Study On Five-state Personality And Mental Health Status Of Patients With Hypertension

Background:hypertension is a common clinical chronic disease,often accompanied by damage of organs such as heart,brain,blood vessels and kidney.It is prone to suffer from complications such as stroke,myocardial infarction,heart failure,chronic kidney disease and so on.It has high disability and mortality and seriously endangers people's health.In recent years,the development of drug therapy for hypertension has been improving.From the five kinds of antihypertensive drugs in modern medicine to TCM treatment of syndrome differentiation,from oral medicine and external use to acupuncture and massage,the treatment of hypertension is diversified.Psychological factors are closely related to the occurrence and development of hypertension,which seriously affect the level of blood pressure control,complications and quality of life of patients.Therefore,it is necessary to pay attention to mental health problems of patients with hypertension.At present,psychotherapy in modern medicine mainly includes life style intervention,relaxation therapy,biofeedback therapy,music therapy and so on.These therapies can change mental state of patients and regulating their physiological function through some means,play a significant role in helping to reduce blood pressure.However,the study of psychotherapy in traditional Chinese medicine is still shallow,and its special treatment has not been widely accepted.Therefore,it is very necessary to study the mental health status of patients with hypertension from the direction of TCM psychology,and provide the research basis for the TCM psychotherapy of hypertension,and contribute to the popularization and application of systematic TCM psychological intervention in the treatment of hypertension.Objective:This study investigated The Five-Pattern Personality and mental health status of patients with hypertension,analysis of the relationship between the two,demonstrated the relationship between TCM personality and disease,to provide more targeted treatment,to accumulate clinical data for psychotherapy of traditional Chinese medicine.Methods:In this study,a questionnaire survey was conducted among hypertensive patients.The scale was used in the Five-Pattern Personality Inventory,Symptom Checklist 90(SCL-90)and the basic information questionnaire for hypertensive patients.There was 324 effective scale,and the data were analyzed by SPSS22.0 software.Results:1.Taiyang and Shaoyang personality are closely related to hypertension in the Five-Pattern Personality.In hypertensive patients,Shaoyang scores of male are slightly higher than women;Taiyin scores of patients with low educational level are high;Yinyangpinghe scores of patients with stage 3 hypertension are lower than patients with stage 2 and 1 hypertension.2.SCL-90 scores of patients with hypertension show that the anxiety factor scores of female re higher than male patients;anxiety scores of patients with junior high school education or less are higher than that of other patients;the scores of somatization,obsessive-compulsive,depression and anxiety factors in patients with stage 3 hypertension are higher than those in patients with stage 1 hypertension.The scores of obsessive-compulsive and anxiety factors are higher than those in patients with stage 2 hypertension.The scores of depression factors in patients with stage 2 hypertension are higher than those in patients with stage 1 hypertension.3.Correlation analysis between The Five-Pattern Personality and SCL-90 shows that there is a positive correlation between Taiyin and somatization,obsessive-compulsive,interpersonal sensitivity,depression,anxiety,hostility,phobia anxiety,paranoid ideation and psychoticism.There is a positive correlation between the factors of Shaoyin and somatization.Yinyangpinghe is negatively correlated with somatization,obsessive-compulsive,interpersonal sensitivity,anxiety,hostility,paranoid ideation and psychoticism.Shaoyang associated with hostility and psychoticism are positively and negatively correlated with paranoid ideation.There is a positive correlation between the score of Taiyang and the anxiety,and a negative correlation with phobia anxiety.Conclusion:The Five-Pattern Personality and mental health of patients with hypertension are closely related.It is feasible to evaluate the level of mental health with The Five-Pattern Personality,and prevent bad psychological state of patients.