老年抑郁症患者自杀意念与生活事件、家庭功能及多导睡眠图参数的关系研究

The Relationship Study between Suicidal Ideation and Life Events, Family Function and Polysomnogram Parameters in Elderly Patients with Depression

目的:研究老年抑郁症患者自杀意念与生活事件、家庭功能及多导睡眠图参数的关系并予以分析。方法:选取从2019年1月~2020年10月期间我院收治的154例老年抑郁症患者纳入研究。将其按照是否存在自杀意念分作自杀意念组83例和无自杀意念组71例。比较分析两组生活事件、家庭功能及多导睡眠图参数等方面的差异,并以Spearman相关性分析明确老年抑郁症患者自杀意念与生活事件、家庭功能及多导睡眠图参数的关系。结果:自杀意念组正性事件、负性事件评分均高于无自杀意念组(均P<0.05)。自杀意念组各项家庭功能评分均高于无自杀意念组(均P<0.05)。自杀意念组N3期非快速眼动睡眠时间以及N3期非快速眼动睡眠占比均低于无自杀意念组(均P<0.05)。经Spearman相关性分析可得,老年抑郁症患者自杀意念与各项生活事件评分、家庭功能评分均呈正相关,而与N3期非快速眼动睡眠时间以及N3期非快速眼动睡眠占比呈负相关(均P<0.05)。结论:老年抑郁症自杀意念与生活事件、家庭功能及多导睡眠图参数密切相关,临床可通过对这些方面的观测来评估老年抑郁症的病情,以预防和减少老年抑郁症患者自杀行为的发生。

Objective:To study and analyze the relationship between suicidal ideation and life events,family function and polysomnogram parameters in elderly patients with depression.Methods:A total of 154 elderly patients with depression who were admitted to our hospital from January 2019 to October 2020 were included in this study.According to whether there were suicidal ideation or not,they were divided into the suicidal ideation group with 83 cases and the non-suicidal ideation group with 71 cases.The differences in life events,family functions and polysomnogram parameters between the two groups were analyzed,and Spearman correlation analysis was used to clarify the relationship between suicidal ideation and life events,family functions and polysomnogram parameters in elderly patients with depression.Results:The scores of positive events and negative events in suicidal ideation group were higher than those in non-suicidal ideation group(all P<0.05).The scores of family functions in the suicidal ideation group were higher than those in the non-suicidal ideation group(all P<0.05).The N3 stage non rapid eye movement sleep time and N3 stage non rapid eye movement sleep proportion in the suicidal ideation group were lower than those in the non-suicidal ideation group(all P<0.05).Spearman correlation analysis showed that suicidal ideation was positively correlated with life event score and family function score,while negatively correlated with N3 stage non rapid eye movement sleep time and N3 stage non rapid eye movement sleep proportion(all P<0.05).Conclusion:Suicidal ideation in elderly depression is closely related to life events,family function and polysomnography parameters,clinical observation of these aspects can be used to evaluate the condition of elderly depression,so as to prevent and reduce the occurrence of suicidal behavior in elderly depression patients.