Background: Elderly patients with coronary heart disease (CHD) are prone to psychological disorders during treatment. Strengthening psychological well-being can improve rehabilitation outcomes. This study aimed to explore the effects of recording positive events on anxiety, psychological capital, treatment compliance, and major adverse cardiovascular events (MACE) in elderly CHD patients with anxiety symptoms. Methods: A total of 309 elderly CHD patients with anxiety were enrolled and randomly assigned to an intervention group (n=154) and a control group (n=155). After the intervention, assessments were conducted using the Self-Rating Anxiety Scale (SAS), the Positive Psychological Capital Questionnaire (PPQ), and a treatment compliance scale, along with collection of clinical indicators and data on MACE. Primary outcomes were changes in anxiety and treatment compliance behaviors. Secondary outcomes included changes in the positive psychological capital scores, clinical indicators, and incidence of MACE. Results: The intervention group showed significantly lower anxiety scores than the control group at the end of the intervention (3 months after discharge) and the end of follow-up period (6 months after discharge) (p< 0.05). Additionally, the intervention group scored significantly higher on the PPQ and CHD Treatment Compliance Behavior Scale (p< 0.05). Improvements in clinical indicators (except systolic blood pressure) were significantly greater in the intervention group (p< 0.05). Furthermore, the incidence of MACE was significantly lower in the intervention group (12 cases vs. 36 cases, p< 0.05), and compared with the control group, the relative risk (RR) of adverse cardiovascular events was 0.33 (95% confidence interval: 0.18- 0.61, p = 0.025). Conclusion: Recording positive events can alleviate anxiety, enhance psychological capital and treatment compliance, reduce the occurrence of MACE, and effectively improve rehabilitation outcomes in elderly CHD patients.

Aim: Environmental exposure constitutes a significant determinant in the pathogenesis of metabolic syndrome (MetS). Nevertheless, the contribution of environmental factors to MetS remains ambiguous. The present study was aimed at investigating the correlation between serum terpenes and the risk of MetS in the general population. Methods: A cross-sectional study was conducted among 1266 individuals from the 2013-2014 National Health and Nutrition Examination Survey (NHANES). Serum terpenes and MetS risk were analyzed using a weighted logistic regression model. Weighted quantile sum (WQS) regression was utilized to explore the relationship between the mixture of serum terpenes and MetS. The restricted cubic spline (RCS) method was employed to assess the dose-response relationship between them. All data and analyses were conducted using the "Survey" package in R software (Version 4.3.2). Results: The study population, with an average age of 46.82 +/- 0.46 years and a body mass index (BMI) of 28.97 kg/m(2), consisted of 48.15% males and 67.99% Whites. Among the participants, 35.78% were diagnosed with MetS. The weighted logistic regression showed that tertiles of serum levels of alpha-pinene, beta-pinene, and limonene were positively correlated with MetS risk with a OR value of 1.90 (1.14, 3.16), 2.02 (1.23, 3.31), and 2.35 (1.33, 4.13) and elevated triglycerides (TGs) with a OR of 2.36 (1.63, 3.43), 3.51 (2.30, 5.38), and 3.96 (2.55, 6.15) (all p(trend)<0.05). The WQS regression indicated a positive association between serum terpene mixture and MetS risk (OR=1.65, 95% CI: 1.18-2.3), increased TG (OR=2.69, 95% CI: 1.94-3.71), and reduced high-density lipoprotein cholesterol (HDL-C) (OR=1.46, 95% CI: 1.03-2.07) (all p(trend)<0.01). The RCS analysis further supported the dose-response relationship. Conclusion: This study suggested potential adverse effects of terpene exposure on human health, emphasizing the importance of environmental interventions in maintaining health.

