Mental health status and its impact factors among hypertension patients over 65 years old in Taihu, Tongzhou, Beijing area: a cross-sectional study

doi:10.3969/j.issn.1006-7795.2018.01.020

Abstract

Abstract: Objective To investigate the mental health status of hypertension patients aged 65-year-old or above and to explore the potential impact factors.Methods A cross-sectional study was designed, with 1 500 hypertension patients participated in. Logistic regression and linear regression were applied respectively according to the dependent variables.Results The response rate was 93.9%, and 502 (35.6%) patients had anxiety and 426(30.2%) patients had depression symptoms. The average subjective well-being score was 64.755±15.321. Results of multiple analysis on anxiety showed that the degree of independence(OR=0.094, P<0.001), side-effects of anti-hypertension drugs(OR=0.002, P<0.001), satisfaction on control of hypertension(OR=0.055, P=0.001), sleeping quality(OR=0.173, P<0.001) and drug therapy compliance(OR=0.038, P<0.001) were statistically significant. Results of multiple analysis on depression showed marital status(OR=2.408, P=0.007), degree of independence(OR=0.354, P<0.001), knowledge of hypertension(OR=1.719, P=0.042), history of cerebrovascular diseases(OR=0.347, P=0.026), side-effects of anti-hypertension drugs(OR=0.291, P=0.001), satisfaction on control of hypertension(OR=0.306, P=0.002), sleeping quality(OR=0.233, P<0.001) and drug therapy compliance(OR=0.241, P=0.001) were statistically significant. Results of multiple analysis on subjective well-being showed that marital status(β=-3.432, P<0.001), degree of independence(β=5.814, P<0.001), environment satisfaction(β=0.748, P=0.001), anxiety(β=-0.454, P<0.001), depression(β=-0.718, P<0.001), history of cerebrovascular diseases(β=3.896, P<0.001), side-effects of anti-hypertension drugs(β=-5.788, P<0.001), satisfaction on control of hypertension(β=5.292 P<0.001), sleeping quality(β=1.052, P<0.001), drug therapy compliance(β=3.893, P<0.001) were statistically significant.Conclusion The mental health of hypertension patients aged 65-year-old or above in Taihu, Tongzhou, Beijing area was good. Anxiety and depression comes up together; By choosing anti-hypertension drugs with small side effect, improving the knowledge of hypertension, improving the sleeping and compliance of taking drugs, the probability of getting anxiety or depression will decline. Anxiety and depression had negative effect on subjective well-being.

Key words: anxiety, depression, subjective well-being, hypertension, elder, impact factors

CLC Number:

Li Xiuna, Zhou Yujie. Mental health status and its impact factors among hypertension patients over 65 years old in Taihu, Tongzhou, Beijing area: a cross-sectional study[J]. Journal of Capital Medical University, 2018, 39(1): 112-119.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2018.01.020

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2018/V39/I1/112

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