Abstract:Objective To explore the extent and correlated influencing factors of cognitive function injury of depressed elderly patients, provide basis for preventing cognitive function injury. Methods Totally 158 depressed elderly patients were divided into injury group (n=103) and non-injury group (n=55). With questionnaire and scales we evaluated both groups of patients, compared MMSE and ADL scores between both groups, then analyzed the influencing factors of the correlated risk factors of cognitive function injury. Results The incidence rate of cognitive function injury was 65.2% in these 158 cases of depressed elderly patients. The scores of MMSE, subjective support degree, objective support degree and support availability in the injury group were much lower than those in the non-injury group (P<0.05). But ADL score in the injury group was much higher than that in the non-injury group (P<0.05). Conclusion There was a high incidence rate of cognitive function injury in these depressed elderly patients, the mental status and activity of daily living of the patients with cognitive function injury descend in some extent. The high risk factors of cognitive function injury of depressed elderly patients include living alone, diabetes, experience many life events, and low social support.
邹陈君, 张应忠, 刘之旺, 陶长林. 老年抑郁症患者认知功能损害程度及其影响因素分析[J]. 中国医院统计, 2017, 24(1): 34-36.
Zou Chenjun, Zhang Yingzhong, Liu Zhiwang, Tao Changlin. Study on extent and correlated influencing factors of cognitive function injury of depressed elderly patients. journal1, 2017, 24(1): 34-36.
[1] 张玲,徐勇,聂宏伟.2000—2010年中国老年人抑郁患病率的meta分析[J].中国老年医学杂志,2011,31(17):3349-335. [2] 宋美,安翠霞,谢冰,等.河北省城市社区老年人抑郁情绪与认知功能的相关性调查[J].精神疾病与精神卫生,2014,14(6):544-547. [3] 刘敏,张惠实,李红丽,等.老年抑郁患者的认知功能[J].中国老年病学杂志,2013,2(33):764-766. [4] AMY F, JULIE L, MARGARET G, et a1. Depression in older adults[J]. X Ann Rev Clin Psychol, 2009,5(2):363-389. [5] 衣磊,于慧,崔维珍.老年抑郁症患者认知功能损害的随访研究[J].四川精神卫生,2015,28(3):231-233. [6] WANG YM, SONG M, WANG XY, et al. Increased prevalence of clinical depression3in elderly Chinese subjects with cardiovascular disease[J]. Exp Clin Cardiol, 2014,20(6):3801-3816. [7] ARSLANTAS D, ONSAL A, OZBABALLK D. Prevalence of depression and associated risk factors among the elderly in Middle Anatolia,Turkey[J]. Geriatr Gerontol Int, 2014,14(1):100-108. [8] 俞丽华.老年抑郁症患者认知功能损伤的影响因素[J].中国老年学杂志,2013,11(33):5328-5330. [9] 张为,周博锋,胡才友,等.老年无症状性脑梗死患者的认知功能障碍及其影响因素[J].中国全科医学,2010,13(20):2190-2192. [10]宋美,许顺江,于鲁,等.重大生活事件对老年人认知功能的影响[J].中华精神科杂志,2012,45(6):354-358. [11]ALEXANDRE Y, BARBARA J, SAHAKIAN, et al. Social emotion recognition, social functioning, and attempted suicide in late-life depression[J]. Am J Geriatr Psy chiatry, 2012,20(3): 500-504. [12]秦碧勇,戴立磊, 郑艳.老年抑郁症患者认知功能受损与社会支持的相关性及其危险因素分析[J].海南医学,2015,26(19): 2847-2849.