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[高血压和血压正常的工作者中躯体与社会心理因素与全身压力的关系]

[Relation of somatic and psychosocial factors to systemic pressure in hypertensive and normotensive workers].

作者信息

Catipović-Veselica K, Mercep A, Vizner-Lovrić I, Burić D

机构信息

Opća bolnica Osijek.

出版信息

Arh Hig Rada Toksikol. 1991 Dec;42(4):381-90.

PMID:1815493
Abstract

A cohort of 900 workers aged 35-59 years underwent clinical, electrographical and psychological examinations. The prevalence of arterial hypertension was 15.2%. Family history of hypertension was positive in 87 (63.5%) hypertensive and 41 (29.9%) normotensive workers (P less than 0.01). The mean body index and the mean resting heart rate were significantly higher in the hypertensive than in the normotensive group (P less than 0.01). In the former group 96 (70.1%) persons and in the latter 89 (65%) persons belonged to type A behavior (P greater than 0.05). No significant difference in the intensity of eight basic emotions was found between the hypertensive and normotensive persons (P greater than 0.05). According to multiple regression analysis the most predictive variables of systolic blood pressure in both groups were age and resting heart rate. The two variables were more significant predictors in the hypertensive than in the normotensive group. The most predictive variable of diastolic blood pressure among the normotensive workers was body index. For the hypertensive workers this variable was not a significant predictor of diastolic blood pressure. The eight basic emotions according to Plutchik and the life need satisfaction were not significant predictors of systemic blood pressure either with the hypertensive or normotensive workers.

摘要

一组900名年龄在35至59岁之间的工人接受了临床、心电图和心理检查。动脉高血压的患病率为15.2%。87名(63.5%)高血压工人和41名(29.9%)血压正常的工人有高血压家族史(P小于0.01)。高血压组的平均身体指数和平均静息心率显著高于血压正常组(P小于0.01)。在前一组中,96人(70.1%)属于A型行为,在后一组中,89人(65%)属于A型行为(P大于0.05)。高血压患者和血压正常者在八种基本情绪的强度上没有显著差异(P大于0.05)。根据多元回归分析,两组中收缩压的最具预测性的变量是年龄和静息心率。这两个变量在高血压组中比在血压正常组中是更显著的预测因子。血压正常的工人中舒张压的最具预测性的变量是身体指数。对于高血压工人来说,这个变量不是舒张压的显著预测因子。根据普拉奇克的八种基本情绪和生活需求满意度,无论是高血压工人还是血压正常的工人,都不是系统性血压的显著预测因子。

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