CAJ | 학술논문

2010年2月至7月期间连续收集我院心内科门诊新诊断的成年单纯高血压患者(病程≤3个月)50例(新诊断组),诊断1年以上的单纯高血压患者50例(复诊组),行贝克抑郁问卷、状态-特质焦虑问卷及生存质量问卷(SF-36)调查.结果显示,新诊断组患者较复诊组患者更担心被诊断为高血压、降压药物依赖、降压药不良反应以及高血压并发症(均P ＜0.05)；新诊断组状态焦虑评分、特质焦虑评分明显高于复诊组(P＜0.05)；两组间抑郁评分、生存质量的8个维度评分差异无统计学意义(P＞0.05).提示新诊断高血压患者存在更高的焦虑水平,应更加重视对其精神心理因素的干预,进行适当的健康宣教.
2010년2월지7월기간련속수집아원심내과문진신진단적성년단순고혈압환자(병정≤3개월)50례(신진단조),진단1년이상적단순고혈압환자50례(복진조),행패극억욱문권、상태-특질초필문권급생존질량문권(SF-36)조사.결과현시,신진단조환자교복진조환자경담심피진단위고혈압、강압약물의뢰、강압약불량반응이급고혈압병발증(균P ＜0.05)；신진단조상태초필평분、특질초필평분명현고우복진조(P＜0.05)；량조간억욱평분、생존질량적8개유도평분차이무통계학의의(P＞0.05).제시신진단고혈압환자존재경고적초필수평,응경가중시대기정신심리인소적간예,진행괄당적건강선교.
Fifty outpatients of newly diagnosed hypertension (NDH,with course of disease ≤ 3 months) and 50 patients with routinely revisit hypertension (RRH,with course of disease ≥ 1 year) were consecutively enrolled respectively from February 2010 to July 2010.They were asked to complete the Beck Depression Inventory (BDI),Spielberger State-Trait Anxiety Inventory (STAI) and the SF-36 questionnaire.The results showed that compared with the RRH group,the NDH group were more worried about being diagnosed as hypertension,dependence and side effects of antihypertensive drugs and complications of hypertension (all P ＜ 0.05).The NDH group displayed significantly higher level of anxiety compared with that of the RRH group (P ＜ 0.001).No significant differences were found in depression and 8 dimensions of SF-36 forms between two groups (P ＞ 0.05).The results indicated that patients of NDH have significant higher level of anxiety than that of RRH,they should be given more psychological intervention and appropriate health education.