老年人抑郁症的影响因素及干预措施

发布时间：2018-07-26 08:19

【摘要】：目的探讨老年人抑郁症的影响因素及其干预措施。方法对在我院住院治疗的老年人进行一般情况问卷,并根据老年抑郁量表(GDS)的筛查结果,选出32例患有老年抑郁症的患者,采用心理疗法、运动疗法、行为疗法、药物治疗和电抽搐疗法等措施对其进行3个月的干预治疗,分别于干预前后用CES-D抑郁自评量表和临床常用HAMD量表进行抑郁状态的评定,并对干预前后结果进行比较。结果 Logistic多元回归分析发现,影响老年人抑郁的因素主要是躯体因素、离退休、丧偶、再婚、空巢现象、经济上的失调、遗传因素、心理因素,治疗干预后患者的CES-D量表总分、HAMD量表总分低于干预前,差异有统计学意义(P0.05)。结论影响老年抑郁症的主要因素有躯体因素、社会生活事件、心理因素和遗传因素,经过干预治疗老年患者的抑郁症状得到缓解,为老年抑郁症的防治提供依据。
[Abstract]:Objective to explore the influencing factors and intervention measures of depression in the elderly. Methods 32 elderly patients with senile depression were selected according to the results of (GDS) screening. The patients were treated with psychotherapy, exercise therapy and behavioral therapy. The patients were treated with drug therapy and electric convulsion therapy for 3 months. The depression status was evaluated by CES-D depression self-rating scale and HAMD scale before and after intervention, and the results before and after intervention were compared. Results Logistic multiple regression analysis showed that the main factors influencing depression in the elderly were somatic factors, retirement, widowhood, remarriage, empty nest, economic disorders, genetic factors and psychological factors. The total score of CES-D scale and Hamd scale after intervention were lower than those before intervention (P0.05). Conclusion the main factors influencing senile depression are somatic factors, social life events, psychological factors and genetic factors. After intervention, the depression symptoms of elderly patients are alleviated, which provides the basis for the prevention and treatment of senile depression.
【作者单位】：济南市中心医院保健会员科;
【分类号】：R749.4

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