福州城市社区老年人高血压与抑郁关联性  

Correlation between hypertension and depression in urban community elderly in Fuzhou city

作　　者：贾丽娜[1] 庄海林[1] 陈越 林欲静 

机构地区：[1]福建卫生职业技术学院护理系,福建福州350101 [2]福州市鼓楼区卫生局社区管理科 [3]福州市台江区卫生局社区管理科

出　　处：《中国公共卫生》2015年第12期1642-1645,共4页Chinese Journal of Public Health

基　　金：福建省自然科学基金(2013J01288)

摘　　要：目的通过对福建省福州城市社区老年人高血压抑郁症状影响因素分析，探讨福州城市社区老年人高血压与抑郁的关系。方法于2012年4—5月采用老年抑郁量表（The Geriatric Depression Scale，GDS）中文版及自编的一般资料问卷对福州城市社区882例I〉60岁的原发性高血压老年人和1230名非高血压老年人进行调查研究，使用SPSS16．0软件对结果进行统计分析。结果高血压老年人抑郁症状发生率为64．4％，高于对照组的55．3％，（x2=16．386，P〈0．01）；不同年龄、性别、居住情况、家庭支持、家庭日常开支、兴趣爱好的高血压老年人抑郁症状检出率均高于对照组（P〈0．05），有配偶、文化程度初中及以下、月收入〈2000元、医疗费用自费、部分自费的高血压老年人抑郁症状检出率均高于对照组（P〈0．05），多因素logistic回归分析显示，老年人抑郁症状发生的危险因素有年龄（OR=1．499，95％CI=1．213～1．852）、高血压（OR=1．453，95％CI=1．200—1．759）（P〈0．05）。保护因素有医疗费用部分自费（OR：0．752，95％CI=0．592～0．956）、兴趣爱好较多（OR=0．704，95％CI=0．560～0．885）、家庭非常支持（OR=0．575，95％CI=0．473～0．700）、家庭日常开支足够（OR=0．786，95％CI：0．645～0．959）（P〈0．05）。结论福州城市社区老年人高血压与抑郁症状发生存在关联，高血压增加了城市社区老年人抑郁症状发生风险。Objective To study influencing factors of hypertension and depression and the correlation between the two diseases among urban community elderly in Fuzhou city. Methods Totally 2 112 residents （882 with primary hypertension and 1 230 with normal blood pressure）were recruited from two communities and surveyed with Geriatric Depression Scale（GDS） and a self-designed questionnaire on general information between April to May 2012 in Fuzhou city. SPSS 16.0 was used in data analyses. Results The prevalence of depression was 64.4% among the elderly hypertensives and significantly higher than that（ 55. 3% ） among the elderly normotensives （X2 = 16. 386, P 〈 0.01 ） ; the difference in the prevalence between the two groups was independent of age, gender, living condition, family support, familial daily expenses, and hobbies and interest in daily life （ P 〈 0. 05 ） ; the elderly hypertensives of married, with the education of junior middle school or below ,having a monthly income less than 2 000 RMB yuan ,paying all or partial medical costs by themselves had significantly higher depression prevalence than the elderly normotensives （ all P 〈 0. 05 ）. Multivariate logistic regression analysis showed that the risk factors of depression were age（ odds ratio [ OR] = 1. 499,95% confidence interval 95 % CI] ： 1.213 - 1. 852 ） and hypertension （ OR = 1. 453,95 % CI： 1. 200 - 1. 759 ） （ both P 〈 0.05 ）, while the protective factors were self-paying for partial medical costs （ OR = 0. 752,95 % CI.0. 592 -0. 956）, having more hobbies and interest in daily life （ OR = 0. 704,95 % C1： 0. 560 - 0. 885 ）, with strong family support （ OR = 0. 575,95 % CI： 0. 473 - 0. 700 ）, and with enough income for household expenses （ OR = 0. 786,95% CI：0. 645 - 0. 959） （ all P 〈 0.05 ） among the elderly. Conclusion Hypertension correlates positively with the incidence of depression among urban community elderly in Fuzhou city.

关 键 词：高血压 老年人 抑郁 相关性 

分 类 号：R512.91[医药卫生—内科学]