中青年科技工作者高血压与失眠、焦虑抑郁现状分析

Present situation of hypertension,insomnia,anxiety and depression in young and middle-aged scientific workers

目的研究高血压与失眠、焦虑抑郁等相关因素的关系,对高血压合并焦虑抑郁提供相应对策。方法对582名中青年科技工作者进行调研和问卷分析,失眠、焦虑、抑郁分别采用AIS、PHQ-9和GAD-7量表评定。采用SPSS23.0软件进行数据分析。结果582份有效问卷中高血压146人(25.09%),失眠225人(38.66%),焦虑70人(12.03%),抑郁137人(23.54%)。高血压合并焦虑或抑郁占比38.36%,高血压合并失眠占比43.15%。Logistic回归分析:高血压(OR=2.226,95%CI:1.323~3.746,P=0.003)、精神压力(OR=4.484,95%CI:2.592~7.756,P<0.001)、失眠(OR=6.000,95%CI:3.917~9.191,P<0.001)、工作倦怠感(OR=7.272,95%CI:2.573~20.557,P<0.001)与焦虑相关。高血压(OR=2.609,95%CI:1.728-3.940,P<0.001),精神压力(OR=5.151,95%CI:2.614~10.149,P<0.001),失眠(OR=6.848,95%CI:4.215~11.124,P<0.001),工作倦怠感(OR=4.982,95%CI:2.754~9.012,P<0.001)是抑郁危险因素。结论高血压、精神压力、失眠、工作倦怠感是中青年高校科技工作者焦虑抑郁的影响因素,应识别高血压合并焦虑抑郁,需联合治疗。

Objective To study the relationship among hypertension,insomnia,anxiety and depression in young and middle-aged scientific workers,and provide corresponding countermeasures for hypertension complicated by anxiety/depression.Methods The investigation and questionnaire analysis were carried out in 582 young and middle-aged scientific workers.Insomnia,anxiety and depression were evaluated respectively by using Athens Insomnia Scale(AIS),Patient Health Questionnaire-9 Items(PHQ-9)and Generalized Anxiety Disorder-7 Items(GAD-7).All data were analyzed by using SPSS 23.0 software.Results Among 582 cases with effective questionnaires,there were 146 cases(25.09%)of hypertension,225(38.66%)of insomnia,70(12.03%)of anxiety,and 137(23.54%)of depression.The cases of hypertension complicated by anxiety or depression accounted for 38.36%,and cases of hypertension complicated by insomnia accounted for 43.15%.The results of Logistic regression analysis showed that hypertension(OR=2.226,95%CI:1.323~3.746,P=0.003),mental stress(OR=4.484,95%CI:2.592~7.756,P<0.001),insomnia(OR=6.000,95%CI:3.917~9.191,P<0.001)and job burnout(OR=7.272,95%CI:2.573~20.557,P<0.001)were correlated to anxiety,and hypertension(OR=2.609,95%CI:1.728~3.940,P<0.001),mental stress(OR=5.151,95%CI:2.614~10.149,P<0.001),insomnia(OR=6.848,95%CI:4.215~11.124,P<0.001)and job burnout(OR=4.982,95%CI:2.754~9.012,P<0.001)were risk factors of depression.Conclusion Hypertension,mental stress,insomnia and job burnout are influence factors of anxiety and depression in young and middle-aged scientific workers,and hypertension complicated by anxiety/depression should be recognized and treated with combination therapy.