老年慢性阻塞性肺疾病患者抑郁发病情况及影响因素分析

摘要

目的：探讨老年慢性阻塞性肺疾病（COPD）患者抑郁发病情况及影响因素，为老年慢性阻塞性肺病患者抑郁症的预防和治疗提供理论依据。方法：选取本院2012年1月-2013年6月收治的135例老年慢性阻塞性肺疾病患者作为研究对象，采用CES-D抑郁量表进行调查，分析抑郁发病情况及其影响因素。结果：135例COPD患者中共55例发生抑郁，发病率40.74%。年龄、吸烟情况、病情严重程度以及COPD病程是影响COPD患者抑郁发病情况的独立危险因素（P<0.05）。病情严重程度是最强因素。结论：老年慢性阻塞性肺病患者抑郁发病率较高，年龄、吸烟情况、病情严重程度以及COPD病程是影响COPD患者抑郁发病情况的独立危险因素，应针对性给予情感支持和心理干预。%Objective:To investigate the factors and the effects of depression on elderly patients with chronic obstructive pulmonary disease,and provide a theoretical basis for the prevention and treatment of elderly patients with chronic obstructive pulmonary disease in patients with depression.Method:One hundred and thirty-five patients with chronic obstructive pulmonary disease in our hospital from January 2012 to June 2013 were chosen as the experimental objects. They were investigated by CES-D depression scale investigation. The depression and its influencing factors of patients with COPD were analyzed.Result:There were 55 cases of depression in 135 COPD patients,incidence rate was 40.74%. The age, smoking status,disease severity and course of COPD were the independent risk factors of depression in patients with COPD disease(P<0.05). The severity of the disease was the strongest factor.Conclusion:Elderly patients with chronic obstructive pulmonary disease have high incidence of depression,age,smoking status,disease severity and course of COPD are the independent risk factors of depression in patients with COPD disease. They should be targeted to give emotional support and mental intervention.