社区空巢原发性高血压老年患者心理状态和生活质量相关性研究

The Correlation Study between Mental Health Status and Quality of Life in Empty-nest Elderly Patients with Essential Hypertension in Community

目的:探讨社区空巢原发性高血压老年患者心理状态和生活质量的相关性,为患者的临床治疗提供参考依据。方法:2021—2022年,选取上海市浦东新区书院社区卫生服务中心收治的80例空巢原发性高血压老年患者为观察组、80例非空巢原发性高血压老年患者为对照组,采用症状自评量表(SCL-90)和简明健康调查量表(SF-36)对两组患者的心理状态和生活质量进行比较,并进行相关性分析。结果:观察组患者SCL-90各维度评分均高于对照组,差异均有统计学意义(t值分别为-8.537、-13.370、-6.492、-14.054、-12.469、-13.984、-10.378、-15.816、-11.490,P<0.01);观察组患者SF-36量表各维度评分均低于对照组,差异均有统计学意义(t值分别为6.628、6.790、8.559、9.810、8.450、6.133、8.298、6.079,P<0.01);SCL-90各维度评分与SF-36量表各维度评分呈负相关。结论:社区空巢原发性高血压患者心理状态和生活质量两者相关,改善心理状态将有助于提高患者的生活质量。

OBJECTIVE To explore the correlation study between mental health status and quality of life in empty-nest elderly patients with essential hypertension in community.METHODS 80 elderly empty-nest elderly patients with hypertension of Shanghai Pudong New Area Shuyuan Community Health Service Center were selected as the observation group,and 80 elderly no empty-nest elderly patients with hypertension were selected as the control group from 2021 to 2022.The SCL-90 and SF-36 scores of the two groups were analyzed.The correlation between the two indexes were analyzed.RESULTS The SF-36 scores in all dimensions of the observation group were lower than in the control group(t=-8.537,-13.370,-6.492,-14.054,-12.469,-13.984,-10.378,-15.816,-11.490,P<0.01).The SCL-90 scores in all dimensions of the observation group were higher than in the control group(t=6.628,6.790,8.559,9.810,8.450,6.133,8.298,6.079,P<0.01).The scores of SCL-90 scale and SF-36 scale were negatively correlated.CONCLUSION There is a correlation between mental state and quality of life in community empty-nest essential hypertension patients.Improving mental state will help improve the quality of life of patients.