Moum T, Sørensen T, Naess S, Holmen J
Institutt for medisinske atferdsfag, Universitetet i Oslo.
Tidsskr Nor Laegeforen. 1992 Jan 10;112(1):18-23.
The authors report results from medical screening for hypertension carried out on the entire adult population (aged greater than 20 years) of the county of Nord-Trøndelag, Norway. Previously undiagnosed hypertensives in need of medical treatment (n = 173), false positives (n = 233) and patients in need of continued blood pressure monitoring (n = 474) were followed up 10 to 36 months after the screening. This group was compared with a random population sample of known hypertensives (n = 206), patients previously treated for hypertension (n = 118) and normotensives (n = 2,326). No significant differences in changes in quality of life (subjective well-being) were observed between the two groups from screening to follow-up. However, negative events in life and chronic stresses other than the fact of becoming sick induced a deterioration of quality of life. Positive events induced an improvement in quality of life.
作者报告了对挪威北特伦德拉格郡全体成年人口(年龄大于20岁)进行高血压医学筛查的结果。对筛查后需要医学治疗的既往未诊断高血压患者(n = 173)、假阳性患者(n = 233)以及需要持续血压监测的患者(n = 474)进行了10至36个月的随访。将该组与已知高血压患者的随机人群样本(n = 206)、既往接受过高血压治疗的患者(n = 118)以及血压正常者(n = 2326)进行比较。从筛查到随访,两组在生活质量(主观幸福感)变化方面未观察到显著差异。然而,除患病这一事实外,生活中的负面事件和慢性压力会导致生活质量下降。积极事件则会使生活质量得到改善。