“双心医学”模式下社区老年心脏病患者的抑郁症状（英文）  

The depressive symptoms among elderly people with cardiovascular disease according to the “Psycho-Cardiology” medicine

作　　者：梁雪梅[1] 瞿波[1] 罗晓清[1] 龚科[1] 刘可智[1] 

机构地区：[1]泸州医学院附属医院,646000

出　　处：《四川精神卫生》2014年第2期102-105,共4页Sichuan Mental Health

基　　金：四川省卫生厅基金资助项目(120360);泸州市科技局基金资助项目[2013-S-48(13/30)]

摘　　要：目的探讨双心医学模式下社区老年常见心脏疾病与抑郁症状共患情况。方法采用横断面调查法,共调查771名社区老年患者,采用流调研究用抑郁量表(CES-D)调查抑郁症状,追踪老年患者的门诊或住院病历记录调查其心血管疾病:包括心绞痛、冠心病和高血压。结果心血管疾病(不包括高血压)总患病率为22.7%,其中冠心病为20.5%,心绞痛为10.9%;高血压患病率为49.3%。抑郁症状在所有心血管疾病患者中的发生率是20.9%。伴心血管疾病老年人的抑郁症状发生率(33.1%)高于无心血管疾病者(18.3%),差异有统计学意义(χ2=17.59,P<0.001);有冠心病者的抑郁症状发生率(34.8%)高于无冠心病者(18.3%),差异有统计学意义(χ2=20.25,P<0.001);有心绞痛疾病患者的抑郁症状发生率(34.5%)高于无心绞痛疾病者(20.1%),差异有统计学意义(χ2=9.19,P=0.002);有高血压患者的抑郁症状发生率(25.0%)高于无高血压者(18.4%),差异有统计学意义(χ2=4.93,P=0.026)。结论社区老年人心血管疾病的罹患率高,在心血管疾病患者中抑郁症状的检出率比无心血管疾病患者高。需加强双心医学模式下对伴心血管疾患老年人的心理干预。Objective To explore the prevalence of depressive symptoms among the elderly with cardiovascular disease in the community according to the Psycho-Cardiology medical mode.Methods A cross-sectional survey was designed for this study. A total of 771 participants completed the self administered questionnaires which were the Center for Epidemiologic Studies Depression Scale （CES-D）and the records of common cardiovascular diseases （CVDs）in outpatient or inpatient,which CVDs were including angina,coronary heart disease （CHD）and hypertension.Results The overall prevalence of cardiovascular disorders （except the hypertension）was 22.7%,in which the coronary heart disease was 20.5% and the angina was 10.9%.The prevalence of hypertension was 49.3%.The prevalence of depressive in overall participants was 20.9%.The prevalence of depressive in patients with CVDs was 33.1% （vs.without CVDs was 18.3%）,the difference was significant statistics （χ^2=17. 59,P〈0.001）.The prevalence of depressive in patients with CHD was 34.8% （vs.without CHD was 18.3%）,the difference was significant statistics （χ^2=20.25,P〈0.001）.The prevalence of depressive in patients with angina was 34.5% （vs. without angina was 20.1%）,the difference was significant statistics （χ^2=9.19,P=0.002）.The prevalence of depressive in people with hypertension was 25.0% （vs.without hypertension was 18.4%）,the difference was significant statistics （χ^2=4. 93,P=0.026）.Conclusion The prevalence of the cardiovascular disease of elderly in community was high.The prevalence of depression symptoms in the CVDs patients was higher than health aging residents.The Psycho-Cardiology medical mode should be studied deeply.

关 键 词：双心医学 心血管疾病 抑郁症状 老年 

分 类 号：R181[医药卫生—流行病学]