老年慢性阻塞性肺疾病患者并发抑郁症的临床调查

Investigation on related factors of depression in elderly patients with chronic obstructive pulmonary disease

目的调查老年慢性阻塞性肺疾病稳定期患者抑郁并发率及影响发病相关因素。方法选取呼吸科就诊的老年COPD稳定期患者311例,应用老年抑郁量表及社会支持度量表通过问卷形式进行调查。应用SPSS11.5统计软件对数据进行相关及多元回归分析。结果老年COPD稳定期患者抑郁的发生率是51.2%,男女比例2:3。抑郁分组与COPD分级、社会支持度之间显著相关。多元回归后进入方程的为性别、吸烟支数、咳痰年限、社会支持度总分和支持利用度得分。结论老年COPD稳定期患者抑郁症并发率较高并与患者的性别、吸烟支数、咳痰年限、社会支持度评分相关,诊治COPD过程中应该在治疗躯体疾病的同时注意心理疏导和必要的干预。

Objective To investigate the rates of depression and related factors in elderly patients with chromic obstructive pulmonary disease at stable stage. Methods Three hundred and eleven COPD stable cases from respiratory department of eight different hospitals.The Geriatric Depression Scale and the Social Support Rating Scale were investigated to collect the information of patients.The SPSS11.5 statistical software was used for data analysis. Results The incidence rate of depression in the patients of COPD at stable stage was 51.2%.The proportion of female to male was 3 ： 2.Analysis showed that the depression groups are significantly associated with the COPD scale,rank and social support.Factors included in the multiple regression equation were as follows：gender;the number of cigarettes smoked;years of sputum;source of medical coverage;total score of social support and support the utilization scores. Conclusion The incidence of depression was in positive correlation with the patients＇ gender,smoking status,sputum status between genders;total degree of social support and support utilization was related to scores.And the treatment of physical diseases of the COPD patients should be combined with psychological counseling and intervention.