BACKGROUND:Patients with coronary heart disease (CHD) often experience anxiety, but the current studies on anxiety mostly focused on a certain point in time. Therefore, this study aimed to investigate the dynamic changes of peri-procedure anxiety, status of post-procedure quality of life, and cardiovascular readmission rates in patients with CHD who undergoing elective percutaneous coronary intervention (PCI), and to analyze the influence of peri-procedure anxiety on quality of life and readmission rate after PCI.METHODS:This prospective study was conducted at Changshu NO.1 People's Hospital. A total of 220 patients with CHD undergoing elective PCI were selected as study subjects. The general information, clinical data, anxiety, quality of life and readmission of patients were collected. Multivariate linear regression was used to examine the effect of peri-procedure anxiety on quality of life, and multivariate logistic regression was used to analyze the influence of peri-procedure anxiety on readmission rate.RESULTS:This study showed the anxiety scores at hospitalization appointment(T1), 3 days before procedure(T2), 1 day before procedure(T3), 1 day after procedure(T4) were 57(55,61),64(61,68),54(51.58), and 54(50,60), respectively. And, at 3 months and 6 months after PCI, the scores of Seattle Angina Questionnaire (SAQ) were 346.61(319.06,366.52) and 353.34(334.18,372.84) respectively. During 6 months follow-up, 54 cases were readmitted, with a readmission rate of 25.5%. Statistical analysis showed that T1 with anxiety (P = 0.002) and T2 with anxiety (P = 0.024) were independent risk factors for treatment satisfaction at 3 months after PCI. Anxiety in T4 (P = 0.005) was an independent risk factor on the angina frequency at 6 months after PCI. T2 with anxiety (B = 1.445, P = 0.010, 95%CI:1.409-12.773) and T4 without anxiety (B = -1.587, P = 0.042, 95%CI:-0.044-0.941) were risk factors affecting readmission for cardiovascular reasons within 6 months.CONCLUSION:Patient anxiety at T1 and T2 affects the treatment satisfaction dimension of the SAQ at 3 months after PCI, and anxiety at T4 affects the angina frequency dimension of the SAQ at 6 months after PCI. Anxiety at T2 and no anxiety at T4 increase short-term readmission rates. In the future, interventions should be strengthened at various time points in the peri-procedure period to improve post-procedure rehabilitation effect.

Aim To determine the effects of slow breathing exercise (SBE) on heart rate (HR) and blood pressure (BP) in patients after percutaneous coronary intervention (PCI). Methods and results The study is a single-blind, randomized controlled trial. Seventy-eight eligible patients after primary PCI were divided randomly into either the control group or the trial group. The control group only received routine post-PCI care. In addition to routine care, participants in the trial group performed SBE at home, two to three times for a total of 30 min every day for 12 weeks. The main outcomes were HR and BP measured in the office and at home. The secondary outcome was compliance with the breathing exercise. Patients allocated to the trial group, on average, performed 5.21 days/week for 26.00 min/day. The trial group showed a significant reduction in HR of 3.95 b.p.m. (P = 0.004) measured in the office. The reduction in HR measured in the office was greater for the trial group, with a significant difference between the two groups (P = 0.005). There was no significant difference between the two groups in HR measured at home. There was also no significant difference in BP measured in the office or at home between the two groups. Conclusion Slow breathing exercise is an effective non-pharmacological method to reduce HR in patients undergoing PCI. Further study is needed to confirm whether the intervention is effective on BP.

Poor sleep quality might be a potentially modifiable predictor of prognosis in patients with coronary heart disease (CHD). Anxiety and depression symptoms are highly prevalent in these patients. Whether anxiety and depression symptoms are risk factors for poor sleep quality in Chinese patients with CHD is unclear. This study is intended to examine the prevalence of poor sleep quality in Chinese patients with CHD and its associations with anxiety and depression symptoms, and to explore whether sex, obesity and CHD type modify these associations. Three hundred and forty-eight participants were included. The Pittsburgh Sleep Quality Index (PSQI, >7 was defined as poor sleep quality) and Hospital Anxiety and Depression Scale (HADS) were used to assess sleep quality and psychological symptoms. 47.1% of the participants had poor sleep quality. Logistic regression analysis showed that poor sleep quality was independently associated with anxiety and depression symptoms adjusting for demographic and clinical factors. However, adjusted for anxiety symptoms, poor sleep quality was no longer associated with depression symptoms. Subgroup and interaction analysis showed that poor sleep quality was associated with markedly higher HADS anxiety and depression scores among patients with stable angina than those with acute coronary syndrome (ACS). These findings suggest that poor sleep quality was associated with both anxiety and depression symptoms in Chinese patients with CHD. However, in the case of concurrent anxiety and depression, anxiety was the main related factor of a high prevalence of poor sleep quality. The association between poor sleep quality and psychological symptoms was influenced by CHD type.

目的 了解中青年冠心病患者重返工作现况,分析其影响因素.方法 便利选取270例中青年冠心病患者为研究对象,采用一般资料调查表、疲劳量表、重返工作自我效能量表及家庭关怀度指数问卷于出院后3个月进行调查.结果 成功随访249例患者,其中153例(61.4％)重返工作,重返工作时间为30(7,60)d.logistic回归分析显示,疾病类型、射血分数、性别、工作性质、疲劳、重返工作自我效能以及家庭功能是患者重返工作的独立影响因素(均P＜0.05).结论 冠心病患者重返工作现况有待改善,医护人员可从生理、心理以及社会等方面为患者量身定制康复方案,以提高重返工作率.

