社区老年慢性病患者的抑郁状况及对抑郁情绪认知情况的调查  

Depression Condition and Awareness Among Elderly Patients with Chronic Diseases in Community

作　　者：张赛[1] 杜蕾[1] 金光辉[1] 冯时[1] 侯武姿[2] 严春泽[2] 路孝琴[1] 

机构地区：[1]首都医科大学公共卫生与家庭医学学院全科医学系,北京市100069 [2]首都医科大学附属复兴医院月坛社区卫生服务中心

出　　处：《中国全科医学》2011年第16期1830-1833,共4页Chinese General Practice

基　　金：北京市科学技术委员会-推进科学技术普及重大专项

摘　　要：目的了解北京市社区老年慢性病患者中的抑郁状况及其影响因素,同时了解社区老年慢性病患者对抑郁问题的认知情况。方法采用整群抽样方法,对2008年4月14—27日在北京市月坛社区汽南、复北两个社区卫生服务站就诊的老年慢性病患者(≥60岁)共257人进行问卷调查。结果 257例老年慢性病患者中抑郁的发生率为24.51%(63/257),其中有4例患者被诊断为抑郁症并使用抗抑郁药物进行治疗。"自我健康评价"是老年慢性病患者抑郁情绪发生的主要影响因素。老年慢性病患者在所有抑郁症状中,"失眠"的就诊率最高,为50.58%(130/257)。老年慢性病患者对社区开展老年人心理卫生服务和心理健康咨询服务需求分别为65.37%(168/257)、56.81%(146/257)。结论抑郁是社区老年慢性病患者常见的负性情绪,且老年慢性病患者对抑郁情绪缺乏认识,心理卫生服务需求较大。应加强社区对心理卫生知识的宣传,进一步改进社区心理卫生防治工作。Objective To investigate the depression status and its influencing factors of the community elderly patients with chromic diseases,and to learn their awareness of depression in Beijing.Methods The cluster sampling method was taken to enroll 257 elderly patients with chronic diseases（≥60 years） in Qinan and Fubei community health service stations in Yuetan district of Beijing and a questionnaire survey was conducted among them on April 14 to 27,2008.Results The incidence of depression was 24.51%（63/257）,among them four patients were diagnosed with depression and given antidepressants for treatment.＂Self-evaluation of health＂ was a major influential factor in the elderly patients with chronic diseases.The highest rate of seeking treatment for depression among them was ＂insomnia＂,accounting for 50.58%（130/257）.The rates of elderly patients′ needs for ＂elderly mental health services＂ and ＂mental health consulting＂ were 65.37%（168/257） and 56.81%（146/257） respectively.Conclusion Depression was the common negative emotion in elderly patients with chronic diseases.They were lack of awareness on depression and had great demand for mental health services.Popularity of mental health knowledge in community should be strengthened,and the community mental health prevention work needs to be further improved.

关 键 词：抑郁 老年人 慢性病 影响因素 

分 类 号：R749.42[医药卫生—神经病学与精神病学]