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老年人的心理健康问题与高血压:HOPE 亚洲网络的综述。

Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network.

机构信息

School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.

Department of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Malaysia.

出版信息

J Clin Hypertens (Greenwich). 2021 Mar;23(3):504-512. doi: 10.1111/jch.14121. Epub 2020 Dec 7.

Abstract

The "triple burden" of aging population, hypertension, and mental health problems making elderly in Asia is more vulnerable. There is evidence of a bidirectional relationship between mental health and hypertension, which results in lower quality of life, lower rate of treatment adherence, and higher mortality among elderly individuals. It is essential to overcome known barriers and care for the elderly with high-risk factors in order to address these burdens. This review revealed that elderly with hypertension were more likely to suffer from depression and anxiety. Therefore, debunking myths, creating awareness regarding mental health, and increasing access to mental health resources through holistic community-based programs would greatly reduce such problems and optimize the chances of success in controlling hypertension-related problems.

摘要

人口老龄化、高血压和心理健康问题这“三重负担”使得亚洲的老年人更加脆弱。有证据表明,心理健康和高血压之间存在双向关系,这会导致老年人的生活质量降低、治疗依从率降低和死亡率升高。克服已知障碍并关爱存在高危因素的老年人至关重要,这有助于应对这些负担。这篇综述表明,高血压老年人更有可能患有抑郁和焦虑。因此,通过全社区的方案来破除对心理健康的误解、提高对心理健康的认识并增加获取心理健康资源的机会,将会大大减少这些问题,并优化控制与高血压相关问题的成功率。

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