Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan

Qichuan HU; Hechuan ZHANG; Lichun JIANG; Yajing ZHANG; Fujing FENG; Ximeng ZHAO; Yunxian WANG

doi:10.12259/j.issn.2095-610X.S20240314

Volume 45 Issue 3

Mar. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(3): 92-98

Qichuan HU, Hechuan ZHANG, Lichun JIANG, Yajing ZHANG, Fujing FENG, Ximeng ZHAO, Yunxian WANG. Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan[J]. Journal of Kunming Medical University, 2024, 45(3): 92-98. doi: 10.12259/j.issn.2095-610X.S20240314

Citation:

Qichuan HU, Hechuan ZHANG, Lichun JIANG, Yajing ZHANG, Fujing FENG, Ximeng ZHAO, Yunxian WANG. Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan[J]. Journal of Kunming Medical University, 2024, 45(3): 92-98. doi: 10.12259/j.issn.2095-610X.S20240314

Citation:

Qichuan HU, Hechuan ZHANG, Lichun JIANG, Yajing ZHANG, Fujing FENG, Ximeng ZHAO, Yunxian WANG. Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan[J]. Journal of Kunming Medical University, 2024, 45(3): 92-98. doi: 10.12259/j.issn.2095-610X.S20240314

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Mental Health Status and Its Influencing Factors Among Elderly Hypertension Patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan

doi: 10.12259/j.issn.2095-610X.S20240314

1.
School of Medicine，Yunnan College of Business Management，Kunming Yunnan 650101
2.
Health and Community Development Research Center，Yunnan College of Business Management Kunming Yunnan 650101
3.
College of Civil Engineering, Yunnan Water Resources and Hydropower Vocational College Kunming Yunnan 650499，China

Received Date: 2023-11-21
Publish Date: 2024-03-25

Abstract

Abstract

Objective To investigate the mental health status and its influencing factors among elderly hypertensive patients from Rural Areas of Chuxiong and Honghe Prefecture in Yunnan. Methods Multi-stage random sampling method was adopted to select elderly hypertensive patients from rural Yi ethnic areas in Yunnan. Questionnaires were used to collect their basic information and mental health status. Multivariate logistic regression was performed to explore the influencing factors of mental health among the elderly hypertensives. Results 21.82%（209/958） of elderly people with hypertension have poor mental health status in Chuxiong and Honghe Prefecture, Yunnan. Age of 80-89 years（OR = 2.395, P < 0.05） and over 90 years（ OR = 3.293, P < 0.05）, as well as physical disability（ OR = 2.037, P < 0.05）, were risk factors for poor mental health. Compared with those who rated their economic situation as very difficult, rating as somewhat difficult（ OR = 0.490, P < 0.05）, moderate（ OR = 0.632, P < 0.05） and relatively affluent（ OR = 0.344, P < 0.05）, having a spouse（ OR = 0.655, P < 0.05）, received full concern from the offspring（ OR = 0.411, P < 0.05） and maintain good relationships with offspring（ OR = 0.339, P < 0.05） were protective factors. Conclusions The mental health status of elderly people with hypertension is relatively poor in rural areas of Chuxiong and Honghe Prefecture in Yunnan Province. Special attention should be paid to the mental health of older and physically disabled elderly hypertensives. Economic and mental support from children was crucially important in improving the mental health of elderly hypertensive patients in rural areas of Chuxiong and Honghe Prefecture in Yunnan Province.
- Rural areas,
- Elderly hypertensive,
- Mental health,
- Concern from the offspring

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References(27)

