Correlation between anxiety and hypertension and analysis of its countermeasures
Objective To analyze the correlation between anxiety and hypertension and its corresponding measures.Methods 150 patients with primary hypertension were selected,and their general clinical data were analyzed retrospectively.According to whether the patients were accompanied by anxiety or not,they were divided into anxiety group(n=43)and non-anxiety group(n=107).Ambulatory blood pressure was monitored by ambulatory blood pressure monitor,and anxiety status was assessed by Hamilton Anxiety Scale(HAMA).The clinical data of hypertensive patients with and without anxiety were compared.The influencing factors of hypertension combined with anxiety and the correlation between hypertension influencing factors and anxiety were analyzed.Results A total of 43 patients among 150 hypertensive patients were accompanied by anxiety,including 22 patients with mild anxiety,14 patients with moderate anxiety,and 7 patients with severe anxiety,with an anxiety incidence of 28.67%,and a total of 107 patients without anxiety,accounting for 71.33%.There was no statistically significant difference between the two groups in terms of gender,education level,marital status,smoking history,drinking history,regular exercise habits,24-h diastolic blood pressure(DBP),24-h systolic blood pressure(SBP),total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),and low-density lipoprotein cholesterol(LDL-C)(P>0.05).The age and body mass index(BMI)of the anxiety group were higher than those of the non-anxiety group,the duration of hypertension was longer than that of the non-anxiety group,and the quality of sleep was worse than that of the non-anxiety group.The difference was statistically significant(P<0.05).Multifactorial Logistic regression analysis of statistically significant single factors in hypertensive patients of anxiety group and non-anxiety group showed that age,BMI,duration of hypertension and quality of sleep were the influencing factors of hypertension combined with anxiety(P<0.05).Age,BMI and duration of hypertension were positively correlated with anxiety(r=0.291,0.301,0.278;P<0.05)and sleep quality was negatively correlated with anxiety(r=-0.235,P<0.05).Conclusion The risk factors of hypertension combined with anxiety include age,BMI and the course of hypertension,and each index has a positive correlation with the occurrence of anxiety.In clinic,pertinent measure should be taken to improve the anxiety status of patients.
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