Relationship between chronic diseases and depression of the elderly in the community
-
摘要: 目的:了解城市社区回族和汉族老年人慢性病患病情况,探讨慢性病对老年人群抑郁症状产生的影响。方法:采用典型抽样方法,在宁夏银川市和吴忠市选取5个老龄化社区,以55岁及以上符合调查标准的居民为调查对象,采用老年抑郁自评量表和自拟一般情况和慢性病患病调查问卷,由统一培训的调查员进行一对一问卷调查。观察抑郁症状检出率、患病种数与抑郁自评量表评分、各种慢性病与抑郁状况关系及两民族12种慢性病患病率。结果:社区老年人总体抑郁率为32.85%,其中轻度抑郁率26.43%,中重度抑郁率6.42%。回、汉族老年人抑郁症状检出率分别为35.73%和31.42%,差异无统计学意义(P0.05)。社区老年人慢性病患病率77.52%,回、汉族老年人其他脑血管疾病、关节炎和慢性阻塞性肺疾病患病率差异均有统计学意义(P0.05~P0.01)。冠心病、其他脑血管疾病、关节炎和其他疾病是否发病与抑郁症状的发生差异均有统计学意义(P0.05~P0.01),其余与抑郁症状发生率差异均无统计学意义(P0.05)。患病种数不同,抑郁得分不同,差异有统计学意义(P0.01),抑郁得分与患病种数呈正相关关系(P0.01)。logistic回归结果显示,除脑栓塞以外的其他脑血管疾病、冠心病和其他慢性病与老年抑郁症状发生均有一定关系(P0.05~P0.01)。结论:对非常见的社区老年慢性病患者也应给予关注,积极开展慢性病防治知识宣教,在加强生理关怀的同时,加强社区老年人的心理健康关怀。Abstract: Objective:To study the prevalence status of chronic diseases in the elderly of Muslim and Han population in the community,and to discuss the association of chronic diseases with elderly depression.Methods:Five ageing communities in Yinchuan and Wuzhong were selected by typical sampling.People over the age of 55 were investigated by the geriatric depression scale and a selfmade questionnaire; the survey was conducted one-to-one by unified training investigators.The rate of depression,sort of diseases,score of depression and the rate of twelve chronic diseases were included in the survey.Results:The overall depression rate of the elderly in the community was 32.85% including mild depression(26.43%) and moderately severe depression(6.42%); the detection rates were 35.73% and 31.42% for the Muslim and Han population respectively; the difference was not statistically significant(P 0.05).The overall rate of chronic diseases was 77.52%; the rate of cerebrovascular diseases,arthritis and chronic obstructive pulmonary disease had significant difference between the Muslim population and Han people(P 0.05 to P 0.01)).The incidence of coronary heart diseases,cerebrovascular diseases,arthritis and other diseases was significantly correlated with the occurrence of depressive symptoms (P 0.05 to P 0.01); the rest chronic diseases had no influence on the incidence of depression symptoms (P 0.05).The depression score was positively correlated with the number of diseases one had(P 0.01).Logistic regression showed that besides cerebral embolism,other cerebrovascular diseases,coronary heart diseases and other chronic diseases were also associated with elderly depression(P 0.05 to P 0.01).Conclusions:It is necessary to give attention to the old people with chronic diseases in the community.Knowledge about the prevention of chronic diseases should be populated and physical and mental care strengthened at the same time.
-
Keywords:
- elder /
- chronic disease /
- depression /
- Muslim population /
- Han people
-
-
[1] 张俊红,刘宇,肖顺贞,等.住院老年慢性病患者抑郁情绪与应对方式的研究[J].现代护理,2006,12(17):1571-1573. [1] [2] 袁群,何国平,冯辉,等.长沙市社区老年人抑郁症状影响因素分析[J].中国老年学杂志,2010,30(6):746-748. [2] [3] 汪向东,王希林,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999:384-452. [3] [4] 化前珍,尼春萍,徐巧玲,等.西安市社区老年人慢性病与抑郁症状关系的研究[J].护理研究,2009,5(29):141-143. [4] [5] 胡红星,库木斯,伊其忠,等.汉族与少数民族抑郁症患者抑郁和自杀风险因素的分析[J].中华行为医学和脑科学杂志,2011,20(6):531-534. [5] [6] Routasalo E,Tilvis S,Kautiainen H,et al.Effects of psychosocial group rehabilitation on social functioning,loneliness and wellbeing of lonely,older people:randomized controlled trial[J].Adv Nur,2009,65(2):297-305.
[6] [7] 孔令娜,周颖清.居家老年慢性病患者抑郁情绪与社会支持、应对方式及生命质量的相关性[J].中国老年学杂志,2012,32(20):4548-4549. [7] [8] 刘芳,梁勋厂,罗浩,等.离退休老年人抑郁症状的影响因素分析[J].中国社会医学杂志,2012,29(2):121-124. [8] [9] 陈郑英,楚婷.民族地区空巢老人抑郁状况调查及影响因素[J].中国老年学杂志,2012,32(1):130-131. [9] [10] 任素琴,李金梅,赵黎明,等.老年慢性病患者抑郁程度的调查分析[J].护理管理杂志,2005,3(5):5-7. [10] [11] 周东升,朱文波,陈中鸣,等.宁波市城市社区老年抑郁影响因素病例对照研究[J].中国预防医学杂志,2011,12 (11):223-226.
计量
- 文章访问数: 3194
- HTML全文浏览量: 321
- PDF下载量: 118
下载:
