고혈압과 심장질환이 정신건강에 미치는 영향
The Effects of Hypertension and Heart Disease on Mental Health
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초록
요 약 본 연구는 한국인의 고혈압과 심장질환이 정신건강 요인의 어떤 부분과의 관련성과 영향을 주는지 알아보고자 한다. 본 연구의 대상과 방법은 국민건강영양조사(2021년) 자료를 이용한 이차분석연구이다. 대상자의 인구사회학적, 건강 및 질환 관련 특성, 정신건강 관련 요인(스트레스, 우울감)을 이용하여 SPSS를 활용하여 통계적 유의성을 확인하였다. 연구 결과, 스트레스 많이 느끼는 그룹은 17배 이상 고혈압을 앓고 있을 때 나타났다. 2주 이상 연속 우울감 있는 그룹은 11배 이상 고혈압을 앓고 있을 때 나타났다(p<.001). 스트레스 인지율에 영향을 미치는 요인은 고혈압(β=.063)와 뇌졸증(β=.036), 그리고 우울증(β=-.120)였다. 2주 이상 연속 우울감에 영향을 미치는 요인은 고혈압(β=.146), 그리고 우울증(β=.092)였다(p<.001). 정신건강 관련 요인(스트레스, 우울감)은 고혈압과 상당한 영향을 줌을 알 수 있으므로 향후 고혈압과 심장질환의 발생 및 예후에 부정적인 영향을 미치는 정신건강 관련 요인을 예방하고 관리하기 위한 기초 자료를 제공하고자 한다.
Abstract
This study aims to investigate the relationship between hypertension, heart disease, and mental health factors, as well as the influences on these relationships. The subjects and methods of this study are secondary analysis studies using the Korea National Health and Nutrition Examination Survey(2021). The demographic and health-related characteristics of the subjects, and mental health-related factors(stress, depression) were used to confirm statistical significance using SPSS. The group that felt a lot of stress was 17 times more likely to have hypertension(p<.001). Factors affecting the stress perception rate were hypertension(β=.063), stroke(β=.036), and depression(β=-.120). Factors affecting continuous depression for more than 2 weeks were hypertension(β=.146) and depression(β=.092, p<.001). It was concluded that mental health-related factors(stress and depression) have a significant effect on hypertension. This study aims to provide foundational data for the prevention and management of mental health issues that negatively impact the occurrence and prognosis of cardiovascular diseases in the future.
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