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血管外科收治的血管疾病患者中抑郁症的发生情况及功能能力评估。

Occurrence of depression and assessment of functional capacity in patients with vascular diseases admitted to a Vascular Surgery Service.

作者信息

Aragão José Aderval, Neves Osmar Max Gonçalves, Aragão Iapunira Catarina Sant'Anna, Aragão Felipe Matheus Sant'Anna, Lourenço Bárbara Costa, Porto Luciano Conceição, Marassi Pedro Henrique Adário, Reis Francisco Prado

机构信息

Universidade Federal de Sergipe - UFS, Aracaju, SE, Brasil.

Fundação Beneficência Hospital Cirurgia - FBHC, Serviço de Cirurgia Vascular, Aracaju, SE, Brasil.

出版信息

J Vasc Bras. 2023 Dec 18;22:e20230082. doi: 10.1590/1677-5449.202300821. eCollection 2023.

Abstract

BACKGROUND

Vascular diseases are associated with significant sequelae and clinical repercussions for the lives of affected patients, which are more serious among the elderly. The consequences of vascular disease, such as limb loss, chronic pain, prolonged hospitalization, and polypharmacy, reduce these patients' autonomy and independence, influencing their wellbeing and quality of life.

OBJECTIVES

To determine the prevalence of depression and assess functional capacity in patients with vascular diseases admitted to a Vascular Surgery Service.

METHODS

This is a descriptive, cross-sectional study, carried out at the Vascular Surgery Service of a tertiary hospital with a non-random sample of patients selected consecutively. The geriatric depression scale short form (GDS-15) was used to assess depression and the Katz scale was used for functional assessment.

RESULTS

The prevalence of depression in these patients was 60.6%. Associations were observed between depression and consultation with a family doctor in the last 12 months, alcoholism, claudication, diabetes, and individuals who had had an amputation. Individuals' Katz index functional capacity scores were significantly associated with sociodemographic variables, conditions related to vascular disease, and hospitalization.

CONCLUSIONS

There was a high prevalence of depression in patients with vascular diseases admitted to a vascular surgery service and important reductions in functional capacity in some groups, such as individuals with low educational levels, those who had chronic pain in the lower limbs, patients with diabetes, and those who had had an amputation.

摘要

背景

血管疾病会给受影响患者的生活带来严重后遗症和临床影响,在老年人中更为严重。血管疾病的后果,如肢体缺失、慢性疼痛、长期住院和多种药物治疗,会降低这些患者的自主性和独立性,影响他们的幸福感和生活质量。

目的

确定血管外科收治的血管疾病患者中抑郁症的患病率,并评估其功能能力。

方法

这是一项描述性横断面研究,在一家三级医院的血管外科进行,连续选取非随机样本患者。采用老年抑郁量表简表(GDS-15)评估抑郁情况,采用Katz量表进行功能评估。

结果

这些患者中抑郁症的患病率为60.6%。在过去12个月内与家庭医生会诊、酗酒、间歇性跛行、糖尿病以及接受过截肢手术的患者与抑郁症之间存在关联。个体的Katz指数功能能力得分与社会人口统计学变量、血管疾病相关状况及住院情况显著相关。

结论

血管外科收治的血管疾病患者中抑郁症患病率较高,某些群体的功能能力明显下降,如教育水平低的个体、下肢有慢性疼痛的个体、糖尿病患者以及接受过截肢手术的患者。

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