高血壓病人心理健康、自我管理與生活品質之相關性

Relationships between Mental Health, Self-management, and Quality of Life in Patients with Hypertension

汪文華(Weng-Hug Wang) ； 劉傳捷(Chuan-Chieh Liu) ； 吳淑芳(Shu-Fang Wu) ； 陳孟淇(Meng-Qi Chen) ； 李梅琛(Mei-Chen Lee) ； 黃秀麗(Hsiu-Li Huang)

《北市醫學雜誌》 預刊文章 Pp. 1-13

https://doi.org/10.6200/TCMJ.202305/PP.0020

摘要

目的：探討高血壓病人心理健康、自我管理與生活品質之相關。方法：採橫斷式研究設計，方便取樣於北部某區域教學醫院心臟內科門診共160位。問卷內容包含心理健康、自我管理及生活品質等。統計方法以描述性統計、獨立樣本t檢定（independent samples t-test）、單因子變異數分析（one-way ANOVA）、皮爾森相關係數（Pearson's correlation analysis）及多元線性迴歸分析（multiple linear regression analysis）等。結果：心理健康與自我管理呈顯著正相關；也與生活品質呈顯著正相關。自我管理與生活品質呈顯著正相關。年齡、慢性病數、腰圍、心理健康、自我管理等因素對於高血壓病人生活品質的總解釋力達28.1%。結論：提升心理健康及自我管理的能力，可以增加高血壓病人的生活品質。

關鍵字

高血壓 ； 心理健康 ； 自我管理 ； 生活品質

並列摘要

Objective: To investigate the relationships between mental health, self-management, and quality of life in patients with hypertension. Methods: This cross-sectional study used convenience sampling to enroll 160 patients at the outpatient department of cardiology in a regional teaching hospital in northern Taiwan. The questionnaire contents included mental health, self-management, and quality of life. Descriptive statistics, independent samples t-test, one-way ANOVA, Pearson's correlation analysis, and multiple linear regression analysis were used in statistical analyses. Results: There was a significant positive correlation between mental health and self-management and between mental health and quality of life. Also, self-management was positively correlated with quality of life. Variables such as age, Charlson Comorbidity Index, waistline, mental health, and self-management were the predictors for quality of life in patients with hypertension, with 28.1% of the total variance explained. Conclusion: Improving mental health and self-management ability can improve the quality of life in patients with hypertension.

並列關鍵字

hypertension ； mental health ； self-management ； quality of life