上海社区老年人轻性抑郁障碍的初步调查 - 中华医学会.docVIP

上海初级卫生保健系统老年就诊人群的抑郁状况研究 寿涓1 祝墡珠*1 刘春辉2 刘瑶1 刘申2 郑文韬2 龚剑1 朱瑞骅1 摘要 目的 调查上海初级卫生保健系统老年就诊人群的抑郁状况，分析可能的相关危险因素，以提高基层医务人员对老年抑郁的识别。 方法 2011.4~2011.6间，选择在石门二路社区卫生服务中心就诊的老年人做为研究对象，采用横断面问卷调查法（包括PHQ-9、老年人一般情况调查表和社会支持评定量表），由调查员现场解释和说明，研究对象自行填写问卷。 结果 ①1332名老年人纳入研究，男性554人（41.6%），女性778人（58.4%）；平均年龄（72±11）岁；19.6%的老年人有抑郁症状。②老年人的平均社会支持总分为（33.2±8.9）；有抑郁症状的老年人主观支持分、客观支持分、对支持的利用度等均低于无抑郁的老年人，其差别有显著的统计学差异（t=5.299，P﹤0.01）。③Logistic回归分析表明：与配偶关系、生活满意度、每月医疗费用占家庭开支的百分比、户外运动以及客观社会支持是的相关危险因素。The Study of the Late-life Depression in Primary Care in Shanghai Shou Juan1, Zhu Shanzhu1, Liu Chunhui2, Liu yao1, Liu Shen2, Zheng Wentao2, Gong Jian1, Zhu Ruihua1 Abstract Objective This study aimed to assess the prevalence of depressive symptoms among primary care elderly in Shanghai, and to analyze the correlative hazards so as to improve the identification of the condition for general practitioners. Methods This was a cross over study. During Apr. 2011 to Jun. 2011, consecutive patients aged 60 years and older from Shimen No.2 Road community health service center were invited to fill out surveys which comprised of a screening questionnaire based on PHQ-9 and various sociodemographic and health-related variables, and social support revalued scale as well. Subjects were to fill out the questionnaire autonomously as they waited in the reception area for their consultations, with site instruction provided by the investigators. Results ①Total 1332 subjects were recruited in this study, male 554(41.6%) and female 778(58.4%), with average age (72±11). The prevalence of depressive symptoms in Chinese primary care was 19.6%. ②The average social support score was (33.2±8.9). There were significant differences in subjective support, objective support and usage of support between 1.中山医院全科医学科，复旦大学全科医学系；2.石门二路社区卫生服务中心 基金项目：上海市公共卫生三年行动计划全科医学重点学科建设项目，基金编号12GWZX1001 *通讯作者，Email：zhu.shanzhu@ the depressive and non-depressive eldly (t=5.299，P﹤0.01Logistic regression analysis showed the prominent risk factors i