独居老年高血压患者负性情绪与自我护理能力、血压控制的相关性研究

doi:10.3761/j.issn.1672-9234.2019.03.006

摘要/Abstract

摘要：

目的调查独居老年高血压患者负性情绪与自我护理能力和血压控制水平的关系。方法采用一般资料调查表、焦虑和抑郁自评量表、自我护理能力测定量表对134例老年独居高血压患者进行问卷调查,并进行血压测量。结果独居老年高血压患者焦虑、抑郁得分分别为（53.42±6.28）分、（55.03±7.02）分,负性情绪与自我护理能力呈负相关,血压控制良好的患者负性情绪得分低于控制不良的患者（P<0.05）。结论独居老年高血压患者负性情绪较严重,负性情绪影响患者的自我护理能力及血压控制情况。

关键词: 老年人, 高血压, 自我护理, 负性情绪, 血压控制

Abstract:

Objective To explore the correlations between negative emotion,self-care ability and the level of blood pressure control in older adults living alone with hypertension. Methods A total of 134 elderly hypertensive patients living alone were surveyed using general information questionnaire,self-rating anxiety scale（SAS） and self-rating depression scale（SDS）,and self-care agency scale（ECSA）. Their blood pressure was also measured. Results The scores of SAS and SDS were（53.42±6.28）and（55.03±7.02）respectively. There was negative correlation between negative emotion and ESCA（P<0.05）. Patients with good blood pressure control had lower negative emotional score than those with poor control（P<0.05）. Conclusion Older adults living alone with hypertension have more negative emotions. Negative emotion can affect self-care ability and blood pressure control.

Key words: Aged, Hypertension, Self Care, Negative emotion, Pressure control

林绚丽,徐楚君. 独居老年高血压患者负性情绪与自我护理能力、血压控制的相关性研究[J]. 中华护理教育, 2019, 16(3): 193-195.

Xuan-li LIN,Chu-jun XU. Correlations between negative emotion,self-care ability and blood pressure control in older adults living alone with hypertension[J]. Chinese Journal of Nursing Education, 2019, 16(3): 193-195.

图/表 1

参考文献 15

[1]	陈伟伟, 高润霖, 刘力生 , 等. 《中国心血管病报告2017》概要[J]. 中国循环杂志, 2018,33(1):1-8.
[2]	国家卫生和计划生育委员会. 2016中国卫生和计划生育统计年鉴[M]. 北京: 中国协和医科大学出版社, 2016: 252.
[3]	中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011,39(7):579-616. doi: 10.3760/cma.j.issn.0253-3758.2011.07.002
[4]	Zung WW, Magruder-Habib K, Velez R , et al. The comorbidity of anxiety and depression in general medical patients:a longitudinal study[J]. J Clin Psychiatry, 1990,51(Supp1):77-80. pmid: 2189878
[5]	Yamashita M . The exercise of self-care agency scale[J]. West J Nurs Res, 1998,20(3):370-381. doi: 10.1177/019394599802000308 pmid: 9615604
[6]	Wang HH, Laffrey SC . Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J]. Kaohsiung J Med Sci, 2000,16(9):459-467. pmid: 11271731
[7]	董莉莉, 魏军平 . 高血压发病相关社会心理因素研究述评[J]. 中国中医基础医学杂志, 2014,20(8):1176-1178.
[8]	李作峰, 陈春海 . 社区老年高血压患者负性情绪与健康行为的相关性调查研究[J]. 中国民康医学, 2013,25(12):4-5. doi: 10.3969/j.issn.1672-0369.2013.12.002
[9]	张佳淇, 刘冬梅, 郑叶平 . 家庭功能对老年高血压住院患者自我护理能力的影响[J]. 护理与康复, 2017,16(9):928-930,934.
[10]	李健芝, 王蕊, 邓红军 , 等. 衡阳市社区老年高血压患者自我护理能力及其影响因素研究[J]. 中国实用护理杂志, 2013,29(14):12-16. doi: 10.3760/cma.j.issn.1672-7088.2013.14.005
[11]	Katon WJ . Epidemiology and treatment of depression in patients with chronic medical illness[J]. Dialogues Clin Neurosci, 2011,13(1):7-23. pmid: 21485743
[12]	杨蕾, 郭瑜洁 . 高血压病人自我护理的研究进展[J]. 循证护理, 2018,4(1):21-25.
[13]	侯英华 . 心理护理干预对门诊老年慢性高血压患者负性情绪及血压的影响[J]. 齐鲁护理杂志, 2017,23(7):16-18. doi: 10.3969/j.issn.1006-7256.2017.07.006
[14]	Heckbert SR, Rutter CM, Oliver M , et al. Depression in relation to long-term control of glycemia,blood pressure,and lipids in patients with diabetes[J]. J Gen Intern Med, 2010,25(6):524-529. doi: 10.1007/s11606-010-1272-6 pmid: 20182815
[15]	杨成林, 肖斌, 熊威伟 , 等. 负性情绪对原发性高血压患者血压变异性的影响[J]. 海南医学, 2015,26(21):3205-3207. doi: 10.3969/j.issn.1003-6350.2015.21.1165

组别	焦虑	抑郁
控制良好（n=72）	52.16±5.16	53.23±6.23
控制不良（n=62）	54.89±3.15	57.12±3.48
t值	3.624	4.364
P值	<0.001	<0.001