本文關(guān)鍵詞： 老年抑郁癥 精神科醫(yī)師 認(rèn)知 相關(guān)因素　出處：《蘭州大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:了解甘肅省精神科醫(yī)師對老年抑郁癥的認(rèn)知狀況,分析不同因素對該疾病認(rèn)知的影響,為今后老年抑郁癥相關(guān)預(yù)防與治療的拓展提供科學(xué)參考。方法:閱讀大量文獻(xiàn)基礎(chǔ)上設(shè)計(jì)《老年抑郁癥綜合防治需求調(diào)查問卷》,在調(diào)查員的指導(dǎo)下由調(diào)查對象自己填寫,采用普查的方法向甘肅省蘭州、白銀、平?jīng)觥⒍ㄎ�、隴南、武威等共14家醫(yī)院發(fā)放調(diào)查問卷212份,實(shí)際收回174份,回收率為82.08%,剔除1份無效問卷,實(shí)得有效問卷173份,有效率為99.43%。錄入數(shù)據(jù)利用Epidata軟件,并應(yīng)用SPSS17.0統(tǒng)計(jì)學(xué)軟件進(jìn)行統(tǒng)計(jì)分析,組間的比較利用?2檢驗(yàn)。結(jié)果:共調(diào)查精神科醫(yī)師173人,工作5-10年的占45.66%(79/173),初級職稱占53.18%(92/173),本科學(xué)歷占53.76%(93/173)。調(diào)查結(jié)果表明,甘肅省精神科醫(yī)生認(rèn)為15種抑郁癥伴發(fā)疾病中,最難治且常見的分別為睡眠障礙伴抑郁、癡呆(主要指阿茲海默或帕金森)伴抑郁及慢性腎病或長期透析患者伴抑郁,這三種疾病在相應(yīng)的疾病組中被認(rèn)為最難治且常見的比例分別為43.93%(76/173)、42.78%(74/173)及53.18%(92/173)。不同職稱及工齡的精神科醫(yī)師對睡眠障礙伴抑郁、腦卒中伴抑郁、惡性腫瘤伴抑郁、癡呆伴抑郁、冠心病伴抑郁及慢性阻塞性肺病伴抑郁的認(rèn)識上存在統(tǒng)計(jì)學(xué)差異(p?0.05);不同學(xué)歷的精神科醫(yī)師對睡眠障礙伴抑郁、慢性哮喘伴抑郁、腦卒中伴抑郁、高血壓伴抑郁、心力衰竭伴抑郁及慢性腎病伴抑郁的認(rèn)識上存在統(tǒng)計(jì)學(xué)差異(p?0.05);不同單位性質(zhì)的精神科醫(yī)師對睡眠障礙伴抑郁、消化系統(tǒng)疾病伴抑郁、癡呆伴抑郁、惡性腫瘤伴抑郁、慢性腎病伴抑郁、高血壓伴抑郁、冠心病伴抑郁及慢性阻塞性肺病伴抑郁的認(rèn)識上存在統(tǒng)計(jì)學(xué)差異(p?0.05)。對于睡眠障礙伴抑郁、癡呆伴抑郁及慢性腎病伴抑郁的治療中,精神科醫(yī)師認(rèn)為相應(yīng)最有效且最安全的治療措施分別為米氮平、西酞普蘭及路優(yōu)泰,這三種藥物在對應(yīng)疾病的治療中所占比例分別為57.23%(99/173)、49.13%(85/173)及49.71%(86/173)。不同職稱及工齡的精神科醫(yī)師對中醫(yī)、米氮平、奧氮平三種治療措施治療睡眠障礙伴抑郁,西酞普蘭及路優(yōu)泰兩種治療措施治療癡呆伴抑郁,護(hù)理及心理治療兩種治療措施治療慢性腎病伴抑郁的療效確定性之間存在統(tǒng)計(jì)學(xué)差異(p?0.05)。不同學(xué)歷及單位性質(zhì)的精神科醫(yī)師對中醫(yī)及米氮平兩種治療措施治療睡眠障礙伴抑郁,西酞普蘭及路優(yōu)泰兩種治療措施治療癡呆伴抑郁,護(hù)理治療措施治療慢性腎病伴抑郁的療效確定性之間存在統(tǒng)計(jì)學(xué)差異(p?0.05)。結(jié)論:甘肅省精神科醫(yī)師對常見老年抑郁伴發(fā)的軀體疾病的認(rèn)識及相應(yīng)治療的選擇上不一致;不同職稱、工齡、學(xué)歷及單位性質(zhì)的醫(yī)師在一些老年抑郁伴發(fā)的軀體疾病的認(rèn)識及相應(yīng)的治療選擇上存在差異。
[Abstract]:Objective: to investigate the cognition of senile depression by psychiatrists in Gansu Province and analyze the influence of different factors on the cognition of the disease. Methods: based on reading a large number of literature design of the elderly depression comprehensive prevention and treatment needs questionnaire. Under the guidance of the investigators, the survey objects themselves filled out the questionnaire to 14 hospitals, such as Lanzhou, Baiyin, Pingliang, Dingxi, Longnan, Wuwei and so on. The actual recovery is 174, the recovery rate is 82.08, excluding 1 invalid questionnaire, 173 effective questionnaires, the effective rate is 99.43. The data input using Epidata software. And the use of SPSS17.0 statistical software for statistical analysis, the use of comparison between groups? Results: a total of 173 psychiatrists were investigated, of whom 45.66 / 173 were employed for 5 to 10 years and 53.1822 / 173 were at the junior level. Bachelor's degree accounted for 93 / 173. The results showed that the most difficult and common diseases associated with depression in Gansu Province were sleep disorders and depression. Dementia (mainly Alzheimer's or Parkinson's disease) with depression and chronic nephropathy or long-term dialysis patients with depression. These three diseases were considered to be the most difficult and common in the corresponding disease group at 43.93% and 76 / 173 respectively. 