回、汉族高血压患者心理行为状况及影响因素
Psycho-behavioral Status and Influencing Factors in Hui and Han Chinese Patients with Hypertension
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摘要:
目的 了解回、汉族高血压患者心理行为状况及影响因素。 方法 运用 1:1配比病例对照研究, 在宁夏吴忠市 6个社区共选取回族研究对象 108对, 汉族研究对象 102对。采用 SCL-90健康症状自评量表和自行设计量表对其进行心理状况及行为因素调查。 结果 高血压家族史为回族(OR=2.147)和汉族(OR=4.380)高血压患者的危险因素, 过度紧张(OR=1.783)为回族高血压独立的危险因素。回、汉族高血压组与对照组相比心理状况均较差, 差异有统计学意义(P < 0.01), 与汉族高血压组相比, 回族高血压组心理状况较差, 差异有统计学意义(P < 0.01)。 结论 回、汉族高血压患者心理健康状况较差, 提示应对回、汉族高血压患者特别是回族高血压患者进行有针对性的心理干预和行为指导。 Abstract:Objective To investigate the psycho-behavioral status in Hui and Han people with hypertension and its influencing factors. Methods A 1:1 matched case-control study was conducted among 108 pairs of Hui people and 102 pairs of Han people who were randomly chosen as subjects from 6 communities of Wuzhong city in Ningxia Hui Autonomous Region. Symptom Checklist-90 (SCL-90) and self-designed questionnaire were used to investigate their psycho-behavioral status and its influencing factors. Results The family history of hypertension was the paramount factor for either Hui or Han people with hypertension (OR=2.147 and OR=4.380 respectively), while overstress was an independent risk factor for Hui people with hypertension (OR=1.783). It was found that the psychological state in both Hui and Han hypertensive patients was significantly worse compared with the controls (P < 0.01), and that in Hui hypertensive patients was significantly worse than that in Han hypertensive patients (P < 0.01). Conclusion The present study demonstrates the poor psychological health status in Hui and Han hypertensive patients, indicating that it is necessary to deliver psychological intervention and behavior instruction to them, especially to the Hui hypertensive patients.
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