摘要
目的了解社区慢性胃炎老年患者伴抑郁、焦虑症状的患病率及既往诊治情况。方法采用现况研究方法,收集2011年3月—2013年3月就诊于上海市嘉兴社区卫生服务中心的功能性消化不良老年患者412例,其中有效病例305例,对患者采用统一的调查表进行面对面调查,使用综合医院焦虑抑郁量表(HAD)、Hamilton焦虑量表和Hamilton抑郁量表进行心理测评。结果被确定为抑郁、焦虑症状的慢性胃炎老年患者的患病率约为44.3%。而经HAD量表确认具有抑郁、焦虑症状的患者中,抑郁和(或)焦虑障碍的患病率为70.4%;此外在非首诊患者中,经HAD量表确认具有抑郁、焦虑症状的患者病史显示诊断其抑郁障碍并给予治疗的比例低于10%。结论在社区中,慢性胃炎老年患者具有较高的抑郁、焦虑症状和抑郁、焦虑障碍患病率,且既往诊治率较低,这一现状应引起社区医务人员注意。
OBJECTIVE To describe the prevalence of depressive and/ or anxiety symptom and disorder in elderly patients with chronic gastritis in the health center in community. METHODS Face to face interview was used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening. Subjects getting a HAD score of 9 and above were further assessed for depressive and/or anxiety disorder with HAMA scales and HAMD scales. RESULTS The prevalence of depressive and/ or anxiety symptoms was 44.3% in elderly patients with chronic gastritis. And among detected depressive and/ or anxiety symptoms, the prevalence of depressive and/or anxiety disorder was 70.4%. Less than 10.0% of subjects had obtained a diagnosis of depressive disorders and been treated, and less than 7.0% of subjects had obtained a diagnosis of anxiety disorders and been treated prior to the investigation. CONCLUSIONS It＇s important for us to note that the prevalence of depressive and/or anxiety symptoms and depressive and/or anxiety disorder were high and the percentages of previous diagnosis and treatment in elderly patients with chronic gastritis of community were rather low.
出处
《中国初级卫生保健》
2014年第5期90-91,共2页
Chinese Primary Health Care
关键词
慢性胃炎
老年患者
抑郁
焦虑
chronic gastritis
elderly patient
depression
anxiety
