文献类型：期刊文献

中文题名：中老年高血压患者抑郁症状高危群体的识别研究

英文题名：Identification of high-risk populations for depressive symptoms in middle-aged and elderly hypertensive patients

作者：郭逍然[1];韩红亚[2];史宏志[3];刘晓丽[2];柴萌[2];梁静[2];罗鸿池[2];张强惠子[2]

第一作者：郭逍然

机构：[1]北京联合大学师范学院心理学系,100011;[2]首都医科大学附属北京安贞医院-老年心血管病中心北京市心肺血管疾病研究所冠心病精准治疗北京市重点实验室首都医科大学冠心病临床诊疗与研究中心;[3]解放军总医院第一医学中心普通外科医学部派驻第三医学中心普外科

第一机构：北京联合大学师范学院心理学系

年份：2022

卷号：41

期号：8

起止页码：887-892

中文期刊名：心肺血管病杂志

外文期刊名：Journal of Cardiovascular and Pulmonary Diseases

收录：CSTPCD

基金：北京市医院管理局“使命”计划专项经费资助(SML20180601);首都卫生发展科研专项(首发2020-2-2063);北京市自然科学基金(7202041)。

语种：中文

中文关键词：高血压;抑郁;高危群体

外文关键词：Hypertension;Depressive symptom;High-risk population

摘要：目的:分析社区中老年高血压患者抑郁症状检出情况,为识别高血压患者合并抑郁症状的高危群体提供依据。方法:利用2018年中国健康与养老追踪调查数据,选取年龄在45岁及以上的中老年高血压患者为研究对象,采用单因素和多因素Logistic回归分析,对不同特征的高血压患者抑郁症状的检出情况进行比较与分析。结果:研究共纳入8 482例社区高血压患者,其中2 835例(33.4%)有抑郁症状。女性、45~60岁、人均家庭年收入低于3 000元以下、农村户口、初等教育及以下学历患者,以及慢性合并症患者抑郁症状风险更高(P<0.05)。结论:中国社区高血压患者抑郁症状的检出率处于较高水平,尤其是女性、中年人、农村、低学历、低收入群体以及慢性合并症患者更应得到关注。除了血压管理,对高危群体,更应加强心理疾患的预防和控制。
Objective: To analyze the detection of depressive symptoms in middle-aged and elderly hypertensive patients in the community, to provide a basis for identifying high-risk groups of hypertensive patients with depressive symptoms. Methods: According to CHARLS 2018, middle-aged and elderly hypertensive patients aged 45 years and above were enrolled, and univariate and multivariate Logistic regression analysis were used to analyze the prevalence of depressive symptoms in hypertensive patients with different characteristics. The detections were compared and analyzed. Results: A total of 8 482 communitybased hypertensive patients were included in the study, of which 2 835(33.4%) had depressive symptoms.Women, 45-60 years old, annual household income per capita, less than 3,000 yuan, rural household registration, primary education and below, and patients with chronic comorbidities are at higher risk of depressive symptoms(P<0.05). Conclusions: The detection rate of depressive symptoms in Chinese community hypertensive patients is at a high level, especially women, middle-aged, rural, low-education, lowincome groups and patients with chronic comorbidities should be paid more attention. In addition to blood pressure management, the prevention and control of mental disorders should be strengthened for high-risk populations.