| Abstract |
[Abstract] Objective: To explore the situation and influencing factors of anxiety and depression in elderly chronic disease patients in the community. Methods: A cross-sectional stratified survey method was used to study 1660 elderly patients with chronic diseases from January 2022 to December 2022 in eight communities in Suzhou. The incidence of anxiety and depression in 1660 patients was evaluated with Zung Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS). At the same time, the Demography data and clinical data of patients were retrospectively investigated, including age, gender, family income, cultural background, types of chronic diseases Analyze the relevant risk factors for anxiety and depression in elderly patients with chronic diseases, such as living habits. Result: Among 1660 elderly patients with chronic diseases, after evaluation, 823 cases (49.58%) had anxiety symptoms, 849 cases (51.14%) had depression symptoms, and 752 cases (45.30%) were accompanied by anxiety and depression; Univariate analysis showed that there was no statistically significant difference (P>0.05) in SDS and SDS scores among patients of different genders and age groups. However, there was a statistically significant difference (P<0.05) in SDS and SDS scores among patients with different cultural backgrounds, living styles, family income, and chronic disease types; Logistic regression analysis: Living alone and having a large number of chronic diseases are the main risk factors for anxiety and depression in elderly patients with chronic diseases, while high family income is a protective factor for anxiety and depression in elderly patients with chronic diseases (P<0.05). Conclusion: Elderly patients with chronic diseases have a higher probability of developing anxiety and depression, often coexisting with the primary disease. The main risk factors that affect the occurrence of anxiety and depression are the large number of patients and living alone. Therefore, it is extremely necessary to conduct psychological assessment for patients with this type of disease in clinical practice, and actively intervene in risk factors to achieve the goal of improving the quality of life of patients.
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