焦虑症和抑郁症与抗性高血压有关
Handan Duman1, Hakan Duman2, Meltem Puşuroğlu3
1Department of Family Medicine, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
概括
焦虑和抑郁症显著增加了耐性高血压 (HT) 的风险. 解决心理因素对于管理失控的血压和改善心血管疾病护理患者的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 主要护理是指初级护理.
背景情况:
- 焦虑和抑郁会对心血管疾病 (CVD) 的预后产生负面影响.
- 这些心理状况与高血压 (HT) 治疗的抵抗有关.
- 了解抗性HT与焦虑和抑郁的生物学基础对于初级保健策略至关重要.
研究的目的:
- 调查焦虑,抑郁和耐性HT之间的联系.
- 为改善诊断和治疗策略提供对抗性HT的更广泛的视角.
主要方法:
- 在初级保健中对300名高血压患者 (18岁以上) 进行前性研究.
- 患者有基本的HT,尽管接受治疗,但血压不受控制 (BP).
- 使用医院焦虑和抑郁量表 (HADS) 评估焦虑和抑郁.
主要成果:
- 在受控HT患者和不受控制HT患者中观察到更高的HADS得分.
- 没有控制的HT患者的BMI和C反应蛋白 (CRP) 水平较高.
- 焦虑独立预测了HT的风险增加2.18倍和抑郁症的风险增加1.99倍,预测了耐药的HT.
结论:
- 对于HT患者的护理应该超越疾病控制范围,包括心理和社会福祉.
- 强调心理因素,特别是焦虑和抑郁症在控制耐药性HT的关键作用.
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