Influence of psychosocial factors on treatment of elderly Chinese patients with hypertension

来源 :Journal of Geriatric Cardiology | 被引量 : 0次 | 上传用户:guokaiyan
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective The aim of the study is to investigate the effects of psychosocial factors on the treatment of elderly patients with hypertension. Methods Atotalof 260 elderly Chinese patients with hypertension were treated with benazepril alone or benazepril combined with amlodipine for 8 weeks. The target blood pressure (BP) (both <140 mmHg systolic, SBP, and <90 mmHg diastolic, DBP) was achieved in 180 patients, who were then assigned to the well-controlled BP group;the rest were placed in the modestly controlled BP group. The psychosocial factors present in both groups were assessed by the Hamilton depression scale, Hamilton anxiety scale, life event scale and social support evaluation list before and after anti-hypertensive treatment. Results There were no significant differences in gender, mean age, hist ory of hypertension, education and smoking habit, or in SBP and DBP between the groups before treatment. Significant differences were also not found in all psychosocial factors before and after treatment in the patients. However, significant differences were found between the groups with respect to post-treatment SBP and marital status. The patients with modestly controlled BP had significantly higher scores, as well as incidents, on the depressive, anxiety, and stressful life event scales than those with well-controlled BP. The patients with well-controlled BP had significantly higher scores in tangible support, subjective support, and social support compared to the patients with modestly controlled BP. Logistic regression analysis showed the independent contribution of psychosocial factors in reaching the goal of lowering BP at treatment endpoint in these hypertensive patients. Conclusions The results suggest that psychosocial factors stand as a main barrier to achieving the BP-lowering target in the management of elderly Chinese patients with hypertension.(J Geriatr Cardiol 2007;4:202-207.) Objective The aim of the study is to investigate the effects of psychosocial factors on the treatment of elderly patients with hypertension. Methods Atotalof 260 elderly Chinese patients with hypertension were treated with benazepril alone or benazepril combined with amlodipine for 8 weeks. The target blood pressure ( BP) (both <140 mmHg systolic, SBP, and <90 mmHg diastolic, DBP) was achieved in 180 patients, who were then assigned to the well-controlled BP group; the rest were placed in the modestly controlled BP group. The psychosocial factors present in both groups were assessed by the Hamilton depression scale, Hamilton anxiety scale, life event scale and social support evaluation list before and after anti-hypertensive treatment. Results There were no significant differences in gender, mean age, hist ory of hypertension, education and smoking habit, or in SBP and DBP between the groups before treatment. Significant differences were also not found in all psychosocial factors before And after treatment in the patients. However, significant differences were found between the groups with respect to post-treatment SBP and marital status. The patients with modestly controlled BP had significantly higher scores, as well as incidents, on the depressive, anxiety, and stressful life event scales than those with well-controlled BP. The patients with well-controlled BP had significantly higher scores in tangible support, subjective support, and social support compared to the patients with modestly controlled BP. Logistic regression analysis showed the independent contribution of psychosocial factors in reaching the goal of lowering BP at treatment endpoint in these hypertensive patients. Conclusions The results suggest that psychosocial factors stand as a major barrier to achieving the BP-lowering target in the management of elderly Chinese patients with hypertension. (J Geriatr Cardiol 2007; 4: 202-207.)
其他文献
简要阐述了现代图书馆人才的基本内涵,浅析了高校图书馆管理人才类型的基本构成,提出了坚持在岗培训是提高高校图书馆管理人员业务素质和工作技能的重要途径,并详细论述了具
2002年上海女子网球公开赛将于9月9日开赛,作为今年该项赛事1号种子的是以色列球员安娜·斯马什诺娃,虽然她的名气和实力远不及去年的头号种子塞莱斯,但我相信在你看了她今
以全桥ZVSPWM逆变焊机电源为对象,通过对零电压开关下IGBT开关特性、开关损耗与硬开关下的比较,得出零电压开关下IGBT可靠性的研究结果。 Taking full-bridge ZVS-PWM inverter welding ma
荆永福先生是誉满秦腔乐坛的著名鼓板演奏家。他在打击乐的艺术上造诣极深,自成一格,起到承前启后的作用。荆先生,艺名敬亭,祖籍陕西省西安市,二十年代初,生于秦腔音乐世家
“美国戏剧协会”(简称ATA)第四十九届年会1985年8月4日到7日在加拿大安大略省的多伦多市召开,我应邀参加了这次会议。多市为加国第一大城,景色宜人,夏季气候尤为凉爽,而召
课堂导入是指教师在课堂教学伊始利用各种教学手段创设学习情境,激发学生的学习兴趣,使学生迅速进入学习状态的教学环节。但凡任何一节成功的课都离不开一个精彩的导入。一个
3月27日,省委书记娄勤俭在铜川市宜君县调研时强调,要推进“两学一做”常态化制度化,以改革创新精神推动精准脱贫,确保学习教育和脱贫攻坚两促进。娄勤俭首先来到哭泉镇淌泥
珠影新片《舞狮人传奇》84年10月29日在广州沙面胜利宾馆前街面开拍。影片通过舞狮人一家悲欢离合的遭遇。描写江湖世家姜伯南嫉恶扬善、除暴安良,与勾结官府,贩卖鸦片的奸
大师们精彩绝伦的技艺将永远留在我们的记忆中,但与此同时,大师杯赛场上却出现了一些不和谐音,令人深感遗憾。 Masters fantastic skills will always stay in our memory,
走出低谷和国内称雄 1998年是繁忙的一年。从年初开始,我就一直转战于国际、国内赛场。在1997-1998年度的中国乒乓球擂台赛上,我一举夺得冠军,可以说是为这一年开了个好头。