| As one of the most common cardiovascular disease,hypertension has severely threatened people’s health,causing great loss to our society with its high morbidity and mortality maily led by its complications.Nowadays,with the development of modern society,the pace of our life speeds up unexpectedly,which makes us become more aggressive and we’re under anonymous pressure.And this contributes a lot to the increasing occurrence of hypertension.Thus,it is really urgent and of great importance to prevent hypertension from happening.Recent years,TCM theory has been gradually completed and ideas about ’physique relating to disease’ theory has been widely accepted.The theory has played a crucial role in the prevention as well as the treatment of diseases.It has been proved that psychological problems worked as a core part throughout hypertension,it could seriously affected the treating efficacy and the prognosis of hypertensive patients.Based on all the above,this study launched a investigation to get the information about types of TCM constitution,along with the mental health status of hypertensive patients.Meanwhile,the influencing factors of hypertensive patients with psychological problems were identified so as to help effectively reduce blood pressure through adjusting patient’s constitution and improving their mental state,trying to provide a novel treatment strategy for better treatment of hypertension.Objective:This study aimed to investigate the mental health status and the distribution of TCM constitution in hypertensive patients,indentifying the influencing factors of hypertensive patients with psychological problems.It targeted to guide clinical work through rectifying patient’s constitution as well as improving their mental state so that this could provide a new method and evidence for hypertension’s prevention and treatment.Methods:This research was based on essential hypertensive patients collected from both inpatient and outpatient of Li Huang,the director of the Integrated Cardiovascular Department,within a time from July 2016 to February 2017,adopting a cross-sectional approach.A number of measuring tools were used,such as SCL-90(Symptom Check List-90),SAS(Self-Rating Anxiety Scale),SDS(Self-Rating Depression Scale)and TCM physique test in order to record the general condition and information related to hypertension.The whole data obtained from the process was typed into Excel and a statistical analysis was operated via SPSS 22.0.Result:This research recruited 237 hypertensive patients.TCM constitution analysis:About 39 hypertensive patients were gentle constitution,accounting for a 16.5%of the whole while the other 198 were biased constitution or tended to be a biased one,taking up the left 83.5%.Besides,the descending order in population(percentage)of the latter was as follow:142(59.9%)Qi-deficient patients,135(57.0%)phlegm-damp patients.129(54.4%)Yin-deficient ones,120(50.6%)Yang-deficient patients,111(46.8%)blood-stasis patients,110(46.4%)Qi-depression constitution,101(42.6%)damp-heat constitution and 71(30.0%)allergic constitution patients.Psychological health analysis result:Comparison of the whole sample:the average standard scores of the correlation factors(except sensitivity of interpersonal relationship)of SAS,SDS and SCL-90 were much higher than the nomal level of China,with a P value lower than 0.05.Comparison between sample of individuals:there were 173 patients who had psychological problems,occupying a 73 percent of the whole sample population.And they were putting into a phasedown order which depression was at first,with 123 patients taking a 51.9 percent,then,sleeping and eating status,with 104 patients and a 43.9 percent.Next was state forced symptom,with 87patients and a percentage of 36.7,followed by somatization symptoms,with 79 patients accounting for a 33.3 percent.76(32.1%)patients had anxiety,which stepped closely to the somatization ones and 57(24.1)had sensitive interpersonal relationship,merely after the anxiety.The last four were hostile(47 patients taking a 19.8 percent),terror(36 patients taking a 15.2 percent),psychotic(33 patients taking a 13.9 percent)and a paranoid situation(28 patients taking a 11.8 percent).The analysis to the factors causing psychological problems of hypertensive patients:it was found that whether hypertensive patients developed further psychological problems had a positive correlation to age,sex,course of disease,family history of hypertension,a biased or a tend-to-be biased constitution,taking ARB,having chronic heart dysfunction and arrhythmia while BMI,taking TCM displayed an opposite correlation.Among all,it was found that the independent influence factor for hypertensive patients concomitantly suffered from Anxiety and Depression was a Qi depression constitution,BMI(Body Mass Index)and the continuing use of traditional medicine with a negative correlation and for Depression,the high blood pressure also mattered a lot besides that mentioned in Anxiety.For those hypertensive patients with somatization symptoms,a Yin deficient,Qi depression as well as an allergic or a blood stasis constitution,along with the age were of marked significance since they could work as independent factors,too.Besides,a Qi depression or blood stasis constitution or the ranking of blood pressure were independent influencing factors of state forced symptoms of hypertensive patients.And for those with sensitive interpersonal relationship,the impact factors were a Qi depression or blood stasis constitution or taking the ARB.A blood stasis or an allergic constitution was linked to the occurrence of hostile of hypertensive patients while a Qi depression or an allergic one was closely related to the terror of patients with hypertension.What’s more,a negative correlation with continuous taking of traditional medicine was found as an independent factor leading to the paranoid status of hypertensive patients while for those suffered from a psychotic situation,a Qi depression or blood stasis constitution and the BMI were put in the first place.And for those whom with a bad sleeping and eating status,the independent influence factors were tended to be a Qi depression or a Yin deficient constitution,all with a P value lower than 0.05.This research figured out that the history of smoking or alcohol taking,other related diseases except arrhythmia and heart dysfunction,taking the ACEI,CCB or beta blocker to reduce the blood pressure had had no independent relation to the coexist psychological problems of hypertensive patients.Conclusion:1.The TCM constitution of hypertensive patients was mainly a biased or tend-to-be biased one.Qi-deficient and tend-to-be Qi-deficient constitution ranked the first place while phlegm-damp or tend-to-be phlegm-damp,Yin-deficient or Yin-deficient to be ranked the second and the third place.2.Most hypertensive patients had psychological problems with depression leading first and a bad sleeping and eating status,state forced symptoms stepped behind secondarily.3.In all hypertensive patients,the older,the easier to have somatization symptoms and the higher their blood pressure was,the easier they were to suffer from depression and having state forced symptoms.It was those who have lower BMI proved to be easier to anxious,depressive and psychotic and those who had taken ARB were more vulnerable to have a sensitive interpersonal relationship.Those taking traditional medicine for a long time were found insusceptible to anxiety,depression as well as a paranoid status.4.Among all hypertensive patients,Yin-deficient or Yin-deficient-to-be population were more susceptible to have somatization symptoms and a bad sleeping and eating status while the blood-stasis or blood-stasis-to-be were more vulnerable to have somatization symptoms,state forced symptoms and become hostile,psychotic or have a sensitive interpersonal relationship.Those with a Qi-depression or tend-to-be a Qi-depression constitution were easier to get anxious,depressive,paranoid,psychotic or have terror,somatization symptoms,state forced symptoms,a bad sleeping and eating status or a sensitive interpersonal relationship.For allergic or allergic-to-be constitution people,it was more likely to find them have somatization symptoms or terror or become hostile. |
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