| 赵子涵,盛笑莹,梁茵,李文秀.社区老年人共病对抑郁和焦虑情绪的影响[J].中国临床保健杂志,2024,(1):24-29. |
| 社区老年人共病对抑郁和焦虑情绪的影响 |
| The influence of comorbidity of chronic diseases on depression and anxiety of the elderly people in community |
| 投稿时间：2023-12-20 |
| DOI：10.3969/J.issn.1672-6790.2024.01.006 |
| 中文关键词: 慢性病共病 抑郁 焦虑 危险因素 老年人 |
| 英文关键词: Multiple chronic conditions Depression Anxiety Risk factors Aged 〖FL |
| 基金项目:北京市卫生健康科技成果和适宜技术推广项目(BHTPP2022087)；北京市海淀区属卫生健康系统高层次人才发展计划项目(2022HDJQ002) |
|
| 摘要点击次数: 43 |
| 全文下载次数: 50 |
| 中文摘要: |
| 目的 探讨北京市海淀区65岁及以上社区老年人共病对抑郁、焦虑情绪的影响。方法 抽取海淀区15个街镇的3 600名65岁及以上老年人进行问卷调查。采用老年抑郁量表(GDS-15)和焦虑自评量表(SAS)评估抑郁和焦虑情绪。利用logistic回归分析其影响因素。结果 最终纳入分析的3 387名老年人中,共病者1 218人(35.96%),抑郁情绪检出573人(16.92%),焦虑情绪检出367人(10.84%)。共病老年人抑郁检出268人(22.00%)、焦虑检出207人(17.00%),非共病老年人抑郁检出305人(14.06%)、焦虑检出160人(7.38%),共病老年人抑郁、焦虑阳性率分别是非共病老年人的1.56倍、2.30倍。多因素logistic回归分析显示,共病的老年人更易检出抑郁情绪(OR=3.051,95%CI:1.993～4.673)、焦虑情绪(OR=5.196,95%CI:3.276～8.240),高血压和骨关节病共病是抑郁情绪发生的危险因素(OR=2.276,95%CI:1.641～3.157),高血压和心血管疾病、高血压和骨关节病共病是焦虑情绪发生的危险因素(OR=1.889,95%CI:1.285～2.777；OR=3.102,95%CI:2.150～4.476)。结论 共病可以增加抑郁、焦虑情绪的发生风险。 |
| 英文摘要: |
| Objective To explore the effects of comorbidity of chronic diseases on depression and anxiety among the elderly aged 65 and above in Haidian District,Beijing.Methods A total of 3 600 people aged 65 and above in 15 subdistricts,Haidian District were recruited.A face-to-face survey was conducted among the elderly people with a self-designed questionnaire on chronic disease.The Geriatric Depression Scale (GDS-15) and the Self-rating Anxiety Scale (SAS) were used to assess depression and anxiety.Logistic regression was used to analyze the influencing factors.Results Of the 3 387 participants with valid information,1 218 (35.96%) were identified as having comorbidity of chronic diseases,depression and anxiety were reported by 573 (16.92%) and 367(10.84%) respectively.Depression and anxiety were detected in 268 (22.00%) and 207 (17.00%) of the elderly with chronic disease comorbidities,while depression and anxiety were detected in 305 (14.06%) and 160 (7.38%) of the non-comorbidities.The positive rates of depression and anxiety were 1.56 times and 2.30 times of those of non-comorbidity,respectively.Multivariate logistic regression analysis showed that the elderly with comorbidity of chronic diseases,in contrast to those without,were at an increased risk of depression (OR=3.051,95% CI:1.993-4.673) and anxiety(OR=5.196,95% CI:3.276-8.240).Hypertension and osteoarthropathy comorbidities were risk factors for depression (OR=2.276,95%CI:1.641-3.157).Hypertension and cardiovascular disease,hypertension and osteoarthropathy comorbidities were risk factors for anxiety (OR=1.889,95%CI:1.285-2.777;OR=3.102,95%CI:2.150-4.476).Conclusion Comorbidity of chronic diseases increase the risk of depression and anxiety among the elderly people. |
|
查看全文
|
| 关闭 |
|
|
|