Analysis Of Prevalence And Influencing Factors Of Neuroses In Patients With Hypertension Of Changchun

The prevalence of hypertension was gradually rising in recent years. It threats thehealth of the public seriously. Hypertension is a kind of psychosomatic disease.Psychological social factors such as feelings, traits of character, individual stress andsocial support can affects hypertension. Increasingly serious mental health and socialproblem make hypertension serious. Impatience, irritability and sulking are typicaltraits of character of hypertension. With longer duration of illness and the increasingmedical costs, many patients appear the bad emotions such as anxiety and depression.So it can induce a variety of psychological problems. Hypertensions have a lot ofpsychological problems. Neurosis is one category of these. It mainly has somesymptom such as anxiety, depression, force and neurasthenia. Its prevalence is high.And it threats the health seriously. If we can take effective measures in time, andactively carry out targeted prevention and control measures, we can improve thequality of life of hypertensions and prognosis. It is of great significance to preventinghypertension and Cardiovascular disease.ObjectiveTo grasp the condition of neuroses in the patients with hypertension ofChangchun city, and to analyze its influencing factors and provide evidence for theprevention and treatment of the patients with hypertension.MethodsStratified cluster sampling method was conducted in the local health servicecenters.15health service centers were chosen.1216patients with hypertension wereinformed by the doctors and999participants who were interviewed face to face usingthe version3.0of the World Health Organization Composite International DiagnosticInterview（WHO-CIDI-3.0） successfully completed the interviews and diagnosedby International Statistical Classification of Diseases and Related health problems,tenth revision(ICD-10). Lifetime prevalence,12-month prevalence and30-dayprevalence were used to describe different kinds of neuroses in patients with hypertension. The comparison of distribution characteristics of12-month prevalenceof neuroses in patients with hypertension used χ2test. Logistic regression was used toanalysis social demographic factors and psychosocial factors.ResultsThe lifetime prevalence of neurosis in patients with hypertension was14.6%.The12-month prevalence was10.8%.And the30-day prevalence was7.9%. Theprevalence of Specific phobia was the highest. The12-month prevalence of neurosisin patients with hypertension of male was7.14%. The12-month prevalence of femalewas12.79%. And the female was higher(χ2=7.517,P=0.006). The12-monthprevalence of neurosis in patients with hypertension was different in different agegroups(χ2=28.107，P＜0.001). The12-month prevalence of city was8.00%,and thecountry was13.63%.The12-month prevalence of the country is higher than that of thecity(χ2=8.202， P=0.004). The12-month prevalence of income below3000was12.07%. The12-month prevalence of income above3000was6.36%. The former ishigher(χ2=5.787，P=0.016). The12-month prevalence of neurosis in patients withhypertension had no difference in ethnicity, marriage, education level and years ofhypertension(P＞0.05). Logistic analysis results showed that four influencing factorswere found, age(60~69years,≥70years), negative life events, positive coping style,and life satisfaction and their OR （OR95%CI） values were0.412（0.216-0.784）,0.308（0.139-0.683）,1.010（1.003-1.017）,0.670（0.454-0.989） and0.934（0.896-0.974）, respectively.Conclusion1. The prevalence of neurosis in patients with hypertension was higher. Theprevalence of Specific phobia is the highest of all.2. The12-month prevalence of neurosis in patients with hypertension of femalewas higher than male. That of60-69and≥70years old was lower than＜50years old.The12-month prevalence of country was higher than the city. The income below3000was higher than the income above3000.3. Logistic analysis results showed that negative life events may be a risk factor.Older, positive coping style and life satisfaction may be protective factors.4. The prevalence of neuroses in patients with hypertension is higher. Thisshould cause the attention of medical workers and the relevant departments. In the process of prevention and treatment, we should attach great importance to the mentalhealth of the patients with hypertension, and actively carry out targeted preventionand control measures. We should effort to improve the quality of life, and activelyimprove the prognosis.