摘要
目的探讨老年慢性病住院患者抑郁发生情况及应对方式。方法选取2015年4月至2017年4月于台州市第二人民医院住院治疗的老年慢性病患者160例作为试验组,另选同期行健康体检的正常老年人90例作为对照组,采用老年抑郁量表(geriatric depression scale,GDS)评估所有试验者情绪状态,使用医学应对问卷(medical coping method questionnaire,MCMQ)评估老年慢性病患者应对方式。结果试验组年龄、性别、职业、婚姻状况、文化程度、经济状况、居住状况、近期重大生活事件以及生活状况与对照组比较差异无统计学意义(P>0.05)。GDS调查表明,试验组轻度、中度及重度抑郁发生率(36.88%)高于对照组(8.89%),差异有统计学意义(χ~2=22.197,P=0.000);试验组GDS评分(11.20±3.12)分高于对照组(1.30±0.89)分(t=29.414,P=0.000)。MCMQ评测表明,老年慢性病患者面对分值低于对照组,回避分值、屈服分值均高于对照组(P均=0.000)。结论老年慢性病患者住院治疗期间发生抑郁的风险较高,临床中应加强此类患者情绪管理,帮助患者建立治疗信心,及时疏导不良情绪,预防和控制抑郁发生。
Objective To describe the depression incidence and coping strategies in hospitalized elder patients with chronic diseases.Methods 160 elder patients with chronic diseases hospitalized from April 2015 to April 2017 were enrolled in the observation group,while 90 matched healthy elderly were recruited as study controls.geriatric depression scale(GDS)and medical coping questionnaire(MCMQ)were used to evaluate the mood status and coping strategies of the subjects.Results There were no significant differences in age,gender,occupation,marital status,education,financial status,living condition and recent major life events between patients in the two groups(P>0.05).The incidence of mild,moderate and severe depression was significantly higher in the observation group than in the control group(36.88%vs 8.89%,χ~2=22.197,P=0.000).the GDS score in the observation group was significantly higher than that in the control group(11.20±3.12 vs 1.30±0.89,t=29.414,P<0.05).The MCMQ showed that the score of positively facing for life adverse events was lower while the scores of ignorance and yield were higher among patients in the observation group than those in the control group,the differences were statistically significant(P<0.05)Conclusions The risk of depression is high in elder patients with chronic diseases during hospitalization.In clinical practice,we should strengthen the emotional management of patients and encourage them to build up confidence in treatment,to alleviate their bad moods,therefore to prevent and control the occurrence of depression.
作者
孙颖
许佳敏
王瑜
陈文斌
SUN Ying;XU Jia-min;WANG Yu;CHEN Wen-bin(Department of Geriatrics,Taizhou Second People′s Hospital,Taizhou,Zhejiang 317200,China)
出处
《中国预防医学杂志》
CAS
CSCD
2019年第11期1085-1088,共4页
Chinese Preventive Medicine
关键词
慢性病
抑郁症
发生率
应对方式
思绪迟缓
抑制活动减退
认知功能损害
Chronic disease
Depression
Incidence
Coping strategies
Slow thinking
Inhibitory activity de-cline
Cognitive impairment
作者简介
通信作者:孙颖,本科,副主任护师,主要从事老年病护理研究,E-mail:sunying0001@163.com
