养老院患者焦虑症的患病率及其相关因素

Prevalence and correlates of anxiety among nursing home patients.

作者信息

Smalbrugge M, Pot A M, Jongenelis K, Beekman A T F, Eefsting J A

机构信息

Department of Nursing Home Medicine, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands.

出版信息

J Affect Disord. 2005 Oct;88(2):145-53. doi: 10.1016/j.jad.2005.06.006.

DOI:10.1016/j.jad.2005.06.006

PMID:16122811

Abstract

BACKGROUND

Very little is known about the prevalence and correlates of anxiety among nursing home patients. The current knowledge is predominantly based on information from population-based studies among elderly.

METHODS

Prevalence of anxiety was measured with the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) in a sample of 333 nursing home patients of somatic wards of 14 nursing homes in the Netherlands. Participants were over 55 years, had a MMSE-score >14 and were able to communicate sufficiently. Information about demographic, health-related, psychosocial and care-related characteristics was collected in interviews with participants and from attending physicians and nursing home staff.

RESULTS

The prevalence of anxiety disorders was 5.7%, of subthreshold anxiety disorders 4.2% and of anxiety symptoms 29.7%. Only health-related characteristics (MMSE-score >23, depression, stroke) were significantly associated with anxiety disorders and subthreshold anxiety disorders. Demographic (>6 years education), health-related (depression, impaired vision, pain) and psychosocial characteristics (a recent negative life event) were significantly associated with anxiety symptoms. No care-related characteristics were associated with anxiety.

LIMITATIONS

The study population is a selective one (>55 years, MMSE >15, able to communicate sufficiently). The data were collected cross-sectionally.

CONCLUSIONS

Anxiety disorders and anxiety symptoms occur frequently among nursing home patients and are mainly associated with health-related characteristics. Physicians should focus special attention on patients with depression or stroke.

摘要

背景

对于疗养院患者焦虑症的患病率及其相关因素，人们了解甚少。目前的认知主要基于针对老年人的基于人群的研究信息。

方法

在荷兰14家疗养院躯体病房的333名疗养院患者样本中，使用神经精神病学临床评估量表（SCAN）测量焦虑症患病率。参与者年龄超过55岁，简易精神状态检查表（MMSE）得分>14且能够充分沟通。通过与参与者访谈以及从主治医生和疗养院工作人员处收集有关人口统计学、健康相关、心理社会和护理相关特征的信息。

结果

焦虑症的患病率为5.7%，亚阈值焦虑症为4.2%，焦虑症状为29.7%。仅健康相关特征（MMSE得分>23、抑郁症、中风）与焦虑症和亚阈值焦虑症显著相关。人口统计学特征（受教育年限>6年）、健康相关特征（抑郁症、视力受损、疼痛）和心理社会特征（近期负面生活事件）与焦虑症状显著相关。无护理相关特征与焦虑相关。