首页|老年慢性病共病患者抑郁症状影响因素及干预策略研究进展

老年慢性病共病患者抑郁症状影响因素及干预策略研究进展

Research progress on influencing factors and intervention strategies for depressive symptoms in elderly patients with multiple chronic conditions

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随着我国人口老龄化进程的加速,老年人群中慢性病共病现象日益普遍,这不仅增加了医疗体系的负担,也给老年人的身心健康带来了巨大挑战.老年慢性病共病患者常面临多种健康问题,这些问题严重影响生活质量,引发老年人抑郁、焦虑等精神健康问题.本文重点关注该人群的抑郁症状,关注并解决老年慢性病共病患者的抑郁症状,对于实现健康老龄化具有重要意义.研究表明,慢性病共病患者中抑郁症状的发生率显著高于单一慢性病患者.目前,尽管老年慢性病共病患者发生抑郁症状的发病机制仍不明确,但已经有一些研究揭示了其相关影响因素,这些影响因素包括性别、年龄、社会经济、健康状况、社会支持等,深入了解这些因素对于制定有效的干预措施具有重要意义.当前针对老年患者抑郁症状的干预措施主要包括药物治疗和非药物治疗两大类,药物治疗主要依赖抗抑郁药物,但需考虑老年人多种用药的风险和副作用;非药物治疗方法多样,包括(互联网)认知行为疗法、运动干预、怀旧疗法、团体音乐疗法及中医治疗等已被证明对缓解老年患者的抑郁症状具有显著效果.本文综述了国内外相关研究,旨在更全面地了解这一群体的流行病学特征、影响因素及有效的干预措施,从而为提高老年慢性病共病患者的心理健康水平提供科学依据.
With the acceleration of population aging in China,the prevalence of multiple chronic conditions among the elderly is becoming increasingly common,which not only increase the burden on the healthcare system but also challenges the physical and mental health of the elderly.Elderly patients with chronic comorbidities often face a variety of health problems that seriously affect their quality of life,leading to mental health problems such as depression and anxiety.This paper focuses on the depressive symptoms in this population and on paying attention to and addressing the depressive symptoms of elderly patients with chronic comorbidities,which is of great significance for achieving healthy aging.Studies shown that the incidence of depressive symptoms in patients with chronic comorbidities is significantly higher than that in patients with a single chronic disease.Currently,although the pathogenesis of depressive symptoms in elderly patients with chronic comorbidities were not identified,some studies have revealed the relevant influencing factors,including gender,age,socioeconomics,health condition,social support,etc.A deeper understanding of these factors is of great significance for formulating effective intervention measures.Current intervention measures for depressive symptoms in elderly patients mainly include pharmacological and non-pharmacological treatments.Pharmacological treatment primarily relies on antidepressants,but the risks and side effects of polypharmacy in the elderly need to be considered.Non-pharmacological treatments are diverse,including(Internet-based)cognitive behavioral therapy,exercise intervention,reminiscence therapy,group music therapy,and traditional Chinese medicine treatment,all of which have been shown to have significant effects on alleviating depressive symptoms in elderly patients.This paper reviews relevant research both domestically and internationally,aiming to provide a more comprehensive understanding of the epidemiological characteristics,influencing factors,and effective intervention measures for this population,so as to provide a scientific basis for improving the mental health of elderly patients with multiple chronic conditions.

ElderlyPopulation agingMultiple chronic conditionsDepressionReview

于天爽、李芙兰、谢海霞、汉瑞娟、任毅、王烨

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甘肃中医药大学(甘肃省兰州市,730000)

兰州大学(甘肃省兰州市,730000)

中国人民解放军联勤保障部队第九四〇医院(甘肃省兰州市,730000)

老年人 老龄化 慢性病共病 抑郁 综述

甘肃省科技厅自然科学基金项目军队护理创新与培育专项计划

21JR11RA0092023HL017

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(9)