抑郁症是老年住院慢性患者的常见病——一项横向研究

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摘要

目的:了解老年住院患者抑郁症的患病率及其与慢性疾病的关系。方法:在阿尔巴尼亚南部一家地区医院进行了一项横向研究,其中包括100名住院慢性患者。研究历时1个月,采用患者健康问卷(PHQ-9)进行数据收集。每位参与者都填写了一份经过验证的阿尔巴尼亚语版问卷。诊断为各种病理但未入院的患者被排除在研究之外。资料分析采用描述性统计。结果:参与者平均年龄55.9±18.45岁。女性占46%,男性占54%。评估抑郁的变量结果如下:24%的女性患者几乎每天都报告“做事没有兴趣或乐趣”;15%的女性和11%的男性患者报告“情绪低落、抑郁或绝望”;39%的女性和24%的男性患者感到“疲倦或没有精力”。诊断与抑郁倾向显著相关,p<0.05。最常见的诊断为高血压、糖尿病和脑卒中,分别为23.00%、14.00%和10.00%。结论:抑郁症状在老年慢性病住院患者中更为常见。他们需要更长的康复时间,这影响了一天的住院时间。为了提高患者的护理质量和生活质量,建议进行常规的抑郁症筛查并给予护士更多的支持。
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Depression a common condition in older hospitalized chronic patients-a transversal study
Objective: To examine the prevalence of depression among older hospitalized patients and its relation to chronic diseases. Method: A transversal study was conducted in a Regional Hospital in South Albania which included a total of 100 hospitalized chronic patients. The study lasted one month and the Patient Health Questionnaire (PHQ-9) was used for the data collection. Each participant completed a validated Albanian version of the questionnaire. Patients diagnosed with various pathologies who presented for examination but were not admitted to the hospital were excluded from the study. For the data analyses were used descriptive statistics. Results: Participants’ mean age was 55.9 ± 18.45. 46 % of patients were female and 54% were male. The results of variables assessing the depression were as follows: 24% of female patients report “Little interest or pleasure in doing things” nearly every day; 15% of female and 11% of male patients report “Feeling down, depressed, or hopeless”; 39% of female and 24% of male patients feel “tired or have little energy”. The diagnosis was significantly associated with the trend for depression, p<0.05. The most frequent diagnoses diagnosis were hypertension, diabetes, and stroke respectively 23.00%, 14.00%, and 10.00%. Conclusion: Depressive symptoms occur more commonly in older hospitalized patients with chronic diseases. They require a longer rehabilitation time, which influences the day hospital stay. For improving the quality of care and life of this patient a routine depression screening and more support from nurses are recommended.
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