| 梁雪梅,瞿波,罗晓清,龚科,刘可智.“双心医学”模式下社区老年心脏病患者的抑郁症状[J].四川精神卫生杂志,2014,27(2):102-105.LIANG Xue-mei,QU Bo,LUO Xiao-qing,GONG Ke,LIU Ke-zhi,The depressive symptoms among elderly people with cardiovascular disease according to the “Psycho-Cardiology”medicine[J].SICHUAN MENTAL HEALTH,2014,27(2):102-105 |
| “双心医学”模式下社区老年心脏病患者的抑郁症状 |
| The depressive symptoms among elderly people with cardiovascular disease according to the “Psycho-Cardiology”medicine |
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| DOI：10.11886/scjsws201402002 |
| 中文关键词: 双心医学 心血管疾病 抑郁症状 老年 |
| 英文关键词:Psycho-Cardiology Cardiovascular disease Depression symptoms Aging |
| 基金项目:四川省卫生厅基金资助项目（120360）;泸州市科技局基金资助项目[2013-S-48（13/30）] |
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| 中文摘要: |
| 目的 探讨双心医学模式下社区老年常见心脏疾病与抑郁症状共患情况。方法采用横断面调查法,共调查771名社区老年患者,采用流调研究用抑郁量表（CES-D）调查抑郁症状,追踪老年患者的门诊或住院病历记录调查其心血管疾病：包括心绞痛、冠心病和高血压。结果心血管疾病（不包括高血压）总患病率为22.7%,其中冠心病为20.5%,心绞痛为10.9%；高血压患病率为49.3%。抑郁症状在所有心血管疾病患者中的发生率是20.9%。伴心血管疾病老年人的抑郁症状发生率（33.1%）高于无心血管疾病者（18.3%）,差异有统计学意义（χ^2=17.59,P〈0.001）；有冠心病者的抑郁症状发生率（34.8%）高于无冠心病者（18.3%）,差异有统计学意义（χ^2=20.25,P〈0.001）；有心绞痛疾病患者的抑郁症状发生率（34.5%）高于无心绞痛疾病者（20.1%）,差异有统计学意义（χ^2=9.19,P=0.002）；有高血压患者的抑郁症状发生率（25.0%）高于无高血压者（18.4%）,差异有统计学意义（χ^2=4.93,P=0.026）。结论社区老年人心血管疾病的罹患率高,在心血管疾病患者中抑郁症状的检出率比无心血管疾病患者高。需加强双心医学模式下对伴心血管疾患老年人的心理干预。 |
| 英文摘要: |
| Objective To explore the prevalence of depressive symptoms among the elderly with cardiovascular disease in the community according to the Psycho-Cardiology medical mode.Methods A cross-sectional survey was designed for this study. A total of 771 participants completed the self administered questionnaires which were the Center for Epidemiologic Studies Depression Scale （CES-D）and the records of common cardiovascular diseases （CVDs）in outpatient or inpatient,which CVDs were including angina,coronary heart disease （CHD）and hypertension.Results The overall prevalence of cardiovascular disorders （except the hypertension）was 22.7%,in which the coronary heart disease was 20.5% and the angina was 10.9%.The prevalence of hypertension was 49.3%.The prevalence of depressive in overall participants was 20.9%.The prevalence of depressive in patients with CVDs was 33.1% （vs.without CVDs was 18.3%）,the difference was significant statistics （χ^2=17. 59,P〈0.001）.The prevalence of depressive in patients with CHD was 34.8% （vs.without CHD was 18.3%）,the difference was significant statistics （χ^2=20.25,P〈0.001）.The prevalence of depressive in patients with angina was 34.5% （vs. without angina was 20.1%）,the difference was significant statistics （χ^2=9.19,P=0.002）.The prevalence of depressive in people with hypertension was 25.0% （vs.without hypertension was 18.4%）,the difference was significant statistics （χ^2=4. 93,P=0.026）.Conclusion The prevalence of the cardiovascular disease of elderly in community was high.The prevalence of depression symptoms in the CVDs patients was higher than health aging residents.The Psycho-Cardiology medical mode should be studied deeply |
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