高血压肾病患者躯体功能、负性情绪与跌倒恐惧的关系

Relationship between somatic functional status,negative emotions and fear of falling in patients with hypertensive nephropathy

目的 探讨高血压肾病患者躯体功能、负性情绪与跌倒恐惧的关系。方法 本研究对象为承德市中心医院2021年1月~2022年12月107例高血压肾病患者,采用活动平衡信心(ABC)进行跌倒恐惧心理评估,并根据评估结果设为恐惧组以及无恐惧组。比较两组患者一般资料以及36条目简明量表躯体功能评分(SF-36-PF)、Lovett 6级肌力分级、焦虑及抑郁自评量表(SAS、SDS),并进行多因素分析。结果 107例高血压肾病患者36例患者具有跌倒恐惧心理;恐惧组年龄、病程、SF-36-PF评分、Lovett分级、SDS评分与无恐惧组差异具有统计学意义(P<0.05),两组性别、婚姻、受教育年限差异无统计学意义(P>0.05);SF-36-PF评分、Lovett分级Ⅱ级、SAS评分、SDS评分、病程是高血压肾病患者跌倒恐惧影响因素。结论 高血压肾病患者中跌倒恐惧发生率较高,且与躯体功能状态差、负性情绪以及病程关系密切。

Objective To explore the relationship between somatic functional status,negative emotions and fear of falling in patients with hypertensive nephropathy.Methods A total of 107 patients with hypertensive nephropathy from January 2021 to December 2022 in Chengde Central Hospital were selected.The fear of falling was assessed using the Activity Balance Confidence(ABC)and was divided into a fear group and a no-fear group according to the assessment results.The general data as well as the somatic function part of the 36-item brief scale(SF-36-PF),Lovett's 6-grade muscle strength classification,anxiety and depression self-rating scales(SAS,SDS)were compared between the two groups.Multifactor analysis was also performed.Results 107 patients with hypertensive nephropathy 36 patients had fear of falling.The differences in age,disease duration,SF-36-PF score,Lovett classification,and SDS score between the fear group and the no-fear group were statistically significant(P<0.05).The differences in gender,marriage,and years of education between the two groups were not statistically significant(P>0.05).SF-36-PF score,Lovett classification grade II,SAS score,SDS score,and disease duration were factors influencing the fear of falling in patients with hypertensive nephropathy.Conclusion The incidence of fear of falling is high in patients with hypertensive nephropathy and is closely related to poor somatic functional status,negative emotions,and the course of the disease.