References

[1]	胡亦新,郭艺芳,王磊. 老年高血压合并认知障碍诊疗中国专家共识(2021版)[J]. 中国临床保健杂志,2021,24(2):145-159. doi: 10.3969/J.issn.1672-6790.2021.02.001
[2]	王超凡,韦道祥,张丽娜,等. 安徽省蚌埠市500名原发性高血压患者心理健康状况调查分析[J]. 中华全科医学,2023,21(6):996-999.
[3]	杨家甜,马国玉,申静蓉,等. 云南省宜良县农村老年人社会支持与抑郁的关系[J]. 昆明医科大学学报,2019,40(6):48-52. doi: 10.3969/j.issn.1003-4706.2019.06.010
[4]	孙艳芳. 老年心血管病患者健康状况综合评估指标体系的构建及应用研究[D]. 南京: 东南大学, 2021.
[5]	Shahaj O,Denneny D,Schwappach A,et al,Pinnock H. Supporting self-management for people with hypertension: A meta-review of quantitative and qualitative systematic reviews[J]. Journal of Hypertension,2019,37(2):264-279. doi: 10.1097/HJH.0000000000001867
[6]	Chandak A,Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings[J]. Technology and Health Care:Official Journal of the European Society for Engineering and Medicine,2015,23(2):119-128.
[7]	云南省少数民族人口数（第七次全国人口普查数据）, 云南省民族宗教事务委员会[EB/OL]. [2023-04-27]. https://mzzj.yn.gov.cn/html/2022/changjianwenti_0729/43316.html.
[8]	Czaja S J,Moxley J H,Rogers W A. Social support,isolation,loneliness,and health among older adults in the PRISM randomized controlled trial[J]. Frontiers in Psychology,2021,12(1):1-12.
[9]	《中国高血压防治指南》修订委员会. 中国高血压防治指南2018年修订版[J]. 心脑血管病防治,2019,19(1):1-44.
[10]	许军,王斌会,胡敏燕,等. 自测健康评定量表的研制与考评[J]. 中国行为医学科学,2000,1(1):69-72.
[11]	高赟,陈涛,冉兴无,等. 凉山彝族城乡居民高血压患病率及控制情况的调查分析[J]. 四川大学学报(医学版),2014,45(1):74-78.
[12]	Chen Y,Hicks A,While A E. Loneliness and social support of older people living alone in a county of Shanghai,China[J]. Health & Social Care in the Community,2014,22(4):429-438.
[13]	张鹏飞,王康林,于飞,等. 彝族、汉族居民高血压流行病学分析[J]. 中国公共卫生,2010,26(11):1347-1349.
[14]	申香丹,吕启圆,任丽萍,等. 老年高血压患者健康状况与生活质量的相关关系[J]. 延边大学医学学报,2013,36(1):48-50.
[15]	靳伟. 老年高血压患者自我管理水平现状与影响因素分析[J]. 基层医学论坛,2022,26(1):33-35.
[16]	余金明,崔思芳,胡大一,等. 西部偏远地区彝汉两族高血压流行现状及影响因素分析[J]. 中国预防医学杂志,2011,12(3):223-226.
[17]	Bussotti M,Sommaruga M. Anxiety and depression in patients with pulmonary hypertension: Impact and management challenges[J]. Vascular Health and Risk Management,2018,14(1):349-360. doi: 10.2147/VHRM.S147173
[18]	胡琪川,蒋丽春,冯福静,等. 云南农村彝族高血压老年患者自评健康状况的影响因素[J]. 昆明医科大学学报,2023,44(7):40-46. doi: 10.12259/j.issn.2095-610X.S20230704
[19]	Schaare H L,Blöchl M,Kumral D,et al. Associations between mental health,blood pressure and the development of hypertension[J]. Nature Communications,2023,14(1):1953. doi: 10.1038/s41467-023-37579-6
[20]	Steinman L,Heang H,van Pelt M,et al. Facilitators and barriers to chronic disease self-management and mobile health interventions for people living with diabetes and hypertension in cambodia: Qualitative Study[J]. JMIR mHealth and uHealth,2020,8(4):e13536. doi: 10.2196/13536
[21]	Turana Y,Tengkawan J,Chia Y C,et al. Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network[J]. Journal of Clinical Hypertension (Greenwich,Conn),2021,23(3):504-512. doi: 10.1111/jch.14121
[22]	李松,陈娟,朱超刚,等. 基于同伴教育的5 g减盐在社区老年高血压患者自我管理的效果研究[J]. 昆明医科大学学报,2022,43(10):187-192.
[23]	Editorial. Mental health and hypertension[J]. Lancet (London,England),1984,2(8394):80-81.
[24]	Tian Y,Zhang Y. The relationship between hypertension and physical activity in middle-aged and older adults controlling for demographic,chronic disease,and mental health variables[J]. Medicine,2022,101(47):e32092. doi: 10.1097/MD.0000000000032092
[25]	方浪. 昆明石林地区彝族人群高血压的调查与临床研究[D]. 昆明: 昆明医科大学, 2021.
[26]	Chan E,Procter-Gray E,Churchill L,et al. Associations among living alone,social support and social activity in older adults[J]. AIMS Public Health,2020,7(3):521-534. doi: 10.3934/publichealth.2020042
[27]	Omoronyia O E,Okesiji I,Uwalaka C H,et al. Reported self-management of hypertension among adult hypertensive patients in a developing country: A cross-sectional study in a Nigerian tertiary hospital[J]. African Health Sciences,2021,21(3):1191-1200. doi: 10.4314/ahs.v21i3.28

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