Sparacino J
Nurs Res. 1982 Mar-Apr;31(2):89-94.
Evidence of the interaction between psychological factors and blood pressure is reviewed with a focus on stressful events and mental health. While the hypertensive personality remains an elusive and perhaps fictional entity, and indices of psychological distress, psychopathology, or poor adjustment do not correlate highly with blood pressure or hypertension, environment stressors such as the threat of unemployment and job pressures adversely affect blood pressure and mental health across groups of individuals. Recent studies suggest that the diagnosis of hypertension may elicit clinically significant psychological distress and anxiety. Adverse reactions to antihypertensive medication may interact with and exacerbate pre-existing distress. Implications for nurses dealing with hypertensive patients are discussed.
本文回顾了心理因素与血压之间相互作用的证据，重点关注应激事件和心理健康。虽然“高血压人格”仍然是一个难以捉摸且可能虚构的概念，并且心理困扰、精神病理学或适应不良的指标与血压或高血压的相关性并不高，但诸如失业威胁和工作压力等环境应激源会对不同人群的血压和心理健康产生不利影响。最近的研究表明，高血压的诊断可能会引发具有临床意义的心理困扰和焦虑。对抗高血压药物的不良反应可能会与预先存在的困扰相互作用并使其加剧。文中还讨论了对护理高血压患者的护士的启示。
