综合性医院老年病人抑郁症状及与认知功能的关系

Depressive Symptoms and the Relationship with Cognitive Function for Elderly Patients in General Hospital

目的 分析综合性医院老年病人抑郁症状及与认知功能的相互关系。方法 应用中文版流调用抑郁量表(CES-D)和简易智能状态检查(MMSE),对同济医院住院和门诊的315例老年患者(年龄≥60岁)进行调查。结果 ①70例老年患者(22.2％)有抑郁症状,53例(16.8％)可能存在抑郁症状;②CES-D总分与性别呈正相关(r=0.114,p<0.05),与教育程度呈负相关(r=-0.153,p<0.01);③抑郁症状与认知功能有显著相关性。结论 在综合性医院对老年病人进行抑郁症状和认知功能的常规筛查是必要的。

Objectives: To analyze depressive symptoms and the relationship with their cognitive function on elderly patients in general hospital. Method: 315 elderly patients aged more than 60 years old were selected from Tong Ji Hospital and were screened by a Chinese version of Center of Epidemiological Survey-Depression scale (CES-D) and a Chinese version of Mini-Mental Status Examination (MMSE). Results: ①70 cases(22. 2%)have definite depressive symptoms, 53 cases (16. 8%)may have questionable depressive symptoms. ②Total scores of CES-D was correlated positively with sex(r = 0. 114,p<0. 05), but negatively with education(r= -0. 153,p<0. 01). ③The depressive symptoms have definite relationship with their cognitive function on elderly patients in general hospital. Conclusion: Routine screening for depressive symptoms and cognitive function is necessary for elderly patients in general hospital.