老年抑郁症肝郁气滞型症状相关因素的研究

[目的] 从中医理念探讨肝郁气滞型老年抑郁症患者的相关因素及对护理的启示。[方法] 按纳入标准筛选抑郁症患者共296例, 采用一般状况调查表, Zung抑郁自评量表(SDS),抑郁症中医常见证型症状表, 对老年抑郁患者性别、有无配偶、发病季节等方面进行交互效应的检验。[结果] 肝郁气滞型最多, 春季发病人数最多, 女性多于男性, 有配偶老年抑郁患者的症状严重程度均低于无配偶的老年患者, 躯体性障碍在冬季比春秋季严重。[结论] 结合中医证候及其相关因素的研究, 对老年抑郁症进行预防和干预。

Study of related factors to the symptom of liver Qi stagnation in elderly with depression

[Objective] To investigate the relevant factors and the enlightenment of nursing to liver Qi stagnation symptom in elderly with depression from the concept of traditional Chinese medicine. [Methods] Totally 296 depression patients according to the inclusion criteria wer enrolled Application of basic situation questionnaire, Zung's Self-rating Depression Scale (SDS) and table of common types and syndromes in TCM of depression, data in elderly with depression were processed by interaction effect test about gender, spouse, infection season and so on. [Results] The main type of the elderly depression was liver constraint and qi stagnation type. The number of spring incidence was the most and women patients were more than men patients. Patient who had no spouse manifested more serious symptoms than the one who had spouse. Elderly patients' somatic disorders in winter were more serious than in spring. [Conclusion] Combined with TCM symptoms and related factors should provide prevention and intervention for elderly with depression.