焦虑抑郁情绪与社区高血压人群睡眠质量及其生活质量相关性分析

Analysis of the Correlation between Anxiety and Depressive Mood and the Quality of Sleep and Its Quality of Life in a Community-Based Hypertensive Population

摘要: 目的：探究社区高血压患者睡眠质量、生活品质与焦虑抑郁情绪之间的相关性。方法：选取2024.09~2025.02月社区医院收治的200例高血压患者为研究对象，依据汉密尔顿抑郁量表(HAMD-17)及汉密尔顿焦虑量表(HAMA)的评分结果进行分组。以HAMD > 7分、HAMA > 7分100例患者为焦虑抑郁情绪组，另外100例患者为正常情绪组，以匹兹堡睡眠质量指数(PSQI)、健康状况调查问卷(SF-36)对比两组睡眠质量、生活质量及相关性差异。结果：同正常情绪组相比，焦虑抑郁情绪组患者PSQI各维度评分显著较高，差异具有统计学意义(P < 0.05)；两组患者SF-36评分比较，焦虑抑郁情绪组的量表评分低于正常情绪组，并且该差异具有统计学意义(P < 0.05)；社区高血压人群焦虑抑郁情绪与睡眠质量评分呈正相关、与生活质量各维度评分呈负相关(P < 0.001)。结论：社区高血压患者需要重视自身心理健康状况，其抑郁焦虑情绪会直接影响睡眠质量及生活质量。尽早干预以避免影响患者治疗结局与预后。

Abstract: Objective: To explore the relationship between sleep quality, quality of life, and anxiety and depression in the community population with hypertension. Methods: 200 hypertensive patients admitted to community hospitals from 2024.09 to 2025.02 were selected as study subjects and grouped according to Hamilton Depression Rating Scale (HAMD-17) and Hamilton Anxiety Rating Scale (HAMA) scores. The 100 patients with HAMD > 7 and HAMA > 7 were the anxious and depressed mood group, and the other 100 patients were the normal mood group, the Pittsburgh Sleep Quality Index (PSQI) and the Short-Form-36 Health Survey (SF-36) were used to compare the quality of sleep, quality of life, and correlation differences between the two groups. Results: Compared with the normal mood group, the PSQI scores of patients in the anxious and depressed mood group were significantly higher, and the difference was statistically significant (P < 0.05). Comparing the scores of all dimensions of SF-36 patients in the two groups, the scores of the group with anxious and depressive mood were lower than those of the normal mood group, and the difference was statistically significant (P < 0.05). Anxiety and depression in the community population with hypertension was positively correlated with the sleep quality score and negatively correlated with the scores of the dimensions of quality of life (P < 0.001). Conclusion: Hypertensive patients in the community need to pay attention to their mental health status, and their depression and anxiety can directly affect the quality of sleep and quality of life. Early intervention is needed to avoid affecting patients’ treatment outcome and prognosis.