An Analysis of Anxiety among Hospitalized Elderly Patients with Hypertension in General Hospital

Ai Chen Han; Wang Ke Hua; Guo Yi Bo; Li Ying; Li Yan

Article Contents

Article Navigation > Journal of Kunming Medical University > 2018 > 39(04): 95-99

Ai Chen Han , Wang Ke Hua , Guo Yi Bo , Li Ying , Li Yan . An Analysis of Anxiety among Hospitalized Elderly Patients with Hypertension in General Hospital[J]. Journal of Kunming Medical University, 2018, 39(04): 95-99.

Citation:

Ai Chen Han , Wang Ke Hua , Guo Yi Bo , Li Ying , Li Yan . An Analysis of Anxiety among Hospitalized Elderly Patients with Hypertension in General Hospital[J]. Journal of Kunming Medical University, 2018, 39(04): 95-99.

Citation:

PDF( 226 KB)

An Analysis of Anxiety among Hospitalized Elderly Patients with Hypertension in General Hospital

Funds:

基金：云南省医疗卫生单位内设研究机构科研项目 (2017NS222, 2017NS221);

Received Date: 2018-01-19

Abstract

Abstract

Objective Through the comprehensive geriatric assessment, the incidence of anxiety and related risk factors of the elderly hypertensive patients in the general hospital are understood and the basis for clinical intervention is provided.Me thods We randomly selected the patients with primary hypertension diagnosed in the Department of Geriatrics in our hospital as the research objects. The elderly patients were evaluated comprehensively.The Hamilton Anxiety Scale (HAMA) was used to assess the incidence of anxiety in hypertensive patients and to identify the related risk factors.Re s ults A total number of 317 elderly hypertensive patients were enrolled in this study. The age was 6096 years old. The average age was (82.6 ± 6.4) years old. Among all the participants, 173 were men (54.6%) were male and 144 were women (45.4%) were female.The incidence of anxiety mong all pecrticipants was 27.1% (86/317) , with 10.7% (34/317) in male and 16.4% (52/317) in femde.The independent risk factors for hypertension and anxiety in the elderly were 24 hours average blood pressure, disability and insomnia (P<0.05) .Conclus ions Multiple factors can effect anxiety symptoms of inpatients.Using CGA can detect potential problems in early stage, and develop personalized intervention measures to improve the quality of life of the elderly.
- Comprehensive geriatric assessment,
- Hypertension,
- Anxiety

FullText(HTML)

References(22)

References

[1]	[1]KRETCHY I A, OWUSUDAAKU F T, DANQUAH S A, et al.A psychosocial perspective of medication side effects, experiences, coping approaches and implications for adherence in hypertension management[J].Clinical Hypertension, 2015, 21 (1) :19.
[2]董碧蓉.老年综合评估及其应用[J].中华老年病研究电子杂志, 2015, 2 (4) :16-18.
[3] 中国老年学和老年医学学会心脑血管病专业委员会, 中国医师协会心血管内科医师分会.老年高血压的诊断与治疗中国专家共识 (2017版) [J].中华内科杂志, 2017, 56 (11) :885-893.
[4]魏鲁刚, 栾玉民, 李蕊, 等.老年患者中期照护的临床对照研究[J].昆明医科大学学报, 2014, 35 (11) :136-139.
[5]李立明, 饶克勤, 孔灵芝, 等.中国居民2002年营养与健康状况调查[J].中华流行病学杂志, 2005, 26 (7) :478-484.
[6]中国高血压防治指南修订委员会.中国高血压防治指南 (第3版) (2010年修订版) [M].北京:人民卫生出版社, 2011:6-81.
[7]孙承欢, 周佳, 毛勇, 等.德昂族老年高血压患者知晓、治疗和控制现状及影响因素多水平分析[J].昆明医科大学学报, 2018, 39 (1) :39-44.
[8]杨阳, 刘艳成, 王静.阿罗洛尔治疗高血压合并焦虑抑郁的临床研究[J].河北医学, 2018, 24 (1) :50-54.
[9] 蹇在金.老年人综合评估[J].中华老年医学杂志, 2012, 31 (3) :177-181.
[10]李惠春, 郑磊磊, 滕建荣.综合性医院住院患者焦虑和抑郁状况分析[J].浙江大学学报 (医学版) , 2003, 32 (4) :342-348.
[11] 张丽萍, 王静, 郭霞, 等.正念行为训练队离退休综合征老年人负面情绪及生命质量的影响[J].中华现代护理杂志, 2016, 22 (3) :317-321.
[12]何燕玲, 马弘, 张岚, 等.综合医院就诊者中抑郁焦虑障碍的患病率调查[J].中华内科杂志, 2009, 48 (9) :748-751.
[13]	[13]HO A K, THORPE C T, PANDHI N, et al.Association of anxiety and depression with hypertension control:A US multidisciplinary group practice observational study[J].Journal of Hypertension, 2015, 33 (11) :2215.
[14]	[14]SKILTON M R, MOULIN P, TERRA J L, et al.Associations between anxiety, depression, and the metabolic syndrome[J].Biological Psychiatry, 2007, 62 (11) :1251-1257.
[15]	[15]ALOSAIMI F D, ALSULTAN O A, ALGHAMDI Q A, et al.Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia[J].Neurosciences, 2014, 19 (3) :203-209.
[16]张帆, 胡大一, 杨进刚, 等.高血压合并焦虑、抑郁的发病率和相关危险因素分析[J].首都医科大学学报, 2005, 26 (2) :140-142.
[17]李鸿飞, 张林.心理干预对32例地震后老年高血压合并焦虑障碍患者的临床治疗分析[J].昆明医科大学学报, 2014, 35 (5) :98-101.
[18]杜小静, 井坤娟, 王彦, 等.路径管理模式在养老机构失能老人照料中的应用[J].医学研究与教育, 2016, 33 (4) :38-41.
[19]周敏, 袁丽.老年住院患者害怕跌倒现状及影响因素调查研究[J].中华现代护理杂志, 2016, 22 (23) :3322-3325.
[20]朱陶, 张树山, 李健.某医学院大一新生失眠现状及其影响因素调查[J].川北医学院学报, 2017, 32 (3) :446-449.
[21]	[21]MAZUR E S, KALIAZINA V V.Clinical significance of blood pressure variability in hypertension[J].Terapevticheski Arkhiv, 1999, 71 (1) :22-25.
[22]程燕, 邢宁宁, 孙艳秋, 等.老年综合评估及干预对老年高血压合并焦虑患者服药依从性和血压的影响[J].承德医学院学报, 2017, 34 (2) :111-113.

