老年慢性病患者焦虑抑郁情况及影响因素的调查分析
Investigation and Analysis of Anxiety and Depression in Elderly Chronic Disease Patients and Its Influ-encing Factors
刘松柏 1马临庆 1秦芳英 2姚猛 3金惠娟 4邵玉婷 5马文娴 6王玉凤7
作者信息
- 1. 苏州高新区人民医院(苏州,215129)
- 2. 苏州高新区狮山社区卫生服务中心
- 3. 苏州技城社区卫生服务中心
- 4. 苏州高新区通安社区卫生服务中心
- 5. 苏州高新区浒墅关社区卫生服务中心
- 6. 苏州高新区阳山社区卫生服务中心
- 7. 苏州高新区枫桥社区卫生服务中心
- 折叠
摘要
目的 探讨社区老年慢性病患者并发焦虑抑郁的情况及影响因素.方法 采用横断面分层调查方法,纳入苏州某八个社区2022年1月～2022年12月时段内的1660例老年慢性病患者为研究对象,参考Zung焦虑自评量表(Self Rating Anxiety Scale,SAS)、抑郁自评量表(Self Rating Depression Scale,SDS)评价1660例患者焦虑抑郁发生情况,同时回顾性调查患者的人口学资料、临床资料,包括年龄、性别、家庭收入、文化背景、慢性病种类、居住方式等,分析老年慢性病患者发生焦虑抑郁的相关危险因素.结果 1660例老年慢性病患者,经评估后,存在焦虑症状823例(占比49.58％),存在抑郁症状849例(占比51.14％),同时伴有焦虑抑郁的患者752例,占比45.30％;单因素分析可知:不同性别、年龄阶段患者的SAS、SDS评分比较,无统计学差异(P＞0.05),不同文化背景、居住方式、家庭收入、慢性病种数患者的SAS、SDS评分比较,差异有统计学意义(P＜0.05);Logistic回归分析:独居、慢性病种数多是老年慢性病患者焦虑抑郁的主要危险因素,家庭高收入是老年慢性病患者焦虑、抑郁保护性因素(P＜0.05).结论 老年慢性病患者发生焦虑抑郁的几率较高,往往与原发病共存,患病数多和独居是影响焦虑抑郁发生的主要危险因素.因此,临床针对此类疾病患者开展心理评估极为必要,积极干预危险因素,可实现提高患者生活质量的目的.
Abstract
Objective To explore the situation and influencing factors of anxiety and depression in elderly chronic disease patients in the community.Methods A cross-sectional stratified survey method was used to study 1660 elderly patients with chronic diseases from January 2022 to December 2022 in eight communities in Suzhou.The incidence of anxiety and depression in 1660 patients was evaluated with Zung Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS).At the same time,the Demography data and clinical data of patients were retrospec-tively investigated,including age,gender,family income,cultural background,types of chronic diseases Ana-lyze the relevant risk factors for anxiety and depression in elderly patients with chronic diseases,such as living habits.Results Among 1660 elderly patients with chronic diseases,after evaluation,823 cases(49.58％)had anxiety symptoms,849 cases(51.14％)had depression symptoms,and 752 cases(45.30％)were accompanied by anxiety and depression;Univariate analysis showed that there was no statistically significant difference(P＞0.05)in SDS and SDS scores among patients of different genders and age groups.However,there was a statistically significant difference(P＜0.05)in SDS and SDS scores among patients with different cultural backgrounds,living styles,family income,and chronic disease types;Logistic regression analysis:Living alone and having a large number of chronic diseases are the main risk factors for anxiety and depression in elderly patients with chronic diseases,while high family income is a protective factor for anxiety and depression in elderly patients with chronic diseases(P＜0.05).Conclusion Elderly patients with chronic diseases have a high probability of anxiety and depression,and often coexist with the primary dis-ease.The number of patients and living alone are the main risk factors that affect the occurrence of anxiety and depres-sion.Therefore,it is extremely necessary to carry out psychological evaluation for patients with such diseases in clinic,and actively intervene in the risk factors can achieve the purpose of improving the quality of life of patients.
关键词
老年慢性病/焦虑抑郁/影响因素Key words
Chronic diseases in the elderly/Anxiety and depression/Influence factor引用本文复制引用
基金项目
苏州市民生科技项目(SYSD2020038)
出版年
2024
NETL
NSTL
万方数据