天津市某农村高血压病居民中医情志症状调查

Investigation on emotional symptoms of TCM in residents with hypertension in a countryside of Tianjin

关键词:  高血压病  流行病学调查  中医症状

Key words:  hypertension  epidemiologic survey  clinical symptoms of TCM

摘要:

[目的] 通过对天津市宁河县某村居民进行中医症状调查,了解该村高血压病居民中医情志症状情况.[方法] 采用整群随机抽样方法,调查该村居民中医症状,对高血压病居民的中医情志症状部分进行信度分析、Spearman秩相关分析和因子分析.[结果] 克伦巴赫α系数为0.785,Spearman秩相关分析显示,高血压病与舒畅、焦虑、易怒、急躁、心烦、比他人易疲劳和早醒等症状之间差异有统计学意义.因子分析显示,前3个因子特征值大于1,累计贡献率为64.20%,公因子1包括舒畅、心烦和焦虑症状,公因子2包括急躁和易怒症状,公因子3包括比他人易疲劳和早醒症状.[结论] 该村高血压病居民表现突出的情志症状有焦虑、易怒、急躁、心烦、比他人易疲劳和早醒等,可能证候为肝郁气滞、肝火上炎和气血两虚.

Abstract:

[Objective] To investigate the symptoms of TCM in rural residents of Tianjin and understand the emotional symptoms of TCM of them. [Methods] Using the cluster random sampling method, we surveyed the symptoms of TCM of residents in a rural area. We used reliability analysis, Spearman rank correlation analysis and factor analysis to analyze the emotional symptoms of TCM. [Results] Alpha coefficient was 0.785. Spearman rank correlation analysis showed that the difference between hypertension and comfort, anxiety, irritability, impatience, nerves, fatigue and early awakening was of statistical significance. Factor analysis indicated three factor components (Eigenvalue>1). The cumulative contribution of the 3 factors was 64.20%. The first factors included comfort, nerves and anxiety symptoms. The second factors included impatience and irritability symptoms. The third factors included fatigue and early awakening symptoms. [Conclusion] Among residents with hypertension in this countryside the outstanding emotional symptoms are anxiety, irritability, impatience, nerves, fatigue and early awakening. We should take active and effective preventive measures of TCM and strengthen the health education of TCM among them.