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目的了解社区高血压患者心理调适的影响因素及其相互作用途径。方法采用罗杰斯心理健康调适问卷、幸福感指数、婚姻调适量表、家庭关怀度指数、内控量表、自尊量表和社会支持量表调查2 118名社区高血压患者。结果 22.10%的高血压患者心理调适较差。等级回归分析显示,年龄、幸福感、婚姻调适、内控性格、自尊、社会支持、家庭功能(良好)和家庭功能(一般)与心理调适有关(OR=1.534、1.252、1.737、1.840、1.560、1.610、6.443、2.732)。通径分析显示,家庭功能、婚姻调适、社会支持、自尊、幸福感、内控性格和年龄直接影响心理调适,路径系数总效应分别为0.335、0.224、0.217、0.183、0.159、0.152、-0.083。结论影响高血压心理调适的因素是多方面的,应该多角度采取综合措施进行干预。
Objective To understand the influencing factors and their interaction pathways of psychological adjustment in community-based hypertensive patients. Methods Two hundred and seventy-one community hypertensive patients were surveyed using Rogers mental health adjustment questionnaire, well-being index, marital adjustment scale, family care index, internal control scale, self-esteem scale and social support scale. Results 22.10% of hypertensive patients with poor psychological adjustment. Hierarchical regression analysis showed that age, well-being, marital adjustment, internal control personality, self-esteem, social support, family functioning (good) and family functioning (general) were related to psychological adjustment (OR = 1.534,1.252,1.737,1.840,1.560,1.610 , 6.443, 2.732). Path analysis showed that family function, marital adjustment, social support, self-esteem, happiness, internal control personality and age directly influenced psychological adjustment. The total effect of path coefficient was 0.335,0.224,0.217,0.183,0.159,0.152,0.083. Conclusion There are many factors that affect the psychological adjustment of hypertension, and comprehensive measures should be taken to intervene in many aspects.