抑郁症对海南省老年慢性阻塞性肺疾病患者的影响及治疗

发布时间：2018-12-16 19:24

【摘要】：目的观察和比较抑郁症对海南省老年慢性阻塞性肺疾病(COPD)患者临床预后质量的影响。方法选取171例老年COPD患者,采用抑郁自评量表和汉密顿抑郁量表-17对入选患者的抑郁状况进行调查。结果 171例老年COPD患者中,伴有不同程度抑郁症107例;64例无抑郁症的COPD患者1 s用力呼气容积(FEV1)/用力肺活量(FVC)及FEV1占预计值比例均高于COPD合并抑郁症患者,差异有统计学意义(P0.01);两组年龄、性别、病程、婚姻状况、文化程度、家庭人均月收入、认知能力、日常生活自理情况、家庭支持、医疗费用差异均有统计学意义(P0.05)。结论老年COPD患者抑郁症发病率较高,应在情绪调节、心理疏导、药物选择等方面给予患者更多的支持,同时尽量改善患者的生活环境,提高诊疗效果。
[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.
【作者单位】：海南西部中心医院呼吸内科;中安联合投资集团有限公司;北京交通大学经济管理学院;华中科技大学同济医学院医药卫生管理学院;
【基金】：国家自然科学基金项目资助(No.71373091) 湖北省卫生计生科研基金资助(No.WJ2015Z048) 湖北省高校人文社科重点研究基地开放基金资助(No.2015YB001)
【分类号】：R563.9;R749.4

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