老年慢性病患者抑郁症状及影响因素分析

Depressive symptoms and its influencing factors among the elderly patients with chronic diseases

目的描述老年慢性病患者抑郁症状水平并分析其影响因素。方法基于2015年中国健康与养老追踪调查(CHARLS)数据库,选取60岁及以上的慢性病患者为研究对象,采用流调中心抑郁量表(CES-D)评价老年慢性病患者的抑郁症状水平,运用χ2检验和二分类Logistic回归分析抑郁症状的影响因素。结果老年慢性病患者的抑郁症状检出率为43.1%(2 431/5 645)。性别、年龄、婚姻状况、地区、居住地、所患慢性病种类、残疾、睡眠时间、饮酒均为抑郁症状的影响因素(P<0.05)。结论老年慢性病患者的抑郁症状检出率水平较高,不同特征群体之间存在差异,应加强对老年慢性病患者的心理评估,有针对性地预防抑郁症状的发生。

Objective To describe the level of depressive symptoms in elderly patients with chronic diseases and analyze the influencing factors.Methods This study was based on the data of CHARLS (2015),chronic disease patients aged 60 years and over were selected as the study subjects. CES-D was used to evaluate the level of depressive symptoms in elderly patients with chronic diseases. Chi-square test and the binary logistic regression were used to analyze the factors that affect the level of depressive symptoms.Results The detection rate of depressive symptoms in elderly patients with chronic diseases was 43.1% (243 1/564 5). Gender,age,marital status,region,place of residence,species of chronic disease,disabled presence,adequate sleep,alcohol consumption,and satisfaction with life were all factors influencing depressive symptoms (P<0.05).Conclusion The detection rate of depressive symptoms in elderly patients with chronic diseases is high,and there are differences among different characteristic groups. The psychological evaluation of elderly patients with chronic diseases should be strengthened to prevent the occurrence of depressive symptoms.