Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence.
Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence.
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DOI：
10.1186/1752-4458-8-25
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发表时间：
2014
影响因子：
3.6
通讯作者：
Danquah SA
中科院分区：
文献类型：
--
作者：
Kretchy IA;Owusu-Daaku FT;Danquah SA
患有高血压等慢性疾病的患者可能会经历许多负面情绪，这会增加他们患精神疾病的风险，特别是焦虑和抑郁。对于加纳高血压患者，高血压与焦虑、抑郁和压力症状之间的相互作用在很大程度上仍未得到探讨。为了填补这一知识空白，该研究试图确定这些负面情绪对抗高血压药物依从性的普遍性和作用，同时考虑到患者的信仰体系。这项以医院为基础的横断面研究涉及400名高血压患者，在加纳的两家三级医院进行。收集患者的社会人口学特征，焦虑，抑郁和压力症状，精神信仰和药物依从性的数据。高血压患者出现焦虑（56%）、压力（20%）和抑郁（4%）症状。作为一种应对机制，观察到精神信仰与焦虑（x2 = 13.352，p = 0.010）、抑郁（x2 = 6.205，p = 0.045）和压力（x2 = 14.833，p = 0.001）之间存在显著相关。患者的压力增加了他们不依从药物治疗的可能性[比值比（OR）= 2.42（95% CI 1.06 - 5.5），p = 0.035]。这项研究表明，临床医生需要注意负面情绪及其在药物不依从性中的作用。我们的建议是，注意力应该被引导到灵性的使用，作为一种可能的机制，通过这种机制，可以管理高血压患者的负面情绪。
Patients with chronic conditions like hypertension may experience many negative emotions which increase their risk for the development of mental health disorders particularly anxiety and depression. For Ghanaian patients with hypertension, the interaction between hypertension and symptoms of anxiety, depression and stress remains largely unexplored. To fill this knowledge gap, the study sought to ascertain the prevalence and role of these negative emotions on anti-hypertensive medication adherence while taking into account patients’ belief systems. The hospital-based cross-sectional study involving 400 hypertensive patients was conducted in two tertiary hospitals in Ghana. Data were gathered on patient’s socio-demographic characteristics, anxiety, depression and stress symptoms, spiritual beliefs, and medication adherence. Hypertensive patients experienced symptoms of anxiety (56%), stress (20%) and depression (4%). As a coping mechanism, a significant relation was observed between spiritual beliefs and anxiety (x2 = 13.352, p = 0.010), depression (x2 = 6.205, p = 0.045) and stress (x2 = 14.833, p = 0.001). Stress among patients increased their likelihood of medication non-adherence [odds ratio (OR) = 2.42 (95% CI 1.06 – 5.5), p = 0.035]. The study has demonstrated the need for clinicians to pay attention to negative emotions and their role in medication non-adherence. The recommendation is that attention should be directed toward the use of spirituality as a possible mechanism by which negative emotions could be managed among hypertensive patients.