住院高血压患者焦虑抑郁共病的影响因素

The influence factors of comorbid anxiety and depression in hospitalized hypertensive patients

目的:探讨住院高血压患者焦虑抑郁共病的影响因素。方法:以我院2015年4月-2017年10月住院治疗的389例高血压患者作为研究对象,采用医院焦虑抑郁量表对患者的焦虑、抑郁情况进行评估,并根据焦虑抑郁的发生情况分为单纯焦虑抑郁组和焦虑抑郁共病组,对分组后患者的临床资料进行比较,并对影响焦虑抑郁共病的危险因素进行多因素Logistic回归分析。结果:389例患者中共检出焦虑抑郁患者262例,发病率为67.35%,其中单纯焦虑患者73例(27.86%),单纯抑郁患者104例(36.69%),焦虑抑郁共病患者85例(32.44%)。根据评估结果单纯焦虑/抑郁组患者177例,焦虑抑郁共病组患者85例,组间比较焦虑抑郁共病组患者女性(χ~2=8.608,P=0.003)、病程≥5年(χ~2=4.445,P=0.035)、高血压2~3级(χ~2=5.654,P=0.017)以及多次住院(χ~2=4.602,P=0.032)患者相比单纯焦虑/抑郁组患者明显增加;经Logistic回归分析,女性(OR=2.119,P=0.034)、病程≥5年(OR=2.008,P=0.032)、高血压分级2~3级(OR=2.122,P=0.004)以及多次住院(OR=1.963,P=0.005)均为影响焦虑抑郁共病的独立危险因素。结论:女性、病程较长、高血压分级较高以及多次住院的高血压患者是焦虑抑郁共病的高危人群。

Objective:To study the influence factors of comorbid anxiety and depression in hospitalized hypertensive patients.Methods:We selected 389 cases of hospitalized hypertension patients in our hospital from April 2015 to October 2017 as the research objects;all the patients were evaluated the situation of anxiety and depression by hospital anxiety depression scale,and according to the occurrence of anxiety and depression,they were divided into pure anxiety/depression group and comorbid anxiety and depression group;the clinical data of patients were compared between the two groups,and the multiariable Logistic regression analysis was used for risk factors of comorbidity anxiety and depression.Results:There were 262 cases of patients with anxiety depression in a total of 389 patients,the incidence was 67.35%,including 73 cases of patients with pure anxiety,accounted for 27.86%,and 104 cases of patients with pure depressed,accounted for 36.69%,the comorbid anxiety and depression patients were 85 cases,accounting for 32.44%.According to the evaluation result,the pure anxiety/depression group was 177 cases,comorbid anxiety depression group was 85 cases,the comparison between groups showed that the numbers of female patients,the course of disease with more than 5 years,2~3 levle of high blood pressure and many times in hospital of comorbid anxiety depression group were increased significantly than that of pure anxiety/depression group(χ~2=8.608,4.445,5.654,4.602,P<0.05);The Logistic regression analysis showed that the female,the course of disease with more than 5 years,2~3 level of high blood pressure and many times in hospital were independent risk factors of comorbidity anxiety and depression(OR=2.119,2.008,2.122,1.963;P<0.05).Conclusion:Women,long course of disease,high grade of high blood pressure,and many times in hospital with high blood pressure are high risk factors of comorbidity anxiety and depression.