中青年原发性高血压患者应对方式的影响因素

Influencing factors of coping style in young and middle-aged patients with essential hypertension

目的分析中青年原发性高血压(EHT)患者应对方式的影响因素。方法选取三峡大学第三临床医学院2018年4月至2020年12月就诊的100例中青年EHT患者,采用简易应对方式问卷(SCSQ)评估患者应对方式,设计基线资料填写表,询问并记录患者相关基线资料,经logistic回归分析找出影响中青年EHT患者应对方式的相关因素。结果100例患者中有47例消极应对,占47.00%;53例积极应对,占53.00%。不同应对方式EHT患者受教育程度、知觉压力评分、心理弹性评分、自我感受负担评分比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,专科以下学历、知觉压力较重、有自我感受负担、睡眠质量一般是中青年EHT患者消极应对的影响因素(OR>1,P<0.05)。结论中青年EHT患者消极应对受患者受教育程度低下、知觉压力较重、有自我感受负担、睡眠质量一般影响。

Objective To analyze the influencing factors of the coping style of young and middle-aged patients with essential hypertension(EHT).Methods A total of 100 young and middle-aged EHT patients who were treated from April 2018 to December 2020 in the Third Clinical College of China Three Gorges University were selected.The simplified coping style questionnaire(SCSQ)was used to evaluate the patient’s coping style,design the baseline data filling form,and inquire and record the relevant baseline data of the patient.Logistic regression analysis was used to find out the relevant factors affecting the coping style of young and middle-aged EHT patients.Results Among 100 patients,47 cases responded negatively,accounting for 47.00%;53 cases responded positively,accounting for 53.00%.EHT patients with different coping styles had statistically significant differences in education level,perceived stress score,psychological resilience score,and self-feeling burden score(P<0.05).Logistic regression analysis showed that college degree or below,heavier perceived pressure,self-perceived burden,and sleep quality were generally influential factors for the negative coping of young and middle-aged EHT patients(OR>1,P<0.05).Conclusion The negative coping of young and middle-aged EHT patients may be affected by their low education level,heavy perceived pressure,self perceived burden and general sleep quality.