综合医院老年住院患者伴发抑郁状况调查分析  

Investigations of depression status of senile in-patients in general hospital

作　　者：刘秀娟[1] 蒋玉卉[2] 王丽华[3] 

机构地区：[1]新乡市市政工程处医院,河南新乡453000 [2]河南省精神病医院 [3]新乡市中心医院

出　　处：《临床心身疾病杂志》2006年第4期256-257,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨综合医院老年躯体疾病住院患者伴发抑郁状况的临床特征及影响因素,为临床早期干预提供依据。方法对148例老年住院患者采用中文版流调用抑郁自评量表进行调查分析。结果老年住院患者抑郁症状发生率为38.60%,其中脑血管病合并抑郁为45.60%,心血管病合并抑郁为35.10%,其它内科疾病合并抑郁为19.30%。抑郁自评量表评定:烦恼、乏力、睡眠障碍和无愉快感因子分较高;总分女性明显高于男性(t=2.2,P<0.05),受教育程度越低,抑郁发生率越高(F=3.9,P<0.05)。结论提高综合医院医师对抑郁症的识别能力,及时诊断、早期实施临床干预是保障患者身心健康的关键。Objective To clinical features and its influencing factors of depression status of senile in-patients with somatopathy in general hospital in order to provide bases for early intervention. Methods 148 senile in-patients were assessed with the Self-rating Depression Scale and Depression Status Inventory （SDS）. Results Incidence of depression of senile in patients was 38.6%, among which that of cerebrovascular disease with depression was 45.60%, cardiovascular disease 35. 10% and other medical diseases 19. 30%. The SDS showed that factors＇ scores of worry, hypodynamia, sleep disorder and displeasure were higher; total score of the female was higher than that of the male（P〈0.05）; the lower educational level was, the higher the incidence of depression（P〈0.05）. Conclusion The key of ensuring patient＇s psychosomatic health is to raise power of discriminating depression of doctors in general hospital, to diagnose in time and to carry out early intervention.

关 键 词：老年科 住院患者 抑郁 躯体疾病 

分 类 号：R749.92[医药卫生—神经病学与精神病学]