社区轻度认知障碍老年患者的抑郁焦虑情绪与相关因素

Depression, anxiety, and related factors in elderly patients with mild cognitive impairment in the community

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(1)
作者
作者单位

合肥市第二人民医院(安徽医科大学附属合肥医院)感染性疾病科 ;

摘要
【摘要】目的:分析社区轻度认知障碍老年患者的焦虑、抑郁情绪发生情况及其影响因素。方法:以ECXEL表格统计2023年1月到2023年6月社区内收治的轻度认知障碍患者100例进行研究,回顾性分析100例患者临床资料,统计产后抑郁发生率,并按照是否发生抑郁、焦虑情绪分组,20例发生抑郁焦虑者纳入观察组,未发生抑郁焦虑者纳入对照组,分析轻度认知障碍老年患者的发生焦虑、抑郁的相关因素。结果:经数据统计显示,100例轻度认知障碍老年中20(20.00%)例发生抑郁焦虑。单因素分析:观察组年龄、收入情况、生活满意度、饮酒、吸烟、饮酒、蒙特利尔认知评估量表(MontrealCognitiveAssessment,MoCA)评分、焦虑评分、抑郁评分、慢性病病种与对照组相比存在统计意义(P<0.05)。多因素分析:年龄<70岁、年收入<2万元、经济情况不满意、吸烟、饮酒、睡眠质量差、患有2种及以上慢性病、MoCA评分≥18分、焦虑评分≥14分、抑郁评分≥11分为导致轻度认知障碍老年患者的发生焦虑、抑郁的高危因素。结论:社区轻度认知障碍老年患者焦虑、抑郁发生率较高,且该问题的出现与家庭收入、睡眠情况、吸烟、饮酒等密切相关,因此需要在确诊后结合患者实际情况进行干预,旨在有效控制认知障碍患者病情,继而改善其预后效果。
Abstract
[Abstract] Objective: To analyze the occurrence and influencing factors of anxiety and depression in elderly patients with mild cognitive impairment in the community. Method: A study was conducted on 100 patients with mild cognitive impairment admitted to the community from January 2023 to June 2023 using the ECXEL table. Clinical data of 100 patients were retrospectively analyzed, and the incidence of postpartum depression was calculated. The group was divided according to whether depression and anxiety occurred. 20 patients with depression and anxiety were included in the observation group, while those without depression and anxiety were included in the control group. The incidence of anxiety in elderly patients with mild cognitive impairment was analyzed Related factors of depression. Result: According to data statistics, 20 (20.00%) of the 100 elderly patients with mild cognitive impairment experienced depression and anxiety. Univariate analysis: There was statistical significance (P<0.05) between the observation group and the control group in terms of age, income status, life satisfaction, alcohol consumption, smoking, alcohol consumption, Montreal Cognitive Assessment (MoCA) scores, anxiety scores, depression scores, and chronic disease types. Multivariate analysis: Age<70 years old, annual income<20000 yuan, unsatisfactory economic situation, smoking, drinking alcohol, poor sleep quality, having two or more chronic diseases, MoCA score ≥ 18 points, anxiety score ≥ 14 points, and depression score ≥ 11 points are high-risk factors for anxiety and depression in elderly patients with mild cognitive impairment. Conclusion: The incidence of anxiety and depression in elderly patients with mild cognitive impairment in the community is relatively high, and the occurrence of this problem is closely related to family income, sleep status, smoking, alcohol consumption, etc. Therefore, it is necessary to intervene based on the actual situation of the patient after diagnosis, aiming to effectively control the condition of cognitive impairment patients and improve their prognosis.
关键词
【关键词】社区;轻度;认知障碍;老年;抑郁;焦虑;相关因素
KeyWord
Keywords: community; Mild; Cognitive impairment; Old age; Depression; Anxiety; Related factors
基金项目
页码 135-138
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黄玲*. 社区轻度认知障碍老年患者的抑郁焦虑情绪与相关因素 [J]. 国际精神病学杂志. 2024; 51; (1). 135 - 138.

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