抑郁癥對海南省老年慢性阻塞性肺疾病患者的影響及治療
發(fā)布時(shí)間：2018-12-16 19:24
【摘要】：目的觀察和比較抑郁癥對海南省老年慢性阻塞性肺疾病(COPD)患者臨床預(yù)后質(zhì)量的影響。方法選取171例老年COPD患者,采用抑郁自評量表和漢密頓抑郁量表-17對入選患者的抑郁狀況進(jìn)行調(diào)查。結(jié)果 171例老年COPD患者中,伴有不同程度抑郁癥107例;64例無抑郁癥的COPD患者1 s用力呼氣容積(FEV1)/用力肺活量(FVC)及FEV1占預(yù)計(jì)值比例均高于COPD合并抑郁癥患者,差異有統(tǒng)計(jì)學(xué)意義(P0.01);兩組年齡、性別、病程、婚姻狀況、文化程度、家庭人均月收入、認(rèn)知能力、日常生活自理情況、家庭支持、醫(yī)療費(fèi)用差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論老年COPD患者抑郁癥發(fā)病率較高,應(yīng)在情緒調(diào)節(jié)、心理疏導(dǎo)、藥物選擇等方面給予患者更多的支持,同時(shí)盡量改善患者的生活環(huán)境,提高診療效果。
[Abstract]:Objective to observe and compare the effect of depression on clinical prognosis of elderly patients with chronic obstructive pulmonary disease (COPD) in Hainan province. Methods elderly patients with COPD were investigated with self-rating Depression scale and Hamilton Depression scale-17. Results among the 171 elderly patients with COPD, 107 cases were accompanied with different degrees of depression. The ratio of forced expiratory volume (FEV1) / forced vital capacity (FVC) and FEV1 in 64 COPD patients without depression was higher than that in COPD patients with depression (P0.01). There were significant differences in age, sex, course of disease, marital status, education level, average monthly income of family, cognitive ability, self-care of daily life, family support and medical expenses between the two groups (P0.05). Conclusion the incidence of depression in the elderly patients with COPD is high. The patients should be given more support in the aspects of emotion regulation, psychological guidance, drug selection, etc. Meanwhile, the living environment of the patients should be improved as far as possible, and the diagnosis and treatment effect should be improved.
【作者單位】： 海南西部中心醫(yī)院呼吸內(nèi)科;中安聯(lián)合投資集團(tuán)有限公司;北京交通大學(xué)經(jīng)濟(jì)管理學(xué)院;華中科技大學(xué)同濟(jì)醫(yī)學(xué)院醫(yī)藥衛(wèi)生管理學(xué)院;
【基金】：國家自然科學(xué)基金項(xiàng)目資助(No.71373091) 湖北省衛(wèi)生計(jì)生科研基金資助(No.WJ2015Z048) 湖北省高校人文社科重點(diǎn)研究基地開放基金資助(No.2015YB001)
【分類號】：R563.9;R749.4
本文編號：2382917
[Abstract]:Objective to observe and compare the effect of depression on clinical prognosis of elderly patients with chronic obstructive pulmonary disease (COPD) in Hainan province. Methods elderly patients with COPD were investigated with self-rating Depression scale and Hamilton Depression scale-17. Results among the 171 elderly patients with COPD, 107 cases were accompanied with different degrees of depression. The ratio of forced expiratory volume (FEV1) / forced vital capacity (FVC) and FEV1 in 64 COPD patients without depression was higher than that in COPD patients with depression (P0.01). There were significant differences in age, sex, course of disease, marital status, education level, average monthly income of family, cognitive ability, self-care of daily life, family support and medical expenses between the two groups (P0.05). Conclusion the incidence of depression in the elderly patients with COPD is high. The patients should be given more support in the aspects of emotion regulation, psychological guidance, drug selection, etc. Meanwhile, the living environment of the patients should be improved as far as possible, and the diagnosis and treatment effect should be improved.
【作者單位】： 海南西部中心醫(yī)院呼吸內(nèi)科;中安聯(lián)合投資集團(tuán)有限公司;北京交通大學(xué)經(jīng)濟(jì)管理學(xué)院;華中科技大學(xué)同濟(jì)醫(yī)學(xué)院醫(yī)藥衛(wèi)生管理學(xué)院;
【基金】：國家自然科學(xué)基金項(xiàng)目資助(No.71373091) 湖北省衛(wèi)生計(jì)生科研基金資助(No.WJ2015Z048) 湖北省高校人文社科重點(diǎn)研究基地開放基金資助(No.2015YB001)
【分類號】：R563.9;R749.4
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