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老年高血压患者焦虑抑郁情绪现状及影响因素分析

The current situation of anxiety and depression in elderly hypertensive patients and analysis of its infl uencing factors

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【作者】 刘赟琦张先庚梁小利杨丽萍张云秋刘珊郭勤

【Author】 LIU Yunqi;ZHANG Xiangeng;LIANG Xiaoli;YANG Liping;ZHANG Yunqiu;LIU Shan;GUO Qin;Chengdu University of Traditional Chinese Medicine;

【通讯作者】 张先庚;

【机构】 成都中医药大学四川护理职业学院

【摘要】 目的 了解老年高血压患者焦虑、抑郁情绪现状及其影响因素,为改善老年人的生理和心理健康提供参考。方法 基于2018年中国老年健康影响因素跟踪调查(CLHLS)数据,描述老年高血压患者焦虑、抑郁情绪现状,采用多元逐步回归分析其影响因素。结果 老年高血压患者抑郁得分为10.42±4.55分,焦虑得分为1.30±2.50分,多因素分析显示,文化程度、生活来源、血压水平、配偶健康、饮酒是抑郁的主要影响因素;性别、文化程度、配偶健康是焦虑的主要影响因素。结论 老年高血压患者的焦虑、抑郁情绪受多种因素影响,值得关注的是配偶健康状况对患者的焦虑、抑郁情绪有一定影响,提示社区在加强患者管理的同时应关注患者配偶状况。

【Abstract】 Objective To understand the current situation of anxiety and depression in elderly hypertensive patients and their infl uencing factors, to provide reference for improving the physical and mental health of the elderly. Methods Based on the 2018 Chinese longitudinal healthy longevity survey(CLHLS) data, the present situation of anxiety and depression in elderly hypertensive patients was described, and the infl uencing factors were analyzed by multiple stepwise regression.Results The depression score of elderly hypertensive patients was 10.42±4.55 points, and the anxiety score was 1.30±2.50points. Multivariate analysis showed that the education level, source of life, blood pressure level, spouse’s health, and drinking were the main infl uencing factors of depression; the gender, education level, and spouse’s health were the main infl uencing factors of anxiety. Conclusion The anxiety and depression of elderly hypertensive patients were af fected by many factors. It was worth noting that the health status of the spouse had a certain infl uence on the anxiety and depression of the patients, suggesting that the community should pay attention to the status of the patient’s spouse while strengthening patient management.

【关键词】 高血压老年患者焦虑抑郁配偶健康
【Key words】 HypertensionElderly patientsAnxietyDepressionSpouse’s health
【基金】 国家重点研发计划项目(编号:2018YFC2002400);四川省中医药管理局面上项目(编号:2021MS095);四川省医学青年创新科研课题计划(编号:Q20022)
  • 【文献出处】 护理实践与研究 ,Nursing Practice and Research , 编辑部邮箱 ,2022年20期
  • 【分类号】R473.5
  • 【下载频次】630
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