甘肃省精神科医师对老年抑郁症的认知状况调查

发布时间：2018-01-29 11:49

本文关键词： 老年抑郁症精神科医师认知相关因素　出处：《兰州大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:了解甘肃省精神科医师对老年抑郁症的认知状况,分析不同因素对该疾病认知的影响,为今后老年抑郁症相关预防与治疗的拓展提供科学参考。方法:阅读大量文献基础上设计《老年抑郁症综合防治需求调查问卷》,在调查员的指导下由调查对象自己填写,采用普查的方法向甘肃省兰州、白银、平凉、定西、陇南、武威等共14家医院发放调查问卷212份,实际收回174份,回收率为82.08%,剔除1份无效问卷,实得有效问卷173份,有效率为99.43%。录入数据利用Epidata软件,并应用SPSS17.0统计学软件进行统计分析,组间的比较利用?2检验。结果:共调查精神科医师173人,工作5-10年的占45.66%(79/173),初级职称占53.18%(92/173),本科学历占53.76%(93/173)。调查结果表明,甘肃省精神科医生认为15种抑郁症伴发疾病中,最难治且常见的分别为睡眠障碍伴抑郁、痴呆(主要指阿兹海默或帕金森)伴抑郁及慢性肾病或长期透析患者伴抑郁,这三种疾病在相应的疾病组中被认为最难治且常见的比例分别为43.93%(76/173)、42.78%(74/173)及53.18%(92/173)。不同职称及工龄的精神科医师对睡眠障碍伴抑郁、脑卒中伴抑郁、恶性肿瘤伴抑郁、痴呆伴抑郁、冠心病伴抑郁及慢性阻塞性肺病伴抑郁的认识上存在统计学差异(p?0.05);不同学历的精神科医师对睡眠障碍伴抑郁、慢性哮喘伴抑郁、脑卒中伴抑郁、高血压伴抑郁、心力衰竭伴抑郁及慢性肾病伴抑郁的认识上存在统计学差异(p?0.05);不同单位性质的精神科医师对睡眠障碍伴抑郁、消化系统疾病伴抑郁、痴呆伴抑郁、恶性肿瘤伴抑郁、慢性肾病伴抑郁、高血压伴抑郁、冠心病伴抑郁及慢性阻塞性肺病伴抑郁的认识上存在统计学差异(p?0.05)。对于睡眠障碍伴抑郁、痴呆伴抑郁及慢性肾病伴抑郁的治疗中,精神科医师认为相应最有效且最安全的治疗措施分别为米氮平、西酞普兰及路优泰,这三种药物在对应疾病的治疗中所占比例分别为57.23%(99/173)、49.13%(85/173)及49.71%(86/173)。不同职称及工龄的精神科医师对中医、米氮平、奥氮平三种治疗措施治疗睡眠障碍伴抑郁,西酞普兰及路优泰两种治疗措施治疗痴呆伴抑郁,护理及心理治疗两种治疗措施治疗慢性肾病伴抑郁的疗效确定性之间存在统计学差异(p?0.05)。不同学历及单位性质的精神科医师对中医及米氮平两种治疗措施治疗睡眠障碍伴抑郁,西酞普兰及路优泰两种治疗措施治疗痴呆伴抑郁,护理治疗措施治疗慢性肾病伴抑郁的疗效确定性之间存在统计学差异(p?0.05)。结论:甘肃省精神科医师对常见老年抑郁伴发的躯体疾病的认识及相应治疗的选择上不一致;不同职称、工龄、学历及单位性质的医师在一些老年抑郁伴发的躯体疾病的认识及相应的治疗选择上存在差异。
[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.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R749.4

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