Research On The Relations Between Cognitive Emotion Regulation, Qualitv Of Life, Anxiety And Depression In Hypertensive Patients

Purpose:nowadays,aging population is increasing,quality of life is improved,the pressure is also growing.all the above reasons result in the increasing patients with high blood pressure.Hypertension is the important cause and risk factor for the cardiovascular and celebrovascular diseases.It leads to many complications and seriously harm to people’s health.Therefore,health care workers should pay attention to prevention and treatment of hypertension. Hypertention is a chronic disease,the blood pressure controling in the normal range has a very important significance for the prevention of complications,reducing the incidence of the heart,brain and kidney diseases.Hypertension is a psychosomatic disorder,and closely related to their anxiety and depression.People with the anxiety and depression are more likely to have high blood pressure,which the mechanism is not clear. Currently,tudies have found that antidepression and antianxiety drugs for hypertensive patients with anxiety and depression can not only relieve their anxiety and depression,but also can reduce blood pressure.The elderly hypertensive patients who their anxiety and depression scores are significantly lower than the national norm control their blood pressure better.It is especially important for hypertensive patients to prevent the incidence of anxiety or depression,so as to control and mitigate disease.There will always be bad things happen in life.Reasonable regulation of mood is the key to preventing the occurrence of anxiety and depression.The symptoms of high blood pressure can reduce the patient’s quality of life.Therefore,it is necessary to study the relationship of the anxiety,depression,cognitive emotion regulation strategies and quality of life.According to the results,nurses should take some nursing measures to ease the pain of patients for improving their quality of life,and nurses can use some psychological knowledge to make hypertensive patients learn rational emotion regulation strategies,to change their adverse cognition reducing the occurrence of their anxiety and depression.I think the latter is the key to relieve anxiety and depression in patients with hypertension.This study is designed to investigate anxiety,depression,general information,cognitive emotion regulation and quality of life in patients with hypertension by questionnaires,and to understand the occurence characteristics of the anxiety and depression,the correlation of the anxiety,depression,cognitive emotion regulation strategies and quality of life by multiple stepwise regression analysis.According to nursing procedure I try to make psychological nursing measures for hypertensive patients basing on this research results so that I can provide the theoretical basis for nursing clinical practice.Method:(1)Patients with essential hypertension are tested by anxiety questionnaire,depression inventory,general situation questionnaire,cognitive emotion regulation questionnaire and Duchenne hypertension quality of life questionnaire.I try to explore whether level of the anxiety and depression in patients with hypertension is same or not in different gender,age and occupation by independent sample t-test,and investigate the correlation of the anxiety,depression,cognitive emotion regulation strategies and quality of life by person-related.(2)Study the correlation of the anxiety,depression,cognitive emotion regulation strategies and quality of life by multiple stepwise regression analysis further.(3)According to the nursing process theory,I make the nursingassessment,nursing diagnosis,nursing planning,nursing implementation and nursing evaluation for the patients with hypertension,and build the treatment mode of psychological nursing.Results:(1)Essential hypertensive patients with the anxiety and depression are in20% of the total number of the surveyed hypertensive patients.It is higher than national norm,mostly mild anxiety and depression.(2)The women,age 50 or older and brainwork of hypertensive patients are more prone to have anxiety or depression.(3)The anxiety and depression scores of hypertensive Patients are significantly or very significantly correlated with self-blame,rumination,catastrophizing and blaming others in cognitive emotion regulation questionnaire.They are negatively correlated with acceptance,positive refocusing, refocusing on planning,positive reappraisal and putting into perspective.Its relevance is different in the different gender,age and occupation.(4)The anxiety and depression scores of hypertensive patients are negatively correlated with physical symptom,somatic symptom,sleep,vitality,anxiety,depression,compulsive condition,sensitivity of interpersonal relationship,work status and hostility in Duchenne hypertension quality of life questionnaire.Its relevance is different in the different gender,age and occupation.(5)Multiple regression equation can compose of the putting into catastrophizing,rumination,self-blame,positive reappraisal and anxiety scores.Multiple regression equation can compose of the hostility,physical symptom, sleep and anxiety scores.The eight foctors are important foctors affecting the occurrence of anxiety.(6)Multiple regression equation can compose of the putting into perspective,catastrophizing,rumination,positive refocusing and depression scores.Multiple regression equation can compose of the hostility,depression,physical symptom, sleep and depression scores.The eight foctors are important foctors affecting the occurrence of depression.(7)I build psychological nursing for the hypertensive patients’ anxiety or depression that its purpose is to restore their cognitive function and emotional function.Conclusion:Patients with essential hypertension have the obvious anxiety and depression. The anxiety and depression of hypertensive patients are correlated with the factors of the cognitive emotion regulation and quality of life. Eight foctors in them are important foctor effecting the anxiety and depression of hypertensive patients.According to the research results,combining the psychological theory,based on the nursing process,I try to build psychological nursing for the hypertensive patients’ anxiety or depression that its purpose is to restore their cognitive function and emotional function.It has some theoretical and practical significance.