Background: Unhealthy behaviours of coronary heart disease (CHD) patients are closely related to the occurrence of major heart events, which increases the readmission rate and brings heavy economic burden to families and society. Therefore, it is necessary for health care workers to take active preventive and therapeutic measures to keep or establish healthy behaviours of patients. Positive psychological intervention has been proved to be effective, but it has not been reported in the field of CHD in China. The purpose of this study is to explore the effects of positive events recording based on positive psychology on the healthy behaviours, readmission rate and anxiety of patients with CHD, in order to provide new ideas for the development of secondary prevention strategies for CHD. Methods: This is a prospective, single-center, randomized controlled trial (RCT). The subjects will be enrolled from the Department of Cardiology, the First Affiliated Hospital of Soochow University. There are 80 cases in total, according to the random number table, the subjects are randomly divided into the intervention group (n=40) and the control group (n=40). The patients in the intervention group will receive the intervention of recording positive events once a week for 3 months, while the patients in the control group receive conventional nursing, and each group will be followed up for 6 months. The primary outcomes will include healthy behaviours, readmission rate and anxiety, the secondary outcomes will include psychological capital, subjective well-being and corresponding clinical laboratory indicators. The protocol was approved by the Medical Ethics Committee of Soochow University (approval No. SUDA20200604H01) and is performed in strict accordance with the Declaration of Helsinki formulated by the World Medical Association. All participants provide written informed consent. Discussion: This study will verify whether positive events recording based on positive psychology can make patients maintain healthy behaviours, reduce readmission rate and improve anxiety after PCI. Then, this study will provide new ideas and references for the development of secondary prevention strategies for patients with CHD. Trial registration: Chinese Clinical Trials Registry, 2000034538. Registered on 10 July 2020.

ObjectiveTo develop a secondary prevention cognitive level scale for patients with coronary heart disease，and to test its reliability and validity.MethodsThe initial scale of secondary prevention cognitive level scale for patients with coronary heart disease was formed by literature review，interviews，Delphi expert consultation and pre-investigation.390 patients with coronary heart disease were formally investigated to test reliability and validity of the scale，and form final secondary prevention cognitive level scale for patients with coronary heart disease.ResultsThe final secondary prevention cognitive level scale for patients with coronary heart disease included 6 dimensions with disease knowledge cognition，risk factor cognition，health behavior cognition，disease monitoring cognition，physical and mental health cognition，and coping strategy cognition，involving 36 items.Validity analysis showed that item⁃level content validity index was from 0.86 to 1.00，scale⁃level content validity index was 0.917.Exploratory factor analysis measured cumulative variance contribution rate of 6 common factors was 67.651%.Correlation coefficient among 6 dimensions of the scale was from 0.397 to 0.570，and correlation coefficient between each dimension and overall scale was from 0.649 to 0.903.Reliability analysis showed that overall Cronbach's α coefficient of the scale was 0.956，and Cronbach's α coefficients of the 6 dimensions were 0.859，0.956，0.858，0.835，0.829 and 0.904，respectively.Overall half-reliability of the scale was 0.841，and half⁃reliability of 6 dimensions were 0.825，0.905，0.808，0.808，0.789 and 0.819，respectively.Overall test-retest reliability of the scale was 0.921，and test-retest reliability of 6 dimensions were 0.934，0.890，0.912，0.907，0.922 and 0.950，respectively.The confirmatory factor analysis measured ratio of chi-square degrees of freedom was 1.559， comparative fix index was 0.935，incremental fit index was 0.936，Tucker⁃Lewis index was 0.930，and root mean square error approximation was 0.051.ConclusionsThe secondary prevention cognitive level scale for patients with coronary heart disease developed in this study has good reliability and validity，it can be used to measure cognitive level of secondary prevention of patients with coronary heart disease.

