Analysis Of The Relationship Between Anxiety/depression And Sleep Quality In Elderly Hypertensive Patients In Post-epidemic Era

Objective: To study the relationship between anxiety/depression of elderly hypertensive patients and their sleep quality in the post-epidemic era.Methods: 122 elderly hypertensive patients who were treated in the outpatient and inpatient wards of Wuhan Third Hospital from April 2022 to March 2023 were taken as the study subjects,and general data such as age,sex,whether they were complicated with other basic diseases,blood pressure control level,etc.were collected,then generalized anxiety disorder scale(GAD-7)and Patient Health Questionnaire-9(PHQ-9)were used to evaluate the anxiety and depression status of patients.According to the scores of GAD-7 and PHQ-9,the patients were divided into the group with anxiety and/or depression status(experimental group)and the group without anxiety and/or depression status(control group).Then use Pittsburgh Sleep Quality Index(PSQI)to evaluate the sleep quality of the two groups of patients,and compare the statistical differences between the experimental group and the control group according to the evaluation results.At the same time,the scores of each factor in the PSQI of the two groups of patients were analyzed in detail,and whether there were statistical differences in the scores of each link of sleep between the two groups of patients.Finally,taking sleep quality,anxiety and depression status and blood pressure level as dependent variables,the influencing factors were analyzed by logistic regression.Results:(1)Among the 122 elderly hypertensive patients,57(46.72%)had anxiety and/or depression,while 50(87.72%)had sleep quality problems,which was significantly higher than that of the control group(27.69%).(2)The scores of all factors in PSQI of the elderly hypertension patients with anxiety and/or depression were higher than those of the control group,indicating that the overall sleep quality of the elderly hypertension patients with anxiety and/or depression was worse than that of the elderly hypertension patients without anxiety and/or depression.Moreover,subjective sleep quality perception,duration of sleep,overall duration of sleep,sleep efficiency,sleep disorders,and degree of use of sleeping medications are more severely impaired.(3)Logistic regression analysis showed that the risk factors affecting sleep quality were poorly controlled blood pressure and combined anxiety and/OR depression.The risk factors affecting anxiety and depression were female and sleep quality problems.The risk factors affecting the level of blood pressure control were sleep quality problems.Conclusions: In the post-epidemic era,elderly hypertensive patients,especially elderly female patients,are prone to anxiety and/or depression,and those with combined anxiety and/or depression are more likely to experience difficulty falling asleep,total sleep duration,poor sleep efficiency,sleep turbulence,and the need for sleeping medication.Therefore,in addition to drug treatment for hypertension diseases,in grassroots diagnosis and treatment,Clinicians also need to pay attention to the psychological and emotional well-being,sleep quality,and other issues of the elderly,and strengthen humanistic care.