Aldirawi Ali, Alhalaiqa Fadwa, Alwawi Abdallah, Abuzerr Samer
Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Nursing Department, Faculty of Medical Sciences, Almaarefa University, Diriyah, Saudi Arabia.
BMC Public Health. 2024 Dec 18;24(1):3508. doi: 10.1186/s12889-024-20733-0.
Hypertension is a global, modifiable risk factor for cardiovascular and cerebrovascular disorders, imposing a significant burden due to its high mortality and morbidity rates. This study aimed to assess the prevalence and severity of psychological stress among hypertensive patients in Jordan and identify the factors associated with psychological stress.
This descriptive, cross-sectional study was conducted on hypertensive patients at three community healthcare clinics in Jordan from May to July 2024. A sample of 276 hypertensive male patients was randomly selected, representing 85% of the total patients in the selected clinics. Patients were selected via systematic random sampling. A self-administered questionnaire on psychological stress using the Depression, Anxiety, and Stress Scale (DASS-42) was employed. The data were collected through Google Forms and analyzed using SPSS statistical software (version 27).
A total of 276 hypertensive males participated in the study, and the mean score of psychological stress was 16.02(± 7.59). The prevalence of psychological stress was 55.1%, with 60 (39.5%) experiencing mild stress and 57 (37.5%) experiencing moderate stress. Chronic diseases and inadequate exercise were significantly associated with psychological stress (p-values: 0.003 and < 0.001, respectively). Participants reporting stressful work were more than four times more likely to experience psychological stress than those who did not report work-related stress (OR = 4.06; 95% CI: 2.00-8.25; p < 0.001). A stressful home environment and insufficient sleep were also significantly associated with psychological stress (p = 0.026 and p < 0.001, respectively).
The results highlight a strong association between psychological stress and hypertension. Factors such as chronic diseases, insufficient exercise, occupational stress, a stressful home environment, and inadequate sleep contribute to psychological stress among hypertensive patients. These findings provide valuable insights for healthcare providers in developing tailored interventions to alleviate stress while managing hypertension.
高血压是心血管和脑血管疾病的一个全球性、可改变的风险因素，因其高死亡率和发病率而带来重大负担。本研究旨在评估约旦高血压患者心理压力的患病率和严重程度，并确定与心理压力相关的因素。
本描述性横断面研究于2024年5月至7月在约旦的三家社区医疗诊所对高血压患者进行。随机选取276名高血压男性患者作为样本，占所选诊所患者总数的85%。患者通过系统随机抽样选取。采用一份使用抑郁、焦虑和压力量表（DASS - 42）的心理压力自填问卷。数据通过谷歌表单收集，并使用SPSS统计软件（版本27）进行分析。
共有276名高血压男性参与了研究，心理压力的平均得分为16.02（±7.59）。心理压力的患病率为55.1%，其中60人（39.5%）经历轻度压力，57人（37.5%）经历中度压力。慢性病和运动不足与心理压力显著相关（p值分别为0.003和<0.001）。报告工作压力大的参与者经历心理压力的可能性是未报告与工作相关压力者的四倍多（OR = 4.06；95% CI：2.00 - 8.25；p < 0.001）。压力大的家庭环境和睡眠不足也与心理压力显著相关（p值分别为0.026和<0.001）。
结果突出了心理压力与高血压之间的紧密关联。慢性病、运动不足、职业压力、压力大的家庭环境和睡眠不足等因素导致高血压患者出现心理压力。这些发现为医疗保健提供者制定针对性干预措施以在管理高血压的同时减轻压力提供了有价值的见解。
