雅安地区高血压患者一般心理卫生问题及影响因素研究
Study on general mental health problems and influencing factors of hypertensive patients in Ya 'an area
投稿时间:2022-05-18  修订日期:2022-08-21
DOI:
中文关键词:  高血压  一般心理卫生问题  影响因素
英文关键词:Hypertension  general mental health  Influencing factors  
基金项目:雅安市科技局(项目名称:“芦山4.20”地震五年后雅安地区精神障碍现况调查及干预对策研究,项目编号: 2018yyjskf04)
作者单位地址
张培书 雅安市第四人民医院 雅安市雨城区清溪路7号
邹开庆 雅安市第四人民医院 
田国娇 雅安市第四人民医院 
王晓莉 雅安市第四人民医院 
巫高美 雅安市第四人民医院 
彭述蓉 雅安市第四人民医院 
高茹 成都市温江区人民医院 
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中文摘要:
      目的 了解芦山地震5年后雅安地区高血压患者心理卫生问题及其影响因素,为促进地震灾区慢性病人群心理健康提供参考。方法 采用分层整群随机抽样方法,于2019年1-5月选取雅安市高血压患者800例作为研究对象。采用自编居民基本信息调查表收集收集患者的基本资料,采用12项一般健康问卷(GHQ-12)评定患者近期心理卫生问题,采用Logistic 回归分析其影响因素。结果 回收有效问卷744份(93.00%),检出有心理卫生问题79例(10.62%)。单因素分析结果显示,不同婚姻状况(P?0.01)、家庭人均月收入水平(P=0.012)、是否为社会救助对象(χ2=25.194,P?0.01)的高血压患者心理卫生问题检出率差异有统计学意义。Logistics回归分析显示,婚姻状况(OR=3.879,P=0.015)、是否为社会救助对象(OR=4.705,P?0.01)进入模型。结论 雅安市高血压患者心理卫生问题检出率相对上海、山东等地较低,未婚、社会救助对象可能是心理卫生问题的危险性因素。
英文摘要:
      Objective To understand the General mental health problems and influencing factors of hypertension patients in Ya 'an area. Methods A total of 800 hypertension patients of Ya 'an city were selected from January to May 2019 by cluster stratified random sampling.The self-designed basic information Questionnaire and 12-item General Health Questionnaire (GHQ-12) were used to evaluate the recent general mental health problems of hypertensive patients. Result 744 valid questionnaires (93%) were collected, and 79 cases (10.62%) had general mental health problems (GHQ≥3).The results of univariate analysis showed that there were significant differences in the detection rate of general mental health problems among different marital status (P<0.01), family per capita monthly income (P=0.012) and social assistance recipients (χ2=25.194, P<0.01). Stepwise logistic regression analysis was used to analyze the variables with P<0.05 in univariate analysis. The results showed that unmarried (OR=3.879, P=0.015) and social assistance object (OR=4.705, P<0.01) were risk factors for general mental health problems. Conclusion The detection rate of mental health problems in hypertensive patients in Ya'an is relatively low compared with Shanghai and Shandong. Unmarried and social assistance objects may be the risk factors of mental health problems.
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