论文部分内容阅读
目的研究H型高血压患者抑郁的患病率及其危险因素,为早期干预提供依据。方法 2013年1月—2014年1月对上海市南京东路社区卫生服务中心收治的H型高血压患者采用抑郁自评量表(SDS)和自行设计的问卷调查抑郁患病率,采用单因素和多因素Logistic回归分析抑郁患病的危险因素。结果 458例H型高血压患者,抑郁患病率为24.45%,男性29.81%高于女性20.00%(P<0.05);患病率随年龄增长而升高(P<0.05)。单因素分析显示,抑郁与非抑郁H型高血压患者的年龄、性别、文化程度、病程、系统治疗、经济状况、家庭支持、合并症和抑郁家族史9个因素差异有统计学意义(P<0.05);多因素非条件Logistic回归分析显示,男性(OR=1.99,95%CI 1.65~2.38)、文化程度低(OR=3.77,95%CI 2.93~5.48)与病程长(OR=1.71,95%CI 1.54~1.90)是H型高血压患者抑郁患病的独立影响因素。结论 H型高血压患者的抑郁患病率相对较高,应针对危险因素,开展综合干预。
Objective To study the prevalence and risk factors of depression in Hypertension patients and provide the basis for early intervention. Methods From January 2013 to January 2014, the prevalence of depression in Hypertensive patients admitted to Nanjing East Road Community Health Service Center in Shanghai was assessed by Self-Rating Depression Scale (SDS) and self-designed questionnaire. Single factor And multivariate Logistic regression analysis of risk factors for depression. Results The prevalence of depression in 458 Hypertensive patients was 24.45%, 29.81% in male was higher than that in female (20.00%) (P <0.05). The prevalence increased with age (P <0.05). Univariate analysis showed that the 9 factors of age, gender, education, course of disease, systemic treatment, economic status, family support, comorbidities and family history of depression were significantly different between depression and non-depression Hypertension patients (P < (OR = 1.99, 95% CI 1.65-2.38), low education level (OR = 3.77, 95% CI 2.93-5.48) and longer course of disease (OR = 1.71, 95 % CI 1.54 ~ 1.90) is an independent influencing factor of depression in Hypertensive patients. Conclusions The prevalence of depression in Hypertension patients is relatively high. Comprehensive intervention should be carried out according to risk factors.