老干部慢性躯体疾病对抑郁状态影响的调查  

Investigation of Geriatric Depression by Chronic Somatic Diseases in Senior Cadres

作　　者：窦萍[1] 陈道纯[1] 杨明[1] 林似[1] 林凡[1] 

机构地区：[1]福建医科大学附属协和医院干部病房,福州350001

出　　处：《福建医科大学学报》2006年第6期648-651,共4页Journal of Fujian Medical University

基　　金：中央保健局2002年保健专项资金科研课题(闽C035)

摘　　要：目的探讨老干部慢性躯体疾病对老年抑郁状态(GD)的影响和应采取的干预措施。方法采用老年抑郁量表(GDS)筛查GD,用自制老年人情绪健康调查问卷调查慢性躯体疾病(CSD)对GD的影响。结果1 910例样本中,GD发生率为13.61%,其中1 834例CSD中,发生率为13.90%。GD的发生率与下列因素的关系:与性别无关(P>0.05);在不同年龄组间比较差异明显(P<0.05);有和无CSD间比较差别无统计学意义(P>0.05);在不同疾病病种数间比较差别有统计学意义(P<0.001);在轻重程度不同的CSD间比较差别有统计学意义(P<0.001);对GD影响最大的CSD依次为:中风后遗症、帕金森病、脑萎缩、慢性肾功能衰竭、颈椎病和冠心病(均为P≤0.001)。结论CSD是GD的重要致病因素之一。在积极治疗CSD的同时,应防治GD。Objective To investigate the influence of chronic somatic diseases(CSD),suffered from by cadre objects of health care,on geriatric depression(GD);and what intervention measures that should be taken.Methods Geriatric Depression Scale was employed to screen the samples for GD;self-designed geriatric mood health inquiry questionnaires were adopted to investigate the influence of CSD on GD. Results Among 1 910 samples,the occurring rate of GD was 13.61%, while among the 1 834 samples suffering from CSD,the rate was 13.90%.Relationship between the occurring rate of GD and factors listed below:(1)gender: no discrepancy(P>0.05);(2)age group: notable difference(P<0.05);(3)suffering from CSD or not(P>0.05);(4)disease type number([WTBX]P<(0.001));(5)severity of CSD(P<(0.001));among CSD, the most influential factors in GD,ranked in descending order are as follows: cerebral apoplexy sequel,Parkinson's diseases,encephalatrophy,chronic renal failure,cervical spondylopathy,coronary heart disease(all,P≤0.001).Conclusion CSD are one of important pathogenic factors causing GD.While CSD are actively treated,GD should be prevented and treated.

关 键 词：慢性病 抑郁症 躯体型障碍 问卷调查 

分 类 号：R749.2[医药卫生—神经病学与精神病学]