中国老年人抑郁主要影响因素的Meta分析
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摘要
通过检索中国知网数据库、万方数据库、中国生物医学文献数据库、维普中文期刊全文数据库、Pubmed等数据库,收集建库至2017年11月国内外公开发表的研究中国老年人抑郁影响因素的相关文献,使用RevMan 5. 3进行Meta分析。研究结果表明,中国老年抑郁的影响因素分别为女性、独居、健康自评差、健康状况差、高年龄、农村户口、文化程度高、自理能力受限、缺乏运动、无兴趣爱好、无社交活动。其中文化程度高为保护因素,其他为危险因素。
We performed online searches of the CNKI,Wanfang,CBM,VIP,Pubmed in November 2017 to find studies of influencing factors of depression in Chinese old people. RevMan 5. 3 was used to perform the meta-analysis. We found that the influencing factors of Chinese old people depression are female gender,living alone,poor in self-perceived health,in worse self-rated health state,with older age,the rural household registration,high education level,limited inself-care ability,lack of exercise,no interest,no social activities. The high degree of culture was a protective factor and others are risk factors.
We performed online searches of the CNKI,Wanfang,CBM,VIP,Pubmed in November 2017 to find studies of influencing factors of depression in Chinese old people. RevMan 5. 3 was used to perform the meta-analysis. We found that the influencing factors of Chinese old people depression are female gender,living alone,poor in self-perceived health,in worse self-rated health state,with older age,the rural household registration,high education level,limited inself-care ability,lack of exercise,no interest,no social activities. The high degree of culture was a protective factor and others are risk factors.
引文
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[2]谭庆荣.老年期抑郁的特点及治疗[J].中华精神科杂志,2013,46(3):180-181.
[3] Cole MG,Mc Cusker JL,Elie M,et al. Systematic detection and multidisciplinary care of depression inolder medical in patient's:a randomized trial[J]. Can Med Assoc,2006; 174,38-44.
[4]刘津,李淑然.老年精神状况量表(CMS)及其计算机诊断系统(AGECAT)[J].中国心理卫生杂志,2001,15(l):19-20.
[5] Andressen EM,Malmqren JA,Carter WB,et al.Screening for depression in well older adults:evaluation of a short form of the CESD(Center for Epidemiologic Studies Depression Scale[J].Am J Pre Med,1994,10(2):77—84.
[6]叶瑞繁,耿庆山,陈剑,等. 3种焦虑评定量表在综合医院门诊患者中的应用比较[J].中华行为医学与脑科学杂志,2013,22(3):271-273.
[7]张赛,杜蕾,金光辉,等.社区老年慢性病患者的抑郁状况及对抑郁情绪认知情况的调查[J].中国全科医学,2011,14(16):1830-1833.
[8] Lee HB,Chiu HF,Kowk WY,et al. Chinese elderly and the GDS shortform:A preliminary study[J]. J Aging Mental Health,1993,14(2):37-42.
[9] Rostom A,Dube C,Cranney A. Agency for Healthcare Research and Quality(US)[EB/OL].[2004-09-23]. http://www. ncbi. nlm.nih. gov/books/NBK35156.
[10]戴必兵,彭义升,李娟.老年人抑郁症状与情绪调节策略的横断面研究[J].老年心理卫生,2014,28(3):192-196.
[11]黄庆波,陈功.北京市社区老年人抑郁的影响因素[J].中国老年学杂志,2017,37(4):993-994.
[12]陈玉明,庄晓伟,刘寒,等.上海市社区老年人常见心理问题现况及其影响因素研究[J].中国全科医学,2017,20(30):3781-3785.
[13]黄海蓉,陈晓峰,孙仕强,等. 360名深圳市退休老年人的抑郁状况及其影响因素分析[J].中国疗养医学,2016,25(7):684-686.
[14]汤亚雨,张宁,贾坚,等.老年代谢综合征患者合并焦虑抑郁状况及影响因素分析[J].中华全科医师杂志,2017,16(6):453-456.
[15]熊健.老年人抑郁症的影响因素及干预措施研究[J].中国医药指南,2016,14(33):119-120.
[16]何向阳,刘峥,刘曼云,等.老年人抑郁症状合并躯体疼痛的相关因素[J].老年心理卫生,2017,31(9):714-717.
[17]袁慧琳,张小丽,邢凤梅,等.空巢老年人的抑郁状况及影响因素[J].中国老年学杂志2016,36(11):2750-2751.
[18]徐道祥,史惠敏.农村丧偶老人抑郁症相关影响因素及干预措施建议[J]中国公共卫生管理. 2017,33(1):147-148.
[19]马颖,傅华,王家骥,等.中国4省市社区空巢和非空巢老人抑郁症状及相关影响因素研究[J].中华流行病学杂志2012,33(5):478-482.
[20]张迪,榻春裕,白波.北京市城市2个社区老年人抑郁症状的调查与分析[J].中国健康心理学杂志,2014,22(10):1480-1482.
[21]曹裴娅,罗会强,侯利莎,等.中国45岁及以上中老年抑郁症状及影响因素研究[J].四川大学学报:医学版,2016,47(5):763-767.
[22] Hackett L,Yapa C,Parag V,et al. Frequency of depression after stroke:a systematic review of observational studies[J]. Stroke,2005,36(6):1330-1340.
