A Investigation To The Prevalence And Correlation Of Patiens With Hypertension Incorporate Of Anxiety Or/And Depression In Chongqing

Objectives: To observe the epidemiological prevalence and correlation factors of anxiety or/and depression in patients with hypertension in Chongqing .To establish the foundation and provide theoretical basis for prevention and treatment of the psychologic status of hypertension patient in Chongqing and to guide targeted health education in the future.Methods: Adopted the methods of stratified cluster sampling, choose yuzhong district. Shapingba district. Jiangbei district as the city spot, while choose Wan Zhou district. Changshou district,Jiangjin and Liangping county as the village spot, then respectively extracted 1-2 residential committees (or village) where took people above 15 years old as investigation object, extracted population 5,418 people. People those had been trained carry out blood pressure related examination and questionnaires survey to investigation object one by one, uniform filling in questionnaires, gained effective questionnaires 5,246. Preclude the people who are with obviously disturbance of intelligence ,Severity recognition functional disturbance, family psychosis history, all kinds of secondary hypertension, accelerated hypertension and the loners ,There are 589 hypertension patients had filled SAS and SDS ,536 of which are effective questionnaires.Results: The incidence rates of anxiety and depressive in the patient with hypertension respectively are 63% and 16.98%,which are significant higher than which of the control group(5%和2%).The patients with hypertension had notably higher scores of SAS(48.96±10.09) and SDS(40.38±8.71) than the control group(31.25±5.01,24.99±3.66) and the norm(41.88±10.57,33.80±5.90) .Patients with female gender , sever hypertension, mental labour, separation,divorce or loss spouse, not to take part in physical labor in spare time had higher SAS and SDS score. The scores,difference of SAS and SDS in the patient with hypertension who have different course of disease, different civilization level , different age and dwell in city or countryside have not significant difference. Stepwise regression analysis indicated that gender, systolic pressure , vocation, whether to take part in physical labor in spare time were correlated to anxiety and depression.Conclusion: The investigation manifest that the incidence rates of anxiety and depressive and SAS and SDS score in the patient with hypertension are significant higher than which of the control group and the norm, which indicate that it is worth of thinking highly of the severity of hypertension incorporate of anxiety or/and depression . At the same time, we have found that Patients with female gender , sever hypertension, mental labour , separation,divorce or loss spouse, not to take part in physical labor in spare time had higher SAS and SDS score. So, in the clinical works, we should especially pay attention to the treatments and diagnoses of these patients with hypertension. Eventually, regression analysis indicated that gender, systolic pressure , vocation, taking part in physical labor in spare time were correlated to anxiety and depression. Consequently with regard to the patients with hypertension incorporate of anxiety or/and depression, we should focus on controlling blood pressure, reinforcing diagnose and treatment of psychological health, and strengthening health education and propaganda.