住院老年共病患者抑郁症状与老年综合征关系的分析  

Analysis on relationship between depressive symptoms and geriatric syndrome in hospitalized elderly patients with comorbidity

作　　者：管丽娟[1,2] 刘茜 王凌霄 陈善萍 GUAN Lijuan;LIU Qian;WANG Lingxiao;CHEN Shanping(Department of Geriatrics,Chengdu Municipal Fifth People′s Hospital,Chengdu,Sichuan 611130,China;Chengdu China-Montpellier France Institute of GeriatricDiseases,Chengdu,Sichuan 611130,China)

机构地区：[1]成都市第五人民医院老年病科,611130 [2]中国成都-法国蒙彼利埃老年疾病研究所,611130

出　　处：《重庆医学》2019年第4期645-648,共4页Chongqing medicine

基　　金：四川省卫生与计划生育委员会科研课题(150021)

摘　　要：目的分析住院的老年共病患者抑郁症状与老年综合征的关系。方法采用一般情况调查表、老年综合评估方法,对443例患者进行横断面调查,采用多因素二元Logistic回归方法分析老年综合征对抑郁症状的影响。结果 40.18%(178/443)的患者存在不同程度的抑郁症状;且多种慢性疾病(OR=1.12,95%CI:1.020～1.229,P=0.017)、认知功能障碍(OR=2.277,95%CI:1.439～3.602,P<0.01)、衰弱(OR=2.103,95%CI:1.347～3.284,P=0.001)、家庭功能障碍(OR=1.902,95%CI:1.232～2.935,P=0.004)是抑郁症状的独立危险因素。结论多种老年综合征影响住院共病老人抑郁症状的发生,医护人员应加大重视。Objective To analyze the relationship between the depressive symptom and geriatric syndrome in elderly inpatient with comorbidity. Methods The cross-sectional survey was performed on 443 patients by adopting the general personal questionnaire and geriatric comprehensive assessment method.The multi-factor binary Logistic regression was used to analyze the influence of geriatric syndromes on the depressive symptom. Results 40.18%(178/443) of the patients had different degrees of depression symptoms;moreover multiple chronic diseases( OR =1.12,95% CI :1.020-1.229, P =0.017),cognitive dysfunction ( OR =2.277,95% CI :1.439-3.602, P <0.01),frailty( OR =2.103,95% CI :1.347-3.284, P =0.001)and family support dysfunction ( OR =1.902,95% CI :1.232-2.935, P =0.004)were the independent risk factors of depressive symptoms. Conclusion Multiple geriatric syndromes affect the depressive symptoms occurrence,and the medical workers should pay attention to them.

关 键 词：抑郁 老年综合征 住院老年患者 共病 

分 类 号：R592[医药卫生—老年医学]