老年前列腺增生患者抑郁的患病率调查与健康教育

Survey on Prevalence of Geriatric Depression and Influence Factors in Patients with Benign Prostate Hyperplasia

目的调查高龄人群中前列腺增生患者抑郁的患病率,以及前列腺症状评分与抑郁发生率相关性,以便有针对性地对老年前列腺增生伴抑郁患者制定健康教育措施。方法对来我院就医的348名老年前列腺增生患者进行问卷调查,采用国际前列腺协调委员会推荐的前列腺症状评分(IPSS)表进行评估,同时采用老年抑郁量表进行问卷调查。结果348例老年前列腺增生患者有81例合并抑郁状态,抑郁发生率为23.28%。随着患者基础疾病症状的明显、IPSS评分的增加,相应的抑郁发生率明显增加,当IPSS评分在15～20分时抑郁发生率明显高于IPSS评分在7～10分组(P<0.05)。结论老年前列腺增生患者合并抑郁状态发生率高,在治疗其前列腺增生的同时需关注其心理状况。

Objective To give proper treatment and health education for the patients with geriatric depression with benign prostates hyperplasic（BPH）, we investigate the prevalence and risk factors of geriatric depression with BPH in elder outpatient. Methods Geriatric depression scale（GDS）, international prostate symptom score（IPSS） and a self-designed questionnaire were used to investigate 348 patient with BPH. Results Eighty-one out of 348（23. 28%） elder outpatients were observed associated with geriatric depression. The incidence rate of depression increased significantly with growth of IPSS in the period of clinical manifestation of primary diseases. The incidence rate of depression was obviously higher when scored on from 15 to 20 by IPSS than that from 7 to 10 （ P〈0.05）. Conclusion The rate of geriatic depression with BPH was high. And we should pay attention to the patiets＇ mental healthy while treatment BPH.