目的 系统评价间歇性禁食对2型糖尿病肥胖患者的干预效果.方法 检索中英文数据库有关间歇性禁食对2型糖尿病患者干预效果的随机对照试验,检索时间为建库至2021年12月,采用RevMan 5.3软件进行Meta分析.结果 最终纳入8篇文献,共549例患者(BMI≥28).Meta分析显示,与对照组相比,间歇性禁食可降低患者糖化血红蛋白水平、体质量、腹围,提升高密度脂蛋白胆固醇(均P＜0.05),但在降低总胆固醇、三酰甘油、低密度脂蛋白胆固醇水平方面与对照组相比差异无统计学意义(均P＞0.05).间歇性禁食组不良事件发生情况与对照组相比,差异无统计学意义(P＞0.05).结论 间歇性禁食可以帮助2型糖尿病肥胖患者有效管理血糖,减轻体质量、减少腹围以及提升高密度脂蛋白胆固醇水平,且安全可行.但在改善其他血脂水平方面期待更多高质量研究证实.

目的:探讨择期经皮冠状动脉介入治疗(PCI)围手术期焦虑对术后不良心血管事件的预测价值.方法:选取2019年6月-2019年12月在苏州市某三甲医院221例择期介入治疗的冠心病患者为研究对象,收集各时间点焦虑水平.采用Logistic回归模型评价术后主要不良心血管事件的独立危险因素;采用受试者工作特征曲线(ROC)下面积(AUC)评估焦虑各时间点对不良心血管事件的预测效能.结果:本研究随访期间共40例(19％)发生不良心血管事件.在家等候期焦虑水平、术前1天焦虑水平是择期PCI患者术后发生不良心血管事件的独立危险因素,且对不良心血管事件具有良好的预测效果,截断值分别为58.50分、55.50分,灵敏度分别为80.0％、85.0％,特异度分别为90.4％、80.0％.结论:围手术期焦虑能够较为高效、简便地识别高危患者以及预测不良心血管事件的发生.

Background: Medical Nursing is one of the most important core courses in nursing education, and the emergence of the flipped classroom has made up for the shortcomings of traditional teaching and improved the effectiveness of teaching. However, it is worth exploring how to maximize the effect of students' self-study before class while making full use of classroom teaching to promote the cultivation of students' abilities, so that the flipped classroom can have a maximal teaching effect. Therefore, this study explored the effect of a flipped-classroom teaching mode based on a small private online course (SPOC) combined with problem-based learning (PBL) in a course of Medical Nursing. Methods: Nursing undergraduates from the years 2018 (control group) and 2019 (experimental group), respectively, used the traditional lecture method and the flipped-classroom teaching mode based on a SPOC combined with PBL. The teaching effect was evaluated by teaching-mode-recognition evaluation, critical thinking measurement, and academic achievement. Results: The scores of teaching-mode recognition evaluated by the students in the experimental group were higher than those in the control group in the following five aspects: "helping to improve learning interest" (p = 0.003), "helping to improve autonomous learning ability" (p = 0.002), "helping to improve communication and cooperation ability" (p < 0.001), "helping to cultivate clinical thinking" (p = 0.012), and "helping to promote self-perfection and sense of achievement" (p = 0.001). Compared with the control group, the score on the "analytical ability" dimension of the Critical Thinking Disposition Inventory in the experimental group was higher (p = 0.030). The excellent rates of the final theoretical examination (p = 0.046) and comprehensive case analysis (p = 0.046) in the experimental group were higher than those in the control group. Conclusions: The flipped-classroom teaching mode based on a SPOC combined with PBL can promote students' abilities of autonomous learning, communication and cooperation, and clinical and critical thinking; improves their academic performance; and is recognized and welcomed by them. However, to extend the flipped-classroom teaching model of a SPOC combined with PBL to other nursing education courses, more optimization and evaluation are required.

(1) Background: Our previous study found that the dietary fiber supplement in patients with hypertension increased SCFA-producers, Bififidobacterium and Spirillum in the gut microbiota, which may be associated with improvement of depression and anxiety through the gut–brain axis. However, only a few studies have explored the association between dietary fiber intake (DFI) and the incidence of depression and anxiety in hypertensive patients. (2) Methods: A cross-sectional survey was conducted in one comprehensive hospital and one community clinic aimed at understanding the status of DFI and the association between DFI and incidences of depression and anxiety in hypertensive patients. Levels of DFI were obtained through a two-24 h diet recall. According to the levels of DFI from low to high, the participants were divided into Q1, Q2, Q3 and Q4 groups. The Reported Outcomes Measurement Information System short form v1.0-Depression 8b and Anxiety 8a were used to assess patients’ levels of depression and anxiety. (3) Results: A total of 459 hypertensive patients were recruited and the daily DFI was 10.4 g. The incidences of hypertension combined with depression and anxiety were 19.6% and 18.5%, respectively. Regression analysis showed statistically significant associations between DFI and depression (B = −0.346, p = 0.001) and anxiety score (B = −0.565, p < 0.001). In logistic regression, after the covariates were adjusted, DFI was associated with the incidence of depression in Q3 (OR 2.641, 95% CI 1.050–6.640) and with that of anxiety in Q1 (OR 2.757, 95% CI 1.035–7.346), compared with Q4. (4) Conclusions: A higher consumption of DF was a protective factor for depression and anxiety in hypertensive patients.

