社区高血压患者合并焦虑现况及其影响因素分析

Analysis of the Current Status and Influencing Factors of Hypertensive Patients with Anxietyin Community

目的研究社区高血压患者的焦虑现况,探讨其发生的相关影响因素。方法通过便利抽样法,于2021年1月-5月选取衡阳市某5所社区卫生服务中心共412例社区高血压患者进行问卷调查,包括一般情况调查表、焦虑自评量表,分析社区高血压患者焦虑的影响因素。结果共收回有效问卷405份,调查对象中,34.81%有焦虑,25.18%处于轻度焦虑,8.64%处于中度焦虑,0.99%处于重度焦虑;单因素分析结果显示,性别、文化程度、人均月收入、医疗支付方式、吸烟、BMI、运动、慢性病数量及睡眠时间对社区高血压患者的焦虑状态有影响;二元Logistic回归分析显示,性别、BMI、运动频率、慢性病数量及睡眠时间是社区高血压患者焦虑的影响因素。结论社区高血压患者焦虑的发生率较高,受性别、BMI、运动频率、慢性病数量及睡眠时间的影响,应提高患者对疾病的认识,加强对高血压早期焦虑危险因素筛查和预防。

Objective To study the anxiety status of hypertension patients in community and its related influencing factors.Methods A total of 412 community hypertensive patients from 5 community health service centers in Hengyang City from January to May 2021 were selected by convenience sampling method to conduct a questionnaire survey,including general questionnaire and self-rating anxiety scale.The influencing factors of anxiety in community hypertensive patients were analyzed.Results A total of 405 valid questionnaires were collected.Among the respondents,34.81%had anxiety,25.18%had mild anxiety,8.64%had moderate anxiety,and 0.99%had severe anxiety.The results of single factor analysis showed that gender,education level,per capita monthly income,medical payment,smoking,BMI,exercise,the number of chronic diseases and sleep time had an impact on the anxiety status of community hypertension patients.Binary Logistic regression analysis showed that gender,BMI,exercise,the number of chronic diseases and sleep time were the influencing factors of anxiety in community hypertension patients.Conclusion The incidence of anxiety in community hypertensive patients is high,which affected by gender,BMI,exercise,number of chronic diseases and sleep time.Patients should improve their understanding of the disease,and strengthen the screening and early prevention of early anxiety risk factors of hypertension.