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首页> 美国卫生研究院文献>Journal of Clinical and Diagnostic Research : JCDR >Stressing ‘Mental Stress’ in Hypertension: A Rural Background Study
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Stressing ‘Mental Stress’ in Hypertension: A Rural Background Study

机译：在高血压中强调精神压力：一项农村背景研究

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>Background: Modern life is full of hassles, deadlines, frustrations and demands. Mental stress or psychosocial stress is one of the major risk factor for hypertension which itself is the risk factor for various other cardiovascular diseases.>Objectives: To find out the prevalence of hypertension among rural study population above 40 years of age and analyze the relationship between mental stress and Hypertension amongst them.>Methodology: A cross-sectional descriptive study was undertaken in rural Maharashtra from January 2007 till December 2008. Systematic random sampling was done to cover 3600 sample size above 40 years of age. A protocol was devised containing requisite items of socio-demographic data and data was collected from individual households with the help of ancillary staff. Mental stress score based on Presumptive stressful life event score (PSLES) was used. For statistical analysis, Chi-square test, F-test and Z-test were used.>Results: Prevalence of hypertension was found to be 5.92%. Males had maximum cases of hypertension [169 (7.27%)] compared to females [44 (3.44%)] which was statistically significant (χ2 = 21.63, p < 0.001). The rise in number of cases with increasing age was observed. Significant number of cases [127 (7.68%, p= 0.00006)] were found in study population belonging to ‘More stress’ group. Mean mental stress score of hypertensive study subjects was significantly higher (219) than normotensive study subjects (157). Males had significant higher stress score in both hypertensive and Normotensive group.>Conclusion: Total 213 cases of hypertension were detected (5.92%). As the stress increases, risk of hypertension increases. Statistically significant association was found between mental stress and hypertension for males. But in females, no such association was found. Mental stress definitely acts as risk factor for hypertension. Invention, propagation and practical application of various stress relieving measures & exercises should be done.
机译：>背景：现代生活充满了麻烦，截止日期，沮丧和要求。心理压力或社会心理压力是高血压的主要危险因素之一，而高血压本身又是其他各种心血管疾病的危险因素。>目的：了解40岁以上农村研究人群中高血压的患病率>方法：从2007年1月至2008年12月在马哈拉施特拉邦农村地区进行了横断面描述性研究。系统随机抽样覆盖了3600个样本量40岁以上。制定了一项协议，其中包含社会人口统计学数据的必要项目，并且在辅助人员的帮助下从各个家庭收集了数据。使用基于推定性压力生活事件评分（PSLES）的精神压力评分。为了进行统计分析，使用卡方检验，F检验和Z检验。>结果：高血压的患病率为5.92％。男性具有最大的高血压病例[169（7.27％）]，而女性[44（3.44％）]具有统计学意义（χ2= 21.63，p <0.001）。观察到随着年龄增加病例数增加。在属于“更多压力”人群的研究人群中发现了大量病例[127（7.68％，p = 0.00006）]。高血压研究对象的平均精神压力评分（219）显着高于血压正常研究对象（157）。高血压组和血压正常组中男性的压力评分均显着较高。>结论：共检测到213例高血压病例（5.92％）。随着压力增加，患高血压的风险增加。在男性的精神压力和高血压之间发现了有统计学意义的关联。但是在女性中，没有发现这种关联。精神压力绝对是高血压的危险因素。应进行各种应力消除措施和练习的发明，推广和实际应用。

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