高血压患者生存质量及其影响因素的流行病学研究

目的:描述高血压患者的心理健康状况,探讨影响其生存质量的心理行为等相关因素,为开展相应的预防控制工作提供科学依据。方法:采用病例对照研究的流行病学方法,选取医院住院的高血压病人作为病例组,选取在体检中心体检的具有可比性的健康人群作为对照组,用自行设计的问卷对研究对象的一般情况、疾病史、个人行为、饮食习惯、生活事件等心理行为因素进行调查,并用抑郁自评量表(SDS)、焦虑自评量表(SAS)、简明健康调查量表(SF-36)进行测评。结果:两组人群SDS评分、SAS评分及SF-36生理健康(PCS)和心理健康(MCS)8个维度的差异均有高度统计学意义(P<0.01)。结论:高血压患者的生存质量状况较差。在药物治疗的同时加大开展高血压健康教育并进一步加强心理治疗的力度,对提高患者的心理健康水平、改善其生存质量具有重要意义。

Epidemiological study on the life quality and related factors in patients with hypertension

Objective：To explore the related psychological and behavioral patterns that affect the life quality of hypertensive disease patients,with evaluation of the mental health,for providing scientific evidence for this disease control and prevention.Methods：The surveys were conducted in terms of case-control study.Participants were recruited from hospitalized patients with hypertension as case group and the eligible controls were enrolled from the healthy subjects undergone physical examination in a health evaluation center.A self-programmed questionnaire was used to survey the participants concerning their general information,medical history,personal behavior,eating habits and life events and the data were assessed with self-rating depression scale（SDS）,self-rating anxiety scale（SAS）and 36-item short-form health survey（SF-36）.Results：The differences were significant in statistics regarding the scores of SDS,SAS and the 8 dimensionalities in SF-36 by comparison of the two groups（P〈0.01）.Conclusion：The findings suggest that hypertensive patients are undergoing a poor quality of life.Apart from medication,health education and psychotherapy should be beneficial to the improvement of mental health and life quality of the patients.