老年消化性溃疡伴焦虑、抑郁多因素分析  

Multiple Factors Analysis of Peptic Ulcer with Anxiety and Depression in the Elderly

作　　者：刘军平[1] 殷玉敏[1] 陈浩[1] 何芸[1] 李慧[1] 李文宏[2] 

机构地区：[1]昆明医科大学附属延安医院老年病科,云南昆明650051 [2]昆明医科大学附属延安医院肾内科,云南昆明650051

出　　处：《昆明医科大学学报》2015年第12期69-72,共4页Journal of Kunming Medical University

基　　金：昆明医科大学附属延安医院院内基金资助项目(yyky013-033)

摘　　要：目的探讨老年消化性溃疡伴焦虑、抑郁情况及影响其因素.方法收集120例老年消化性溃疡患者(老年消化性溃疡伴焦虑43例,老年消化性溃疡伴抑郁40例,老年消化性溃疡37例),应用基本情况调查表、焦虑自评量表、抑郁自评量表、社会支持评定量表、生活质量调查问卷分别对患者进行量化评分并比较两组患者情况.结果老年消化性溃疡焦虑、抑郁评分均高于国内常模(P<0.05);焦虑方面:慢性复发(OR=3.228)、严重程度(OR=4.039)为危险因素,经济状况(OR=0.188)、生活质量(OR=0.366)、社会支持总分(OR=0.782)为保护因素;抑郁方面:病程(OR=9.84)、活动期(OR=10.496)为危险因素,经济状况(OR=0.215)、肠炎疾病生活质量(OR=0.357)、社会支持总分(OR=0.847)为保护因素.结论老年消化性溃疡易发生焦虑、抑郁;疾病严重程度、活动期及治疗依从性差与老年消化性溃疡发生焦虑和抑郁密切相关;经济条件好、生活质量高及获得社会支持多有助于缓解老年消化性溃疡焦虑、抑郁.Objective To discuss the anxiety, depression and influencing factors of peptic ulcer in the elderly. Methods 120 patients of senile peptic ulcer were divided into three groups （43 patients of senile peptic ulcer with anxiety, 40 patients of senile peptic ulcer with depression, and 37 patients of senile peptic ulcer） . The general questionnaire, self-rating anxiety symptom scale, self-rating depression scale, social support scale, and quality of life questionnaire were used to score and compare the anxiety, depression and influencing factors in the three groups. Results Anxiety and depression scores of senile patients with peptic ulcer were higher than those of national norm （P 〈 0.050） . For anxiety, the risk factors were recurrence of chronic （OR = 3.228, P = 0.） and severity （OR = 4,039, P= 0.）, while the protective factors were economics （OR = 0.188, P= 0.044）, quality of life （OR = 0.366, P = 0.049） and total score of social support （OR = 0.782, P = 0.006） . For depression, the risk factors were course of disease （OR -- 9.840, P = 0.） and active stage （OR = 10.496, P = 0.017） , while the protective factors was economics （OR = 0.215, P= 0.049）, quality of life （OR = 0.357, P= 0.022） and total score of social support （OR = 0.847, P = 0.030） . Conclusion Senile peptic ulcer was prone to anxiety and depression. Severity, active stage and bad compliance of treatment were closely relative with anxiety and depression occurence. Anxiety and depression could be relieved by good economic conditions, high quality of life and much social support.

关 键 词：老年消化性溃疡 焦虑 抑郁 影响因素 

分 类 号：R541.8[医药卫生—心血管疾病]