The prevalence of depressive symptoms among older patients with hypertension in rural China.
The prevalence of depressive symptoms among older patients with hypertension in rural China.
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DOI：
10.1002/gps.4628
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发表时间：
2017-12
影响因子：
4
通讯作者：
Conwell Y
中科院分区：
文献类型：
--
作者：
Xue J;Chen S;Bogner HR;Tang W;Li L;Conwell Y
抑郁症和高血压（HTN）的合并症是常见的，并使这两种疾病的管理复杂化。本研究调查了中国农村老年HTN患者抑郁症状的患病率，并探讨了两者之间的关系。采用中国老年人健康协作研究中抑郁/HTN纳入的诊断为HTN的老年患者的基线数据进行分析。中国老年人健康合作研究在中国浙江省桐庐县的农村进行。共有10389名老年村民患有HTN（57.2%为女性，平均年龄71.5 ± 8.1岁）。使用经校准的手动血压计和听诊器测量血压。抑郁症状采用九项病人健康问卷中文版测量。在10389例HTN患者中，12.8%的患者有明显的抑郁症状（9项患者健康问卷≥10分）。在控制和未控制的HTN患者（收缩压≥ 140和/或舒张压≥ 90）中，显著抑郁症状的发生率分别为5.3%和32.8%（χ2=8.701，p<0.001）。Logistic回归分析显示，年龄较大（≥70岁）且未控制的HTN患者的抑郁症状发生率明显高于年龄较小（60 ~<70岁）且控制的HTN患者。我们的研究结果显示，中国农村HTN患者中抑郁症状的发生率较高，未控制的HTN患者中抑郁症状的发生率较高。这些支持的发展和传播的综合护理方法与HTN和抑郁症的老年人在中国农村。
The comorbidity of depression and hypertension (HTN) is common and complicates the management of both conditions. This study investigated the prevalence of depressive symptoms among older patients with HTN in rural China and explored the relationship between the two conditions. The baseline data of older patients diagnosed with HTN included in the depression/HTN in Chinese Older Adults—Collaborations for Health Study were used for the analysis. The Chinese Older Adults—Collaborations for Health Study was conducted in rural villages of Tonglu County, Zhejiang Province, China. In all, 10 389 older village residents had HTN (57.2% female, mean age 71.5 ± 8.1 years). Blood pressure was measured by using a calibrated manual sphygmomanometer and stethoscope. Depressive symptom was measured by using the Chinese version of the nine-item Patient Health Questionnaire. Among 10 389 patients with HTN, 12.8% had significant depressive symptoms (nine-item Patient Health Questionnaire ≥10). Rates of significant depressive symptoms were 5.3% and 32.8% among patients with controlled and uncontrolled HTN (systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥ 90), respectively (χ2=8.701, p<0.001). Logistic regression analysis indicated that those in older age group (≥70 years) and with uncontrolled HTN have higher rates of significant depressive symptoms than those who are younger (age 60 to <70) and with controlled HTN. Our findings show high rates of depressive symptoms among patients with HTN in rural China and higher rates of depressive symptoms among patients with uncontrolled HTN. These support the development and dissemination of integrative care approaches for older adults with HTN and depression in rural China.
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