Depression and anxiety often co-occur in coronary artery disease (CAD) patients undergoing percutaneous coronary intervention (PCI). This study was conducted to examine the predictive value of depression, anxiety, and their combination on the prognosis of Chinese PCI patients. A multicenter prospective study was undertaken with a sample of 309 primary PCI patients. The Hospital Anxiety and Depression Scale (HADS) was completed at baseline to assess anxiety and depression symptoms. Major adverse cardiovascular events (MACEs) were recorded for 12 months after PCI . Days from baseline to the first MACE was the outcome variable. MACEs occurred in 26 (8.4%) patients. After adjustments for socio-demographic and clinical characteristics, a Cox proportional hazards regression model revealed that depression (HR = 2.70, 95% confidence interval [CI] 1.22-5.95; p =.014) and anxiety (HR = 2.56, 95% CI 1.18-5.54; p =.017) symptoms were independent predictors of MACEs. A subanalysis showed that the cumulative event-free survival curves did not differ among depressed and anxious patients and depressed but non-anxious patients (Log Rank p =.52). In conclusion, depression is associated with an increased risk for MACEs post-PCI, independent of anxiety. Although anxiety is associated with MACEs, it has no additional predictive value when co-occurring with depression.

目的 调查炎症性肠病患者自我管理行为现状,并探讨其与临床症状的相关性.方法 便利选取2019年12月—2020年10月在无锡市三级及以上医院消化科门诊就诊的360例炎症性肠病患者作为研究对象,运用一般资料调查表、炎症性肠病自我管理行为量表、症状自评问卷对其进行调查.采用Spearman相关分析、多因素线性回归分析探讨自我管理行为与临床症状的相关性.结果 自我管理行为各维度和临床症状均为负相关(P＜0.01).多因素线性回归结果显示自我管理用药管理维度(β:-0.148,95％CI:-0.184～-0.111,P＜0.01)、饮食管理维度(β:-0.111,95％CI:-0.130～-0.092,P＜0.01)、疾病监测维度(β:-0.149,95％CI:-0.199～-0.l00,P＜0.01)、情绪管理维度(β:-0.133,95％CI:-0.155～-0.111,P＜0.01)、运动管理维度(β:-0.106,95％CI:-0.151～-0.061,P＜0.01)、日常生活维度(β:-0.133,95％CI:-0.177～-0.089,P＜0.01)、资源利用维度(β:-0.110,95％CI:-0.141～-0.078,P＜0.01)是影响炎症性肠病患者临床症状的独立危险因素.结论 炎症性肠病患者自我管理行为是其临床症状的影响因素,建议临床医务人员加强患者对自身行为的约束和管理.

At present, it is rare for studies to be performed on the impact of self-perceptions of aging on the compliance behaviour of elderly people.The present study explored the relationship between self-perceived of aging level and compliance behavior among asample of elderly Chinese hypertension patients. Participants (N=1129) were recruited from four community health service centres and two township hospitals in Suzhou. Self-perceptions of aging represent an independent risk factor for compliance behaviour in elderly patients with hypertension. Self-perceptions of aging had acute/chronic timeliness (OR=0.793), periodic timeliness (OR=1.439), emotional representation (OR=0.735), positive results (OR=1.322), and identity latitude (OR=0.995). Gender (OR=1.390), age (OR=1.982), residence (OR=7.037), hypertension grade (OR=0.598), sleep (OR=1.709), number of hospital admissions in a year (OR=2.757), number of daily uses of antihypertensive drugs (OR=0.338), and frequency of blood pressure measurement (OR=0.387) were independent factors affecting the compliance behavior of elderly patients with hypertension. The results suggest that self-perceptions of aging can be used as an indirect index to monitor the compliance behaviour of the elderly. In the future medical staff should combine the characteristics of the elderly patients with hypertension, which would help them to establish a positive self-perception of aging, thus improving their compliance behaviour, and the levels of health and literacy.