42.7874 / 173) and 53.18 / 92 / 173 respectively. Psychiatrists with different titles and years of service were involved in sleep disorder with depression, stroke with depression, malignant tumor with depression. There were significant differences in cognition of dementia with depression, coronary heart disease with depression and chronic obstructive pulmonary disease with depression. 0.05; There were significant differences in the understanding of sleep disorder with depression, chronic asthma with depression, stroke with depression, hypertension with depression, heart failure with depression and chronic nephropathy with depression. 0.05; Different units of psychiatrists with sleep disorders with depression, digestive diseases with depression, dementia with depression, malignant tumors with depression, chronic nephropathy with depression, hypertension with depression. There is a statistical difference in the cognition of coronary heart disease with depression and chronic obstructive pulmonary disease with depression. In the treatment of sleep disorder with depression, dementia with depression and chronic nephropathy with depression, psychiatrists thought that the most effective and safest treatment measures were metozapine. Citalopram and Luotai, the three drugs in the treatment of the corresponding disease accounted for 57.23% of 99 / 173). 49.13 / 85 / 173) and 49.71 / 86 / 173 respectively. Psychiatrists with different titles and years of service treated sleep disorders with depression by three treatments: traditional Chinese medicine, metozapine and olanzapine. Citalopram and Luoyoutai in the treatment of dementia with depression, nursing and psychotherapy in the treatment of chronic nephropathy with depression, there is a statistical difference between the certainty of the efficacy. Different educational background and unit nature of psychiatrists to traditional Chinese medicine and metozapine two treatment of sleep disorders with depression, citalopram and Luyou Tai two treatment of dementia with depression. There is a statistical difference in the certainty of therapeutic effect between nursing treatment and chronic nephropathy with depression. Conclusion: the cognition of common senile depression associated with somatic diseases and the choice of corresponding treatment are different among psychiatrists in Gansu Province. Doctors with different professional titles, years of service, educational background and unit nature have different knowledge of somatic diseases associated with senile depression and their corresponding treatment options.
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R749.4

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