CAJ | 학술논문

目的探讨福州城市社区老年高血压患者抑郁状况及其影响因素. 方法采用老年抑郁量表(GDS)中文版及自编的一般资料问卷对福州市社区882例≥60岁的原发性老年高血压患者和1230例未患高血压老年人进行测试研究,并用SPSS 16.0软件对结果进行分析. 结果老年高血压患者抑郁得分及发生率为[(12.43±5.01)分,64.4％]高于老年对照组[(11.53±5.13)分和55.3％],(t=-3.849,x2=16.386,均P＜0.01);不同年龄,男性、有配偶、文化程度初中及以下、月收入2000元以下、医疗费用自费、部分自费的老年高血压患者抑郁总分均高于对照组(均P＜0.05),有无吸烟、饮酒、参与社区活动、兴趣爱好少、有经常运动的老年高血压患者抑郁总分均高于对照组(均P＜0.05),不同居住情况、家庭支持、家庭开支及家庭照顾好的老年高血压患者抑郁总分均高于对照组(均P＜0.05);多元逐步回归分析显示老年高血压患者抑郁发生影响因素为:家庭支持、年龄、医疗支付方式、家庭开支、居住情况、兴趣爱好、性别;对照组抑郁发生影响因素为:家庭支持、兴趣爱好、医疗支付方式、年龄. 结论福州城市社区老年高血压患者抑郁发生率高于未患高血压老年人群,家庭支持、兴趣爱好、医疗支付方式、年龄是老年高血压患者和未患高血压老年人抑郁发生的共同影响因素,家庭开支、居住情况、性别等因素是影响老年高血压患者抑郁发生的重要因素.
목적 탐토복주성시사구노년고혈압환자억욱상황급기영향인소. 방법 채용노년억욱량표(GDS)중문판급자편적일반자료문권대복주시사구882례≥60세적원발성노년고혈압환자화1230례미환고혈압노년인진행측시연구,병용SPSS 16.0연건대결과진행분석. 결과 노년고혈압환자억욱득분급발생솔위[(12.43±5.01)분,64.4％]고우노년대조조[(11.53±5.13)분화55.3％],(t=-3.849,x2=16.386,균P＜0.01);불동년령,남성、유배우、문화정도초중급이하、월수입2000원이하、의료비용자비、부분자비적노년고혈압환자억욱총분균고우대조조(균P＜0.05),유무흡연、음주、삼여사구활동、흥취애호소、유경상운동적노년고혈압환자억욱총분균고우대조조(균P＜0.05),불동거주정황、가정지지、가정개지급가정조고호적노년고혈압환자억욱총분균고우대조조(균P＜0.05);다원축보회귀분석현시노년고혈압환자억욱발생영향인소위:가정지지、년령、의료지부방식、가정개지、거주정황、흥취애호、성별;대조조억욱발생영향인소위:가정지지、흥취애호、의료지부방식、년령. 결론 복주성시사구노년고혈압환자억욱발생솔고우미환고혈압노년인군,가정지지、흥취애호、의료지부방식、년령시노년고혈압환자화미환고혈압노년인억욱발생적공동영향인소,가정개지、거주정황、성별등인소시영향노년고혈압환자억욱발생적중요인소.
Objective To investigate the rates of depression and its risk factors in elderly hypertensive patients and healthy residents in Fuzhou.Methods 882 elderly primary hypertensive patients aged 60 years and over and 1230 healthy elderly residents were assessed by the geriatric depression scale (GDS) and a self-made general information questionnaire, and SPSS 16.0 was used to analyze data.Results The average score of depression and the incidence of depression were higher in elderly hypertensive patients than in healthy elderly residents [(12.43±5.01) vs.(11.53±5.13), 64.4％ vs.55.3％, t=-3.849, x2=16.386, P＜0.01].Compared with healthy controls, scores of depression were higher for all age groups in elderly married male patients, with low levels of education (junior middle school or below), a monthly income less than 2000 yuan, and partial or no medical insurance coverage (P＜ 0.05 for all).Scores of depression were higher in elderly hypertensive patients who had smoking or drinking habits, social activity, hobby, or physical exercise than in healthy controls, (P＜0.05 for all).Scores of depression were also higher in elderly hypertensive patients who had family support, barely enough or adequate family expenses or family support than in healthy controls, regardless of living conditions (P＜0.05 for all).Multiple stepwise regression analysis showed that risk factors for depression in elderly hypertensive patients were family support, age, medical insurance coverage, family expenses, living conditions, hobbies, and gender, while risk factors for depression in healthy elderly residents were family support, interests, medical insurance coverage, and age.Conclusions The incidence of depression is higher in elderly hypertensive patients than in health elderly people in communityin Fuzhou.Family support, hobbies, medical insurance coverage and age are the common risk factors for depression in both elderly hypertensive patients and healthy residents.Family expenses, living conditions and gender are important risk factors for depression in elderly hypertensive patients.