[23] Weinger K,Lee J. Psychosocial and psychiatric challenges of diabetes mellitus[J]. Nurs Clin NorthAm,2006,41(4):667-680.
[24]马秋平,周琦,钟美容,等.广西重阳老年公寓老年人脑卒中后抑郁状况及影响因素分析[J].中国老年学杂志,2010,30(6):737-73.
[25]唐丹,邹君,申继亮,等.老年人一般自我效能感的影响因素[J].中国老年学杂志,2006,26(11):1451-1453.
[26]陶琼英,马修强.上海市某养老机构老年人抑郁状况调查[J].护理研究,2013,27(12):4109-4111.
[27] Murata C,Condo K,Hirai H,et al. Associalion between depression and socio-economic status among community—dwelling elderly in Japan The aichigemntological evaluation study(AGES)[J]. Health Place,2008,14(3):406-414.
[2]谭庆荣.老年期抑郁的特点及治疗[J].中华精神科杂志,2013,46(3):180-181.
[3] Cole MG,Mc Cusker JL,Elie M,et al. Systematic detection and multidisciplinary care of depression inolder medical in patient's:a randomized trial[J]. Can Med Assoc,2006; 174,38-44.
[4]刘津,李淑然.老年精神状况量表(CMS)及其计算机诊断系统(AGECAT)[J].中国心理卫生杂志,2001,15(l):19-20.
[5] Andressen EM,Malmqren JA,Carter WB,et al.Screening for depression in well older adults:evaluation of a short form of the CESD(Center for Epidemiologic Studies Depression Scale[J].Am J Pre Med,1994,10(2):77—84.
[6]叶瑞繁,耿庆山,陈剑,等. 3种焦虑评定量表在综合医院门诊患者中的应用比较[J].中华行为医学与脑科学杂志,2013,22(3):271-273.
[7]张赛,杜蕾,金光辉,等.社区老年慢性病患者的抑郁状况及对抑郁情绪认知情况的调查[J].中国全科医学,2011,14(16):1830-1833.
[8] Lee HB,Chiu HF,Kowk WY,et al. Chinese elderly and the GDS shortform:A preliminary study[J]. J Aging Mental Health,1993,14(2):37-42.
[9] Rostom A,Dube C,Cranney A. Agency for Healthcare Research and Quality(US)[EB/OL].[2004-09-23]. http://www. ncbi. nlm.nih. gov/books/NBK35156.
[10]戴必兵,彭义升,李娟.老年人抑郁症状与情绪调节策略的横断面研究[J].老年心理卫生,2014,28(3):192-196.
[11]黄庆波,陈功.北京市社区老年人抑郁的影响因素[J].中国老年学杂志,2017,37(4):993-994.
[12]陈玉明,庄晓伟,刘寒,等.上海市社区老年人常见心理问题现况及其影响因素研究[J].中国全科医学,2017,20(30):3781-3785.
[13]黄海蓉,陈晓峰,孙仕强,等. 360名深圳市退休老年人的抑郁状况及其影响因素分析[J].中国疗养医学,2016,25(7):684-686.
[14]汤亚雨,张宁,贾坚,等.老年代谢综合征患者合并焦虑抑郁状况及影响因素分析[J].中华全科医师杂志,2017,16(6):453-456.
[15]熊健.老年人抑郁症的影响因素及干预措施研究[J].中国医药指南,2016,14(33):119-120.
[16]何向阳,刘峥,刘曼云,等.老年人抑郁症状合并躯体疼痛的相关因素[J].老年心理卫生,2017,31(9):714-717.
[17]袁慧琳,张小丽,邢凤梅,等.空巢老年人的抑郁状况及影响因素[J].中国老年学杂志2016,36(11):2750-2751.
[18]徐道祥,史惠敏.农村丧偶老人抑郁症相关影响因素及干预措施建议[J]中国公共卫生管理. 2017,33(1):147-148.
[19]马颖,傅华,王家骥,等.中国4省市社区空巢和非空巢老人抑郁症状及相关影响因素研究[J].中华流行病学杂志2012,33(5):478-482.
[20]张迪,榻春裕,白波.北京市城市2个社区老年人抑郁症状的调查与分析[J].中国健康心理学杂志,2014,22(10):1480-1482.
[21]曹裴娅,罗会强,侯利莎,等.中国45岁及以上中老年抑郁症状及影响因素研究[J].四川大学学报:医学版,2016,47(5):763-767.
[22] Hackett L,Yapa C,Parag V,et al. Frequency of depression after stroke:a systematic review of observational studies[J]. Stroke,2005,36(6):1330-1340.
[23] Weinger K,Lee J. Psychosocial and psychiatric challenges of diabetes mellitus[J]. Nurs Clin NorthAm,2006,41(4):667-680.
[24]马秋平,周琦,钟美容,等.广西重阳老年公寓老年人脑卒中后抑郁状况及影响因素分析[J].中国老年学杂志,2010,30(6):737-73.
[25]唐丹,邹君,申继亮,等.老年人一般自我效能感的影响因素[J].中国老年学杂志,2006,26(11):1451-1453.
[26]陶琼英,马修强.上海市某养老机构老年人抑郁状况调查[J].护理研究,2013,27(12):4109-4111.
[27] Murata C,Condo K,Hirai H,et al. Associalion between depression and socio-economic status among community—dwelling elderly in Japan The aichigemntological evaluation study(AGES)[J]. Health Place,2008,14(3):406-414.