综合医院全科病房老年住院患者的焦虑抑郁状况及影响因素研究  

Prevalence and Influencing Factors of Anxiety and Depression in Hospitalized Elderly Patients in the General Medicine Ward of a General Hospital

作　　者：邓学学[1] 方荣华[1] 毛艳 宋红霞[1] DENG Xuexue;FANG Ronghua;MAO Yan;SONG Hongxia(International Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院特需医疗中心

出　　处：《中国全科医学》2020年第1期96-100,共5页Chinese General Practice

摘　　要：背景老年人心理健康状况会影响疾病的预后、延长住院时间、增加经济负担,及时识别老年住院患者的负性情绪,快速判断其焦虑抑郁甚至自杀倾向,尽早开展心理干预,可以防止负性情绪进一步发展。目的了解综合医院全科病房老年住院患者的焦虑抑郁状况及影响因素。方法采用四川大学华西医院研制的华西心晴指数(HEI)和研究组自行设计的一般资料调查表,对2017年3—7月收入四川大学华西医院全科病房的407例老年住院患者进行调查。以HEI>8分为存在焦虑抑郁情绪,采用多元Logistic回归分析老年住院患者焦虑抑郁的影响因素。结果407例老年住院患者的中位HEI得分为2.0(4.0)分,35例(8.6%)存在焦虑抑郁情绪。多元Logistic回归分析结果显示,性别和有无合并症是老年住院患者焦虑抑郁的影响因素(P<0.05)。结论综合医院全科病房老年住院患者的心理状况总体良好,女性、有合并症的老年患者更容易发生焦虑抑郁,建议临床多关注这些影响因素,及时发现患者心理健康问题并采取相应心理干预,以促进患者康复。Background Mental health status may affect the prognosis of the disease,prolong the hospital stay and increase the economic burden in the elderly.In view of this,to prevent the negative emotions from worsening in hospitalized elderly patients,it is particularly important to identify negative emotions timely,and rapidly evaluate the status of anxiety,depression and tendency of suicide,and based on this,to deliver appropriate psychological interventions.Objective To investigate the prevalence and influencing factors of anxiety and depression in hospitalized elderly patients from a general medicine ward of a general hospital.Methods Participants were 407 elderly hospitalized patients who were recruited from the General Medicine Ward,West China Hospital,Sichuan University during March to July 2017.The Huaxi Emotional-distress Index(HEI)developed by this hospital was used to screen the prevalence of anxiety and depression(HEI>8 points was determined as having anxiety and depression).The General Data Questionnaire developed by our research team was used to collect sociodemographic data.Multiple Logistic regression was adopted to analyze the influencing factors of anxiety and depression.Results The median HEI for the participants was 2.0(4.0).And 35 cases(8.6%)were found with anxiety and depression.Multiple Logistic regression analysis showed that gender and comorbidity were the independent influencing factors for anxiety and depression in these patients(P<0.05).Conclusion In general,the mental status is relatively good in this group.Female and having at least a comorbidity are associated with higher risk of developing anxiety and depression.So more attention should be given to these priority subgroups clinically,in order to timely deliver interventions based on the detected psychological problems to promote the rehabilitation of such patients.

关 键 词：抑郁 焦虑 老年人 住院病人 全科 医院 综合 影响因素分析 

分 类 号：R749.42[医药卫生—神经病学与精神病学]