老年康复科患者焦虑与抑郁症状调查研究.docVIP

老年康复科患者焦虑与抑郁症状调查研究 　　摘要：目的 探讨老年康复科患者焦虑与抑郁症状的特征及影响因素。方法 调查陕西省康复医院老年康复科老年患者，采用焦虑、抑郁自评量表（SAS、SDS），从年龄、性别、文化程度、职业和健康状况等多因素进行调查。结果 老年患者焦虑症状阳性者占所有就诊老年患者的42.22%，抑郁症状阳性者占49.44%，与对照组比较有显著性差异（P0.05）；伴有神经内科疾病组的焦虑与抑郁阳性率均高于不伴有神经内科疾病组，两组比较有显著性差异（P0.05）；焦虑和抑郁症状的发生与患者的年龄、性别、文化程度有密切关系。结论 加强老年患者躯体疾病伴发精神症状的防治是当前我国卫生工作的一项迫切任务。 　　关键词：老年；焦虑；忧郁 　　中图分类号：R749.1 文献标识码：A 文章编号：1006-1959（2017）17-0087-03 Investigation on Anxiety and Depressive Symptoms in Elderly Patients with Rehabilitation 　　XIAO Jian-hua，LIU Jiang-jing 　　（Department of Neurological Rehabilitation，Rehabilitation Hospital of Shaanxi Province，Xian 710065，Shaanxi，China） 　　Abstract：Objective To investigate the characteristics and influencing factors of anxiety and depression in elderly patients with rehabilitation.Methods The investigation of Shaanxi province elderly rehabilitation hospital of elderly patients with anxiety and depression self rating scale（sAs， sDs），were investigated from many factors such as age，gender，education，occupation and health status.Results Elderly patients with anxiety symptoms accounted for 42.22% of all elderly patients，49.44% of depressive symptoms were positive，compared with the control group，there was significant difference（P0.05）；the positive rate of anxiety and depression was higher in patients with neurological disease than those without neurological disease. There was significant difference between the two groups（P0.05）；Anxiety and depression symptoms are closely related to the age，gender and education level of the patients.Conclusion It is an urgent task to strengthen the prevention and treatment of somatic diseases associated with mental symptoms in elderly patients. 　　Key words：Old age；Anxiety；Depression 　　?S着我国社会经济的快速发展和人民生活水平的迅速提高，生活节奏加快，竞争压力加大，躯体疾病伴有焦虑、抑郁症的现象已经引起医学心理学界的广泛关注及患者自身的重视。但这些心理障碍患者的就医表现方式是以各种躯体化的症状来体现，患者大多数认为是躯体的疾病导致的，而没有意识到是心理因素的原因。因此，本研究针对老年患者的心理障碍的情况、患病的症状及影响因素做调查，澄清认识，消除误区，为今后老年患者的心理障碍寻求更有效的诊断及治疗提供理论依据。 　　1资料与方法 　　1.1一般资料 　　选自2016年3月～12月陕西省康复医院老年康复科门诊就诊60岁以上患者中经常以头