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投稿时间：2021-01-15 网络发布日期：2021-05-20
投稿时间：2021-01-15 网络发布日期：2021-05-20
中文摘要: 目的 探讨焦虑对洪灾安置期居民高血压患病率的影响。方法 研究对象为2010年6月21日至27日江西抚州因决堤洪灾被安排在一所大学里避难的645名受灾居民,最初3日内每天测量血压和心率,安置期第1天采用焦虑自评量表(SAS)评估焦虑情况,采用自行设计的问卷调查影响焦虑发生的人口学特征及其他相关因素。结果 受灾居民年龄(46.1±19.1)岁。依据第1天法、均值法、全高法确定的高血压患病率分别为10.4%、8.1%、4.8%,差异有统计学意义(χ 2=14.239,P<0.01)。收缩压、舒张压及心率在不同日差异有统计学意义(P<0.01),收缩压的不同日与焦虑分组有交互作用(P<0.05);收缩压、舒张压在焦虑分组间差异有统计学意义(P<0.01)。3种方法中，焦虑组的高血压患病率均高于非焦虑组：第1天法（19.5% vs 6.3%，P<0.01）、均值法（15.5% vs 4.7%，P<0.01）和全高法（9.5% vs 2.7%，P<0.01）。第1天法，年龄大、有高血压病史、焦虑评分高是高血压患病的危险因素（P<0.05，P<0.01）;均值法和全高法，年龄大和焦虑评分高是高血压患病的危险因素（P<0.01）。结论 洪灾后不同日、多次测量血压对高血压的临床诊断是必要的,尤其是对年龄大及焦虑评分高者。无论采用第1天法、均值法或全高法诊断高血压,焦虑组的高血压患病率比无焦虑组高3.1~3.5倍。
Abstract:Objective To explore the impact of anxiety on the hypertension prevalence of residents during flood resettlement period.Methods A total of 645 flood-hit residents who were arranged to take refuge in a university of Fuzhou in Jiangxi Province from June 21st to 27th,2010 were enrolled.Blood pressure and heart rate were measured every day in the first three days.Self-Rating Anxiety Scale (SAS) was used to evaluate their anxiety status,and self-designed questionnaire was employed to describe their demographic characteristics and other related factors affecting anxiety.Results The age of the residents was(46.1±19.1)years old.Based on repeated-measurement ANOVA for blood pressure and heart rate by three different methods (day 1 method,mean value method and full height method),the prevalence of hypertension were respectively 10.4%,8.1%,and 4.8%,and there were statistical differences in them (χ2=14.239,P<0.01 ).There were significant differences in systolic blood pressure,diastolic blood pressure and heart rate in different days (P<0.01 ),and systolic blood pressure of different days had an interaction effect on anxiety groups (P<0.05 ).There were differences in systolic blood pressure and diastolic blood pressure among different anxiety groups (P<0.01 ).The prevalence of hypertension in anxiety group was significantly higher than that in non-anxiety group in the three methods ［day 1 method (19.5% vs 6.3%,P<0.01 ),mean value method (15.5% vs 4.7%,P<0.01 ),full height method(9.5% vs 2.7%,P<0.01 )］.Day 1 method showed that older age,history of hypertension and high anxiety score were the risk factors of hypertension(P<0.05 ,P<0.01 ).Mean value method and full height method showed older age and high anxiety score were the risk factors of hypertension(P<0.01 ).Conclusions It is necessary to measure the blood pressure of the flood-hit residents repeatedly in different days for the clinical diagnosis of hypertension,especially for the elderly and those with high anxiety scores.The survey suggests that the prevalence of hypertension in the anxiety residents is 4.1 to 4.5 times higher than that in non-anxiety residents.
keywords: Flood Anxiety Blood pressure Heart rate Hypertension
文章编号： 中图分类号：R181.3 +4 文献标志码：B
基金项目:江西省教育厅科学技术研究项目(GJJ208905);江西省高校人文社会科学研究项目(XL1517)
| Author Name | Affiliation |
| ZHANG Zhi-hong,LI Wei-juan,DENG Xiao-min,LIU Xin,LIN Shao-long | Fuzhou Medical College of Nanchang University,Fuzhou,Jiangxi 344000,China |
引用文本：
章志红, 李炜娟, 邓晓敏, 刘欣, 林少龙.焦虑对洪灾安置期间居民高血压患病率的影响因素分析[J].中国临床研究,2021,34(5):654-658.
章志红, 李炜娟, 邓晓敏, 刘欣, 林少龙.焦虑对洪灾安置期间居民高血压患病率的影响因素分析[J].中国临床研究,2021,34(5):654-658.