老年期抑郁症的临床特点及护理对策

目的探讨老年期抑郁症的临床特点及相关护理策略。方法按CCMD-3诊断标准，收集46例60岁以上首次抑郁发作的患者（老年组）为观察组，同期随机抽取的18～44岁首次发作的患者（青壮年组）为对照组，将有关资料进行统计学分析处理。结果老年组以焦虑、激越、食欲减退、体重下降、疑病观念、罪恶妄想、自杀及躯体不适为主要临床表现，抑郁情绪并不明显。诱发因素多是躯体疾病。其余症状两组比较差异无显著性。结论躯体疾病是老年期抑郁症的起病原因之一，抑郁情绪不明显，常伴有妄想症状，自杀率高，危险性大。在临床上应采取相应的整体护理策略。

Clinical Features of Senile Patients with Depression and the Nursing Countermeasures

Objective To study the clinical features of the senile patients with depression the related nursing countermeasures. Methods According to CCMD - 3 diagnosis standard, 46 senile patients over 60 years old with first occurrence of depression were selected to form observation group, and 46 young adults from 18 to 44 years old with first occurrence of depression were randomly selected to form control group, statistical analysis was made to their clinical data. Results The main clinical manifestations of observation group were anxiety, agitation, poor appetite, weight loss, hypochondria, delusion of sins and physiological illness, their depressive emotion was not obvious; physiological illness was the main inducing factor; other symptoms in both groups showed no obvious difference. Conclusions Physiological illness was one of the causes of senile patients with depression, the senile patients show out no obvious depressive emotion but often had delusion symptom and high suicide rate; the correlated holistic nursing should be taken in clinic.