目的:调查社区老年高血压患者自我隐瞒、认知性情绪调节、反刍思维现状并分析其相关性。方法:选取成都市4个社区共342例老年高血压患者为研究对象。采用一般资料调查表、反刍思维反应方式量表、自我隐瞒量表及中文版认知性情绪调节策略进行问卷调查。结果:社区老年高血压患者自我隐瞒得分为(22.55±5.52)分,反刍思维得分为(40.06±9.07)分,积极认知情绪调节策略得分为(61.57±5.46)分,消极认知性情绪调节策略得分为(38.16±6.44)分。反刍思维与自我隐瞒、消极认知性情绪调节呈正相关,高龄、女性、丧偶、病程＞10年、有并发症、自我隐瞒高水平者、消极认知情绪调节是反刍思维的影响因素。结论:社区老年高血压患者反刍思维较为严重,自我隐瞒、认知性情绪调节与反刍思维具有相关性,社区医务人员应重视老年慢性病者反刍思维及自我隐瞒情绪的评估,及时发现并干预老年患者消极认知情绪,促进健康老龄化。
Objective: To investigate the status of self-concealment, cognitive emotion regulation and rumination in elderly patients with hypertension in community and analyze their correlation. Methods: A total of 342 elderly hypertensive patients from 4 communities in Chengdu were selected as the research subjects. A questionnaire survey was conducted using the General Information Questionnaire, the Regurgitated Thinking Response Style Scale, the the Self-Concealment Scale, and the Chinese Version of the Cognitive Emotion Regulation Strategy. Results: The score of self-concealment was (22.55±5.52) scores, the score of rumination was (40.06±9.07) scores, the score of positive cognitive emotion regulation strategy was (61.57±5.46) scores, and the score of negative cognitive emotion regulation strategy was (38.16±6.44) scores. Rumination was positively correlated with self-concealment and negative cognitive emotion regulation. Advanced age, female, widowed, course of disease >10 years, complications, high level of self-concealment, negative cognitive emotion regulation were the influencing factors of rumination. Conclusion: The rumination of elderly patients with hypertension in the community is more serious. Self-concealment and cognitive emotion regulation are related to rumination. Community medical staff should pay attention to the assessment of rumination and self-concealment of elderly patients with chronic diseases, timely discover and intervene in the negative cognitive emotions of elderly patients, and promote healthy aging.
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