目的 了解冠状动脉粥样硬化性心脏病(冠心病)介入术后患者对二级预防主要认知体验,为提高其康复期依从性提供依据.方法 采用质性研究中的现象学研究方法,对14例冠心病患者进行半结构深入访谈,运用Colaizzi7步分析法对资料进行分析.结果 经过分析、整理和提炼,得出6个主题,即冠心病术后患者在认知储备方面:对冠心病相关知识认知不足,对冠心病危险因素认知不足;认知意志方面:缺少改变不良饮食和生活习惯的动力,社会支持系统欠缺;认知策略方面:缺乏积极面对疾病的良好心态,对胸痛中心认知不足.结论 冠心病术后患者的二级预防认知存在不足,医护人员及各基层医疗机构应为患者提供相应的医疗保健及康复知识教育,提高患者的二级预防认知水平,进一步提高二级预防依从性.

Abstract Background At present, China has more than 11 million patients with stable coronary heart disease and this is becoming a major public health problem. The pathological changes of coronary heart disease can lead to dysfunction of the cardiac autonomic nervous system, which increases the risk of complications such as malignant arrhythmia (ventricular flutter, ventricular fibrillation, etc.), heart rate, systolic blood pressure, and rate-pressure product (RPP), which is highly correlated with myocardial oxygen consumption and indirectly reflects myocardial blood supply and oxygen consumption. Although the guidelines recommend that such patients take drugs to reduce heart rate and myocardial oxygen consumption, the clinical control of heart rate is still not ideal. Thus, in this trial, we will use voluntary breathing exercises as the strategy of exercise rehabilitation for patients with stable coronary artery disease (SCAD), in order to increase the vagus nerve activity and/or reduce the sympathetic nervous activity, help maintain or rebuild the balance of plant nerve system, improve the time-domain index of heart rate variability, reduce the burden on the heart, and relieve patients’ anxiety and other negative emotions. Methods This is a 6-month single-blind, randomized controlled clinical trial that will be conducted in the First Affiliated Hospital of Soochow University. A total of 140 patients who fill out the Informed Consent Form are registered and randomized 1:1 into the Voluntary Breathing Exercises (VBE)-based clinical trial monitoring group (n = 70) or the Routine follow-up group (n = 70). The VBE-based clinical trial monitoring group is given VBE training on the basis of conventional treatment and health education, while the control group received conventional health education and follow-up. The primary outcomes will be measured heart rate variability and RPP. Secondary outcomes will include changes in Self-rating Anxiety Scale, total cholesterol, triglyceride, high-density lipoprotein, low-density lipoprotein, weight, and body mass index. Discussion This trial will carry out scientific respiratory exercise for patients with SCAD, which belongs to the category of active secondary prevention for patients, and changes from remedial to pre-protective. VBE is easy to operate and is not limited by time and place. It is important and meaningful to carry out VBE for patients with SCAD. This study will provide considerable evidence for further large-scale trials and alternative strategies for the rehabilitation nursing of patients with SCAD. Trial registration Chinese Clinical Trials Registry, 1900024043 . Registered on 23 June 2019.

目的 探讨苏州城乡地区老年高血压病人自我感知老化情况及其影响因素,为提高老年高血压病人的老化认知水平、治疗信念提供依据. 方法 采用方便取样法选取苏州城乡老年高血压病人1129例,运用一般情况调查表和老化感知问卷(APQ)进行自我感知老化测评.采用单因素分析和多元线性回归分析城乡自我感知老化的影响因素. 结果 城镇组APQ得分低于农村组,差异有统计学意义(P＜0.05).多元线性回归分析结果显示,城镇老年高血压病人APQ总分与高血压病程(β=0.498,P=0.018)、高血压分级(β=10.880,P=0.008)有关;农村老年高血压病人APQ总分与年龄(β=7.846,P=0.002)、文化程度(β=-25.958,P=0.003)、高血压分级(β=-12.526,P=0.039)、合并慢性病数量(β=-12.981,P=0.001)、锻炼(β=14.658,P＜0.001)、高盐饮食(β=-13.377,P＜0.001)、吸烟(β=-10.531,P=0.001)、睡眠(β=8.570,P=0.003)有关. 结论 苏州城镇老年高血压病人自我感知老化较农村病人好.根据城乡病人自我感知老化的不同影响因素,应有针对性地开展干预,使其以良好的心态接受老化过程,促进高血压病人在老年期的自我成长.