高血压的诊断测试和诊断是否与心理痛苦有关?
B B Green1,2,3, M L Anderson1, J B McClure1,3
1Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
American journal of hypertension
|September 9, 2023
概括
高血压诊断增加了对心脏病发作和中风的担忧,这在被诊断的个人中持续了很长一段时间. 与健康有关的生活质量在诊断过程中保持不变.
科学领域:
- 心血管健康 心血管健康
- 心理医学 心理医学
- 诊断研究 诊断研究
背景情况:
- 高血压诊断和测试对心理的影响尚不清楚.
- 血压升高需要进行诊断评估.
研究的目的:
- 评估不同高血压诊断策略的心理影响.
- 评估与健康相关的生活质量 (HRQOL) 和与高血压相关的担忧的变化.
主要方法:
- 随机诊断研究 (BP-CHECK) 涉及482名参与者.
- 三个诊断分支:临床,家庭和亭台血压监测.
- 调查问卷评估了HRQOL,BP担忧,以及在基线,3周和6个月的中风/心脏病发作担忧.
主要成果:
- HRQOL在不同组或时间点之间没有显著变化.
- 与血压相关的担忧和对中风/心脏病发作的担忧在3周内显著增加.
- 与临床和家庭组相比,客厅监测导致更高的中风/心脏病发作担忧.
结论:
- 高血压诊断过程没有影响HRQOL.
- 与高血压相关的担忧在短期内增加,在新诊断的个体中持续了6个月.
- 需要进一步的研究来探索焦虑对心理健康和高血压控制的影响.
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