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家庭医学中的老年抑郁症

Geriatric Depression in Family Medicine.

作者信息

Alibasic Esad, Ramic Enisa, Bajraktarevic Amila, Karic Enisa, Batic-Mujanovic Olivera, Ramic Irma, Alibasic Emir

机构信息

Department of Family Medicine, Primary Health Care Center Kalesija, Bosnia and Herzegovina.

Department of Family Medicine, Primary Health Care Center and Polyclinics Dr Mustafa Sehovic Tuzla, Bosnia and Herzegovina.

出版信息

Mater Sociomed. 2018 Mar;30(1):26-28. doi: 10.5455/msm.2018.30.26-28.

DOI:10.5455/msm.2018.30.26-28
PMID:30429685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6234651/
Abstract

INTRODUCTION

Elderly persons often suffer from depression, without anyone around them noticing. Depression is more common at physically ill elderly person then at their physically healthy contemporary. It is important mental health problem of developed society, because it is still faintly revealed thus insufficiently treated.

OBJECTIVE

To explore the existence of geriatric depression in elderly persons living on their own and those who live in family environment.

MATERIALS AND METHODS

The research included 200 elderly respondents, experimental group made of elderly persons (>65 years) living alone. Control group included elderly persons living in a family environment. Universal geriatric questionnaire was made for this research. To assess the presence of depression at respondents we used "The scale of geriatric depression".

RESULTS

The average age (±SD) was 75,4±6,2 years in the experimental group, while in the control group the average age was 74,9±5,6 years. In the experimental group there is significantly larger number of elderly persons that are neglected (p=0,001). Elderly respondents surrounded by loneliness are more depressive than elderly living in the family environment. Statistically geriatric depression is significantly connected with inability for everyday activities, with decreased result of cognitive abilities and indicated result of dementia (P=0.001).

CONCLUSION

Depression is an important mental health problem of the developed society, because it is still faintly discovered and by that insufficiently treated. Organizing approach to different aspects of geriatric health, doctors of the primary protection can improve care of their elderly patients.

摘要

引言

老年人常患有抑郁症,身边却无人察觉。身体患病的老年人比身体健康的同龄人更易患抑郁症。这是发达社会中一个重要的心理健康问题,因为其症状仍未得到充分揭示,因而治疗不足。

目的

探讨独居老人和家庭环境中老人是否存在老年抑郁症。

材料与方法

该研究纳入了200名老年受访者,实验组由独居老人(>65岁)组成。对照组包括生活在家庭环境中的老人。为此项研究编制了通用老年问卷。我们使用“老年抑郁量表”来评估受访者是否存在抑郁症状。

结果

实验组的平均年龄(±标准差)为75.4±6.2岁,而对照组的平均年龄为74.9±5.6岁。实验组中被忽视的老年人数量显著更多(p = 0.001)。孤独的老年受访者比生活在家庭环境中的老年人更易抑郁。从统计学角度来看,老年抑郁症与无法进行日常活动、认知能力下降以及痴呆症迹象显著相关(P = 0.001)。

结论

抑郁症是发达社会中一个重要的心理健康问题,因为其仍未得到充分发现,因而治疗不足。通过对老年健康不同方面采取系统性方法,初级保健医生可以改善对老年患者的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/6234651/4d98e264e9a4/MSM-30-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/6234651/ab1ddb1abd42/MSM-30-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/6234651/4d98e264e9a4/MSM-30-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/6234651/ab1ddb1abd42/MSM-30-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/6234651/4d98e264e9a4/MSM-30-26-g002.jpg

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