Relative Articles(20)

Relative Articles

[1]	You HUANG, Guohui LI, Duli LIU, Zizi YU, Mei ZUO, Qin LI, Bo LYU, Le CAI. Prevalence of Hypertension and Its Relationship with Clustering of Risk Factors of Cardiovascular Diseases in The Elderly of Han Majority and Ha Ni Ethnic Minority in Rural District of Mojiang County of Yunnan Province. Journal of Kunming Medical University, 2024, 45(9): 42-48. doi: 10.12259/j.issn.2095-610X.S20240907
[2]	Qin LI, Lan LIU, Yi ZHAO, Chenghuan SUN, Mei ZUO, You HUANG, Guohui LI, Le CAI. The Prevalance of Depression and Anxiety among Elderly People in Dai Rural Areas of Jinggu County Yunnan Province and Its Relationship with Socio-economic Status. Journal of Kunming Medical University, 2024, 45(1): 41-47. doi: 10.12259/j.issn.2095-610X.S20240107
[3]	Xi GUO, Xiaoqing TANG, Jie WANG, Yan WAN, Bin XU, Yu LUO. Effect of Early Interventional Palliative Treatment on Pain and Anxiety in Patients with Hepatitis-Related Liver Cancer. Journal of Kunming Medical University, 2022, 43(8): 93-99. doi: 10.12259/j.issn.2095-610X.S20220813
[4]	Song LI, Juan CHEN, Chaogang ZHU, Daoli XIE, Hongxue GUAN, Lingyun RAN. Effect of 5 g Salt Reduction Based on Peer Education in Self-management of Elderly Hypertensive Patients in the Community. Journal of Kunming Medical University, 2022, 43(10): 187-192. doi: 10.12259/j.issn.2095-610X.S20221009
[5]	Yong-li WANG, Qi WU, Jian-pei SU, Yu-wen LIU, Zhi-min WANG, Feng-yun LUO, Wei-meng TIAN. Correlation between Depressive State and Health Status of the Elderly with Chronic Disease and Intervention Outcomes. Journal of Kunming Medical University, 2021, 42(12): 135-139. doi: 10.12259/j.issn.2095-610X.S20211233
[6]	Xiu-qing WANG, Xin-tian LONG, Yong MAO, Jie CHEN, Jia ZHOU, Tian-shu CHU, Song-mei WANG, Cheng-huan SUN, Chun-mi LAI, Qian ZHANG. Prevalence and Determinants of Hypertension in Senior Nu Ethnic Group. Journal of Kunming Medical University, 2021, 42(9): 40-45. doi: 10.12259/j.issn.2095-610X.S20210922
[7]	Xin-tian LONG, Jie CHEN, Yong MAO, Xiu-qing WANG, Shuang-yan LU, Hui-jie PU, Jia ZHOU, Cheng-huan SUN, Song-mei WANG, Ai-fang YE. Detection Rate and Determinants of Hypertension among Seniors in Anning City. Journal of Kunming Medical University, 2021, 42(12): 11-16. doi: 10.12259/j.issn.2095-610X.S20211210
[8]	Di ZENG, Han-rui SHAO, Ying-ying ZOU, Yong-hua RUAN. Research Progress of Orphan Receptor GPR88 in Related Diseases. Journal of Kunming Medical University, 2021, 42(7): 137-142. doi: 10.12259/j.issn.2095-610X.S20210723
[9]	Sun Cheng Huan , Zhou Jia , Mao Yong , Luo Jia Hong , Chu Tian Shu , Lai Chun Mi , Qi Bing Xian , Zhang Qing . The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis. Journal of Kunming Medical University, 2018, 39(01): 39-44.
[10]	Zhu Jun Yan . The Influence of Naikan Therapy on the Family Function in Patients with Anxiety Disorder of Cerebral Infarction. Journal of Kunming Medical University,
[11]	Liu Jun Ping . . Journal of Kunming Medical University,
[12]	Chi Xiu Ping . . Journal of Kunming Medical University,
[13]	Qin Min Li . . Journal of Kunming Medical University,
[14]	Wei Lu Gang . . Journal of Kunming Medical University,
[15]	Duan Xian Meng . . Journal of Kunming Medical University,
[16]	Du Ying Rong . . Journal of Kunming Medical University,
[17]	Ni Zhong Mei . . Journal of Kunming Medical University,
[18]	Li Hong Fei . . Journal of Kunming Medical University,
[19]	Yang Zheng . . Journal of Kunming Medical University,
[20]	Huang Jing Qiong . . Journal of Kunming Medical University,