老年抑郁症与社会支持和躯体疾病关系

The Relationship among the Incidence of Geriatric Depression and Social Supporting Factors and Body Disease

目的探讨和分析老年抑郁症的发病与社会支持和躯体疾病之间的关系。方法选取2014年5月至2015年5月在我院诊断为抑郁症的老年患者50例作为病例组,同时选取非抑郁症患者50例作为对照组,对两组研究对象进行社会支持和躯体疾病相关情况的调查。结果社会支持方面,病例组独居和担心子女的发生率显著高于对照组(P<0.05),病例组的经常与亲人或者朋友交流、有能够信任的朋友、能够获得需要的帮助的发生率显著低于对照组(P<0.05),Logistic回归分析结果显示,独居、有能够信任的朋友、担心子女、经常与亲人朋友交流是发生老年抑郁症的影响因素(P<0.05);躯体疾病方面,病例组的心脏病和中风或偏瘫的患病率显著高于对照组(P<0.05)。结论独居、担心子女、没有能够信任的朋友和不能经常和亲人朋友交流是导致发生老年抑郁症的危险因素,而躯体疾病中的心脏病和中风或者偏瘫也是发生老年抑郁症的危险因素。

Objective To explore the relationship of the incidence of geriatric depression and factors of social support and body disease. Methods 50 patients with geriatric depression who were diagnosed in our hospital from May 2014 to May 2015 were selected as the case group,50 old people without depression were selected as the control group. Social support and the body disease of both groups were evaluated and compared. Results The incidence of social support,living along and worryabout the children in the case group is significantly higher than these in the control group（P〈0.05）,the case group often have less communication with relatives or friends,less friends can trust,less help to get than the control group（P〈0.05）.Logistic regression analysis showed that living alone,having friends to be trusted or not,worrying about their children,communication with family members and friends are all the influence factors of senile depression（P〈0.05）;on the aspect of body disease, the heart disease,stroke or hemiplegia in the case group are significantly higher than that in the control group（P〈0.05）. Conclusion Living alone,worry about their children,less trusted friends and less communication with relatives and friends are the risk factors of geriatric depression,and the heart disease,stroke or hemiplegia are also risk factors for geriatric depression.