60岁及以上老年体检人群共病率调查及与抑郁的关系分析  

The Multimorbidity and Its Relationship With Depression in the Elderly Aged 60 or Above Who Received Routine Physical Examination

作　　者：胡海燕 柳弥[2] 田小兵[3] HU Haiyan;LIU Mi;TIAN Xiaobing(Narichong Second People's Hospital,Nanchong 637000,Sichuan Province,China;Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China;North Sichuan Medical College,Nanchong 637000,Sichuan Province,China)

机构地区：[1]南充市第二人民医院,四川南充637000 [2]川北医学院附属医院,四川南充637000 [3]川北医学院,四川南充637000

出　　处：《预防医学情报杂志》2020年第10期1291-1295,共5页Journal of Preventive Medicine Information

基　　金：南充市市校科技战略合作项目(项目编号:18SXHZ0164)。

摘　　要：目的调查60岁及以上老年人群慢病共病患病率和抑郁情况,分析共病患病与抑郁的关联。方法以2019-02/08在川北医学院附属医院健康管理中心接受常规体检的老年人群为对象,调查7种常见慢病患病情况,采用流调用抑郁自评量表简化版(CESD-10)评估抑郁情况,采用SAS 9.3统计分析软件,对共病患病与抑郁的关系进行卡方趋势检验和Logistic回归分析。结果共获得有效问卷1358份,7种常见慢病共病患病率为15.54%;未患慢病,患1种、2种和3种及以上慢病的老年人群抑郁患病率分别为5.42%、14.50%、22.11%和41.38%,患病率随共病数目增加呈明显的增加趋势(χ^2trend=169.50,P<0.01);Logistic回归分析结果发现,与未患病人群比较,在经性别、婚姻状况和文化程度校正后,患1种、2种和3种及以上慢病的老年人群抑郁患病风险分别增加1.70(95%CI:1.04~2.77)、3.22(95%CI:1.77~5.86)和10.09(95%CI:6.12~16.62)倍,抑郁发生风险随慢病数目增多而明显增大。结论老年人群共病患病率高,共病患者抑郁风险大,应重视对多病种共患老年人群心理健康问题的识别和管理。Objective To investigate the prevalence of multimorbidity in the elderly aged 60 years old or above who received routine physical examination and assess the relationship between the multimorbidity and depression.Methods The elderly aged 60 years or above who received routine physical examination in the health management center of affiliated hospital of North Sichuan Medical University from February to October in 2019 were selected.Information of chronic diseases were self-reported by participants using a list of seven physical chronic conditions.CESD-10 was employed to assess the depression.Logistic regression models were performed to determine the association between depression and multimorbidity.Results A total of 1385 questionnaire are collected.The prevalence rate of multimorbidity is 15.54%.The prevalence rates of depression in participants who have none chronic conditions,suffer from 1,2 and 3 or more chronic diseases is 5.42%,14.50%,22.11% and 41.38%,respectively.The prevalence rates of depression showed an upward trend with the increase of the number of chronic conditions.Compared to those having none chronic diseases,the risk of depression increases 1.70(95%CI:1.04-2.77),3.22(95%CI:1.77-5.86)and 10.09(95%CI:6.12-16.62)times in the subjects with 1,2 and 3 or more chronic conditions after adjusting for gender,marital status and education level.Conclusion Multimorbidity has been a common occurrence in the elderly.Attention should be paid to the identification and management of mental health problems in elderly people with multimorbidity.

关 键 词：共病 抑郁 流调用抑郁自评量表 老年 体检人群 

分 类 号：R749.92[医药卫生—神经病学与精神病学] R181.2[医药卫生—临床医学]