Psychological Causes And Cardiovascular Responses To Hypertension In Hui People In Xinjiang

Objective:To understand the psychological factors and cardiovascular response characteristics of the patients with hypertension in Hui nationality,and the relationship between psychological factors and cardiovascular responses,and to provide a theoretical basis for the prevention and treatment of hypertension in the Hui nationality and the establishment of specialized psychological care measures for patients with hypertension.Methods:1.Use a combination of questionnaires and experimental studies to conduct research.129hypertensive patients from a community in Changji were selected as the experimental group,and146 non-hypertensive patients of Hui nationality were used as the control group.The Toronto Alexandria Scale(TAS),the Medical Coping Questionnaire(MCMQ),and the amount of perceived stress were used.Questionnaire(PSS)and Cognitive Emotional Response Questionnaire(CERQ)were used to investigate the psychological factors of hypertensive patients;the trials recorded the patient’s cardiovascular status at the baseline,task,and recovery phases during the"memory task"psychological stress.Response parameter values[SBP,DBP,HR].2.Use excel form to set up the database,use SPSS 19.0 software to analyze the data.Descriptive statistics were used to analyze the general data and psychological factors of the study subjects;differences in psychological characteristics and cardiovascular response characteristics between the experimental group and the control group;paired sample t-tests were used for intragroup comparison,and two independent samples t-test were used for comparison between groups.And two independent sample rank sum tests;Pearson correlation and multiple stepwise linear regression analysis of the relationship between psychological factors and cardiovascular responses.Results:1.In psychological stress,the SBP,DBP,and HR in the test group and the control group increased,and the difference was statistically significant(P<0.001).After the stress was removed,the SBP,DBP,and HR of the test group and the control group decreased,and the difference was statistically significant(P<0.001).The SBP,DBP,and HR at the recovery stage of the test group and the control group were compared with the baseline period.SBP was higher than that of the control group and the difference was statistically significant(P<0.05).Baseline-task period,the experimental group SBP fluctuation value is higher than the control group,the difference was statistically significant(P<0.05);task period-recovery period,the experimental group SBP,HR fluctuation value is higher than the control group,the difference was statistically significant(P<0.05);During baseline-restoration period,the SBP and DBP values in the experimental group were higher than those in the control group(P<0.05).2.The psychological characteristics of patients in the experimental group were extraversional thinking,submission,contemplation,and catastrophism.The five dimensions of the blame for others were higher than those of the control group.The difference was statistically significant(P<0.05).3.In the experimental group,the SBP fluctuations during the baseline period and the task period,the SBP fluctuations during the task-recovery period,and the alexithymia,negative coping styles(avoidance,yielding),perceived stress(control feeling,overload feeling),and negative emotion regulation strategy(Self censure,catastrophe,contemplation,blame others)were positively correlated(P<0.05);negative correlation was found with positive coping style(face)(P<0.05).Alexithymia(difficulties in emotional recognition)was positively correlated with DBP fluctuations at baseline and during the task(P<0.05).There was a positive correlation between alexithymia(extroversion thinking),perceived stress(control),negative emotion regulation(catastrophic),and DBP fluctuation during the task-recovery period(P<0.05).4.Cardiovascular Responses to alexithymia(difficulties in emotional expression,extraversional thinking),negative coping styles(subversion),perceived stress(control,overload),negative emotion regulation strategies(self-reproach,catastrophe,and contemplation)The positive predictive value of the fluctuation value(R~2=0.12/R~2=0.138/R~2=0.042/R~2=0.260 P<0.05);the positive coping style(face)has a negative predictive effect on the fluctuation value of cardiovascular responses(R~2=0.075).P<0.05).Therefore,a preliminary psychological care measure for hypertension was established.Conclusion:1.The“memory task”psychological stress can cause cardiovascular reaction in Hui hypertensive patients.When the psychological stress is stressed,the cardiovascular response is stronger than normal,and the recovery after psychological stress is poor.The psychological characteristics of Hui’s hypertension patients are characterized by:patients rarely pay attention to their inner feelings,tend to adopt yielding coping styles and negative emotion adjustment strategies(contemplation,catastrophe,blame others).2.Hui hypertensive patients rarely pay attention to their inner feelings,tend to adopt coping styles and negative emotion regulation strategies(contemplation,catastrophe,blame others).3.The important risk factors affecting the cardiovascular response of Hui hypertensive patients are alexithymia(emotionally difficult to express,extraverted thinking),perceived stress(control,overload),passive coping styles(appease),and preference.Negative emotion regulation strategies(self-blaming,catastrophe,contemplation).Adopting(face)positive coping styles are protective factors for cardiovascular responses.4.It is considered that the psychological care of hypertensive patients should pay attention to the joint application of psychological techniques such as listening,empathy,explanation and guidance.Emphasis on personalized care,and actively guide the rationalization of hypertensive patients psychological vent,emotional management and coping methods.