云南楚雄、红河州农村老年高血压患者心理健康状况及影响因素

Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan

目的了解云南农村老年高血压患者的心理健康状况,并探究其影响因素。方法采取多阶段随机抽样方法,在云南楚雄、红河州农村地区选取老年高血压患者,通过问卷调查收集其基本信息、心理健康状况等信息。采用多因素Logistic回归分析老年高血压患者心理健康的影响因素。结果云南楚雄、红河州21.82%(209/958)的高血压老年人心理健康状况差。年龄为80~89岁(OR=2.395,P<0.05)和90岁以上(OR=3.293,P<0.05)及身体残障(OR=2.037,P<0.05)是老年高血压患者的心理健康差的危险因素;相较于自评经济状况非常困难,自评经济状况比较困难(OR=0.490,P<0.05)、中等(OR=0.632,P<0.05)和比较富裕(OR=0.344,P<0.05),有配偶(OR=0.655,P<0.05)、子女很关心(OR=0.411,P<0.05)、子女关系比较好(OR=0.339,P<0.05)是老年高血压患者的心理健康差的保护因素。结论云南楚雄、红河州农村高血压老人的心理健康状况较差;需要重点关注年龄较大的和有身体残障的老年高血压患者的心理健康,倡导子女对老年高血压患者的经济及心理支持对于改善云南楚雄、红河州农村地区老年高血压患者的心理健康状况尤为重要。

Objective To investigate the mental health status and its influencing factors among elderly hypertensive patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan.Methods Multi-stage random sampling method was adopted to select elderly hypertensive patients from rural Yi ethnic areas in Yunnan.Questionnaires were used to collect their basic information and mental health status.Multivariate logistic regression was performed to explore the influencing factors of mental health among the elderly hypertensives.Results 21.82%(209/958)of elderly people with hypertension have poor mental health status in Chuxiong and Honghe Prefecture,Yunnan.Age of 80-89 years(OR=2.395,P<0.05)and over 90 years(OR=3.293,P<0.05),as well as physical disability(OR=2.037,P<0.05),were risk factors for poor mental health.Compared with those who rated their economic situation as very difficult,rating as somewhat difficult(OR=0.490,P<0.05),moderate(OR=0.632,P<0.05)and relatively affluent(OR=0.344,P<0.05),having a spouse(OR=0.655,P<0.05),received full concern from the offspring(OR=0.411,P<0.05)and maintain good relationships with offspring(OR=0.339,P<0.05)were protective factors.Conclusions The mental health status of elderly people with hypertension is relatively poor in rural areas of Chuxiong and Honghe Prefecture in Yunnan Province.Special attention should be paid to the mental health of older and physically disabled elderly hypertensives.Economic and mental support from children was crucially important in improving the mental health of elderly hypertensive patients in rural areas of Chuxiong and Honghe Prefecture in Yunnan Province.