老年患者全麻术后抑郁状态的调查研究(1)
 |
| 第1页 |
参见附件(1962KB，2页)。
[摘要] 目的 了解老年患者全麻术后抑郁状态的情况。方法 对ASAⅠ～Ⅱ级、无心脑血管疾病且未服用影响神经精神系统功能药物的老年全麻术后患者，利用一般情况调查表并采用老年抑郁量表(GDS)与SCL-90症状自评量表，对患者进行抑郁状态调查。结果 老年全麻术后624例，抑郁发生121例，发生率为19.39%。患者单因素分析性别、体重以及手术时间等一般情况无显著性差异(P>0.05)，但术后多因素分析结果显示，患者年龄、术中知晓率是老年患者全麻术后抑郁发生的显著相关因素。结论 老年患者全麻术后容易产生抑郁情绪，医护人员要重视术前术后对患者的疾病宣教，消除患者的不良情绪，减少患者术后抑郁的发生。
[关键词] 老年患者；全麻术后；抑郁
[中图分类号] R195；R614 [文献标识码] B[文章编号] 1673-9701(2011)25-15-02
Investigation of Depression after General Anesthesia in Elderly Patients
SUN Wei
Taizhou Municipal Hospital, Zhejiang, Taizhou 318000, China
[Abstract] Objective To investigate the situation of postoperative depression after general anesthesia in elderly patients. Methods By using general survey, the Geriatric Depression Scale(GDS)and SCL-90 symptom assessment table, the situation of postoperative depression after general anesthesia was investigated in elderly patients who were ASAⅠ-Ⅱ grade, had no cerebrovascular disease and not taking drugs that affecting neuropsychiatric function. Results There were 121 cases of postoperative depressions among 624 cases of elderly patients after general anesthesia, and the rate was 19.39%. There was no significant difference(P>0.05) in univariate analysis of general data including gender, weight and operation time, but multivariate analysis showed that patient age, intraoperative awareness were significant relevant factors of postoperative depression after general anesthesia in elderly patients. Conclusion Elderly patients are prone to depression after general anesthesia, and medical stuffs should pay attention to disease missionary for patients before and after surgery, to eliminate the negative emotions of patients and reduce the incidence of postoperative depression.
[Key words] Elderly patients; Postoperation of general anesthesia; Depression
随着医疗条件的改善和生活水平的提高，人们的心理健康越来越受到关注，尤其老年患者受生理、心理、社会等因素的影响，发生情感障碍疾病的几率很高。流行病学资料表明[1]，抑郁性情感障碍在老年人群中表现尤为突出，严重地影响了老年人的身心健康。为探讨老年患者全麻术后抑郁状态的情况，了解引起抑郁的相关因素，对全麻术后老年患者采用老年抑郁量表(GDS)与SCL-90症状自评量表进行抑郁方面的问卷调查 ......
您现在查看是摘要介绍页，详见PDF附件(1962KB，2页)。