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目的探讨老年冠心病抑郁症患病情况及危险因素。方法采用自制调查表、汉密顿量表及社会支持评定表对来院就诊的老年冠心病及其相关家属进行调查,计算患病率,并采用Logistic回归分析分析老年冠心病人群抑郁的危险因素。结果老年冠心病抑郁患病率为27.27%,70~岁年龄组患病率高于60~岁年龄组(P<0.05),老年女性患病率高于男性(P<0.05)。结论高龄、女性、文化程度低、病程长、日常生活中生活不能完全自理、社会支持差等因素增加了老年冠心病患者抑郁的危险性(均P<0.05),而吸烟、高血压、糖尿病、血脂异常等因素与老年冠心病抑郁状态的发生无关(P>0.05)。
Objective To investigate the prevalence and risk factors of depression in elderly patients with coronary heart disease. Methods A self-made questionnaire, Hamilton scale and social support rating scale were used to investigate the prevalence of coronary heart disease and related family members in the hospital. Logistic regression analysis was used to analyze the risk factors of depression in the elderly patients with coronary heart disease. Results The prevalence of depression in elderly patients with coronary heart disease was 27.27%. The prevalence of depression in 70 ~ age group was higher than that in 60 ~ age group (P <0.05). The prevalence of elderly women was higher than that of men (P <0.05). CONCLUSION: The elderly, women with low education level, long course of disease, unable to fully take care of life in daily life, and poor social support increased the risk of depression in elderly patients with coronary heart disease (all P <0.05), while smoking, hypertension, diabetes, Dyslipidemia and other factors have nothing to do with the occurrence of depression in elderly patients with coronary heart disease (P> 0.05).