老年慢性阻塞性肺疾病患者抑郁发病情况及相关影响因素分析

Analysis of Depression Incidence and Related Influence Factors of Elderly Patients with Chronic Obstructive Pulmonary Disease

目的对老年慢性阻塞性肺疾病(COPD)稳定期患者抑郁发病情况进行调查,并分析其相关影响因素,为提高临床诊疗效果提供指导。方法以2010年11月至2012年10月在伍仲珮纪念医院就诊的162例老年COPD稳定期患者为研究对象,采用汉密尔顿抑郁量表(HAMD)与社会支持度量表进行抑郁发病情况调查,分析抑郁发病率及其相关影响因素。结果老年COPD稳定期患者抑郁发病率为34.57%,多元回归分析表明,年龄、吸烟情况、COPD病程、病情严重程度是影响抑郁发病的重要因素。结论老年COPD稳定期患者有较高的抑郁发病率,发病情况与患者年龄、吸烟情况、COPD病程以及病情严重程度密切相关。因此,患者缓解临床症状的同时,应给予患者有效的家庭及社会情感支持。

Objective To analyze incidence of depression and related influence factors of elderly patients with chronic obstructive pulmonary disease（COPD）,in order to improve the clinical diagnosis and treatment effect.Methods One hundred and sixty-two elderly patients with COPD at stable stage in Wuzhongpei Memorial Hospital during Nov.2010 and Oct.2012 were selected as the research objects,HAMD depression scale and social support rating scale for depression were adopted for disease condition survey,and the incidence of depression and related influencing factors were analyzed.Results Depression incidence in elderly patients with COPD was 34.57%,and the multiple regression analysis results showed that age,smoking status,COPD course and disease severity were important factors influencing the depression disease.Conclusion Elderly patients with COPD has a high incidence of depression,and age,smoking status,COPD course and disease severity are closely related with it.When relieving clinical symptoms,effective family and social emotional support should also be given.