冗思对老年高血压患者认知情绪调节及服药依从性的影响

Effects of rumination on cognitive emotion regulation and medication adherence in elderly hypertensive patients

目的了解老年高血压患者的冗思现状,探究冗思对认知情绪调节策略和药物依从性的影响,为改善患者心理健康提供依据。方法选取成都市3个社区共260例老年高血压患者为研究对象进行调查。采用一般资料调查表、冗思反应量表及认知性情绪调节问卷进行问卷调查。结果社区老年高血压患者冗思得分为(14.27±3.780)分,消极认知情绪调节得分为(38.02±3.948)分,积极认知情绪调节得分为(58.31±5.623)分,服药依从性得分为(5.88±0.742)分。单因素分析显示,患者冗思得分在高龄、无配偶、独居、初中及以下、家庭人均月收入≤3000元、病程>10年、有并发症、服药依从性差、消极认知情绪调节的患者中更高(P<0.05)。Spearman相关性分析显示,冗思与消极认知情绪调节策略呈正相关,与积极认知情绪调节策略及服药依从性呈负相关。结论老年高血压患者冗思处于较低水平,冗思与认知情绪调节策略及服药依从性具有相关性。提示医务工作者应关注患者心理体验,鼓励积极的情绪调节方式,促进有效的心理调适。

Objective To understand the current status of rumination in elderly hypertensive patients,and to explore the impact of rumination on cognitive emotion regulation strategies and medication adherence,thus providing a basis for improving the mental health.Methods A total of 260 elderly hypertensive patients from three communities in Chengdu City were selected for the study.The General information questionnaire,the Rumination Response Scale and the Cognitive Emotion Regulation Questionnaire were used for the questionnaire survey.Results The scores of rumination,regulation of negative cognitive emotions,regulation of positive cognitive emotions and medication adherence in elderly hypertensive patients in the community were(14.27±3.780),(38.02±3.948),(58.31±5.623),and(5.88±0.742)points,respectively.Univariate logistic regression analysis showed that patients with advanced age,no spouse,living alone,junior high school or below,per capita family monthly income≤3000 yuan,disease duration>10 years,complications,poor medication adherence,and negative cognitive emotion regulation had significantly higher rumination score(P<0.05).Spearman correlation analysis showed that rumination was positively correlated with negative cognitive emotion regulation strategies,and negatively correlated with medication adherence.Conclusion The rumination level in elderly hypertensive patients is low,which is correlated with cognitive emotion regulation strategies and medication adherence.Our findings suggested that the psychological experience,encourage positive emotion regulation and promote effective psychological adjustment of elderly hypertensive patients should be well concerned.