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇和PHQ-9得分较低,但高密度脂蛋白胆固醇水平较高(P<0.05)。结论高血压前期患者已经存在代谢紊乱和轻度抑郁,综合护理可以改善该部分患者的代谢状态并减轻抑郁状态。
Objective To investigate metabolic abnormalities and depression in patients with prehypertension and explorer comprehensive ,＇are for prehypertension. Methods All of 243 cases from department of physical exanaination and cardiology were divided into normal blood pressure group （n=81） and prehypertension group （ n=162 ） . All people were determined the values of body mass index, glucose, total cholesterol, triglycerides, low density lipoprotein cholesterol, high density lipoprotein cholesterol, and PHQ-9. And then prehypertension gronp were divided into prehypertension blank group （ n=81 ） and prehypertension intervention group （ n=81 ） . All data were measured again after 1 year. Results Body mass index, glucose, total cholesterol, triglycerides and low density lipoprotein cholesterol, as well as PHQ-9, were increased in prehypertension group when compared with normal blood pressure group （P 〈 0.05 ）, but high density lipoprotein cholesterol was less in the former （ P 〈 0.05 ） . After the comprehensive care, the levels of body mass index, glucose, total cholesterol, triglycerides, low density lipoprotein cholesterol and PHQ-9 score were lower, but high density fipoprotein cholesterol was higher in prehypertension intervention group when compared with prehypertension blank group （ P 〈 0.05 ） . Conclusion Metabolic abnormalities and mild depression have been present in prehypertension, and comprehensive care can improve the metabolic state and decrease depression.
出处
《中国卫生标准管理》
2016年第23期215-217,共3页
China Health Standard Management
基金
国家自然科学基金项目(81270277)
关键词
高血压前期
代谢
抑郁
护理
Prehypertension, Metabolism, Depression, Care
