west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "抑郁" 171 results
  • Construction and validation of the associated depression risk prediction model in patients with type Ⅱ diabetes mellitus

    ObjectiveTo explore the risk factors for accompanying depression in patients with community type Ⅱ diabetes and to construct their risk prediction model. MethodsA total of 269 patients with type Ⅱ diabetes accompanied with depression and 217 patients with simple type Ⅱ diabetes from three community health service centers in two streets of Pingshan District, Shenzhen from October 2021 to April 2022 were included. The risk factors were analyzed and screened out, and a logistic regression risk prediction model was constructed. The goodness of fit and prediction ability of the model were tested by the Hosmer-Lemeshow test and the receiver operating characteristic (ROC) curve. Finally, the model was verified. ResultsLogistic regression analysis showed that smoking, diabetes complications, physical function, psychological dimension, medical coping for face, and medical coping for avoidance were independent risk factors for depressive disorder in patients with type Ⅱ diabetes. Modeling group Hosmer-Lemeshow test P=0.345, the area under the ROC curve was 0.987, sensitivity was 95.2% and specificity was 98.6%. The area under the ROC curve was 0.945, sensitivity was 89.8%, specificity was 84.8%, and accuracy was 86.8%, showing the model predictive value. ConclusionThe risk prediction model of type Ⅱ diabetes patients with depressive disorder constructed in this study has good predictive and discriminating ability.

    Release date:2023-09-15 03:49 Export PDF Favorites Scan
  • 健康教育对2型糖尿病伴抑郁症患者的治疗分析

    目的 了解住院糖尿病患者的抑郁状态,采取有效的心理干预措施提高其治疗依从性。 方法 对2010年6月-2011年5月收治的450例住院糖尿病患者接受心理护理前后的抑郁自评量表(SDS)评分进行对比,并进行统计学分析。 结果 65.3%的住院糖尿病患者存在抑郁状态,导致患者产生抑郁状态的原因多样。 结论 糖尿病患者易并发抑郁状态,健康教育能减轻患者的抑郁状态。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Combination Medication with Antihypertensive Drugs and Venlafaxine for the Treatment of Patients with Senile Primary Hypertension and AnxietyDepression Disorder

    【摘要】 目的 探讨降高血压药物联合抗焦虑抑郁药物万拉法新治疗老年性原发高血压伴焦虑抑郁障碍的疗效及安全性。 方法 纳入2006年10月-2008年10月我院门诊和住院诊治的老年性原发高血压伴焦虑抑郁障碍患者100例,随机分为干预组和对照组。所有患者给予常规降压药物治疗,干预组另外给予万拉法新治疗,治疗12周后评价临床疗效。结果 干预组临床降压疗效总有效率940%,显著高于对照组总有效率800%(Plt;005)。两组患者的收缩压、舒张压与治疗前比较均显著改善(Plt;005),干预组患者与对照组比较血压明显改善(Plt;005)。干预组临床抗焦虑抑郁疗效总有效率960%,显著高于对照组总有效率580%(Plt;005)。两组均无明显的不良反应。结论 降高血压药物联合抗焦虑抑郁药物万拉法新治疗老年性原发高血压伴焦虑抑郁障碍疗效肯定,且安全可靠,值得临床推广应用。【Abstract】 Objective To investigate the efficacy and safety of antihypertensive drugs combined with antianxiety depression drug venlafaxine for treatment of patients with senile primary hypertension (SPH) and anxietydepression disorder (AD). Methods One hundred SPH patients with AD with were randomly divided into an intervention group and a control group. All cases were given antihypertensive drugs medication,while the intervention group was given venlafaxine. After 12 weeks of treatment,the clinical efficacy was evaluated. Results The antihypertensive efficacy rate in the intervention group was 940%,significantly higher than that of the control group 800% (Plt;005). The systolic blood pressure(SBP)and diastolic blood pressure (DBP) of the two groups significantly improved compared with those before treatment (Plt;005), and the intervention group’ SBP and DBP improved significantly than those of the control group (Plt;005). The total effective rate of antianxiety depression efficacy of the intervention group was 960%, significantly higher than that of the control group 580% (Plt;005). The two groups had no significant adverse reactions. Conclusion For patients with senile primary hypertension and anxietydepression disorder,the combination medication with antihypertensive drugs and venlafaxine was safe,reliable and worthy of clinical application.

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • ICU护士不良情绪相关因素分析

    目的 了解ICU护士的焦虑和抑郁、自尊状况,以便采取有效措施和方式减轻压力,使护士保持身心健康,从而提高ICU患者的抢救成功率和护理质量。 方法 2010年8月采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和自尊量表(SES),对88名ICU护士进行问卷调查。 结果 不同因素对SAS、SDS、SES分值的影响为:女护士高于男护士;学历高的高于学历较低的;工龄长的高于工龄短的;年龄大的高于年龄小的。性别、年龄、工龄、受教育的程度对焦虑和抑郁、自尊的影响均有差异。 结论  ICU护士的SDS、SAS的分值较高,特别女性护士更为严重,在临床护理管理当中应给于更多的关注。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Research on the Mental Health of Pupils 24 Months after 5.12 Earthquake

    目的 了解5.12汶川大地震24个月后震区小学生的心理健康状况,为进行震后长期心理危机干预提供依据。 方法 于2010年5月即汶川大地震发生后24个月,分别使用创伤应激量表儿童版(CRIES-13)、儿童抑郁障碍自评量表(DSRSC)、长处与困难问卷(SDQ)学生版,调查了553名来自于彭州灾区的小学生的心理健康状况及其影响因素。 结果 ① 灾区小学生CRIES-13总分为(22.98 ± 12.29)分,其中大于划界分(30分)者为143人,占总人数的25.9%;女性总分高于男性(Z=?2.031,P=0.042);震后被转移至安全地点的时间越长(OR=1.025,P=0.012)、家人伤亡越严重(OR=1.141,P=0.021),其CRIES-13总分大于划界分的可能性越高。② 灾区小学生DSRSC总分为(11.07 ± 5.78)分,其中总分大于划界分(15分)者为120人,占总人数的21.7%;女性总分高于男性(Z=?2.508,P=0.012);灾区小学生的年龄(r=0.098,P=0.021)、震后被转移至安全地点的时间(r=0.117,P=0.004)与DSRSC总分呈正相关。③ 灾区小学生SDQ总困难因子得分为(14.97 ± 5.44)分,62.9%的人报告自身存在主观困难;女性的情绪因子、亲社会因子得分高于男性(Z=?3.123,P=0.002;Z=?2.243,P=0.025);年龄越大,品行因子(χ2=7.604,P=0.023)、亲社会因子(χ2=8.102;P=0.017)得分增加。 结论 震后灾区小学生的心理健康状况受到性别、年龄、震后被转移至安全地点的时间、家人伤亡程度的影响,震后长期心理危机干预应综合考虑这些相关因素以确定高危人群。

    Release date: Export PDF Favorites Scan
  • Research on Depressive Symptoms of Open Management for Patients with Acute Schizophrenia

    【摘要】 目的 了解全开放管理的急性期精神分裂症患者的抑郁状况,为急性期开放管理提供参考信息。 方法 2009年10-11月,采用卡尔加里精神分裂症抑郁量表(CDSS)对95例精神分裂症患者进行调查。 结果 精神分裂症患者抑郁的发生率为38.95%。且与性别、文化程度、住院次数无关。但与病程密切相关,病程5年以上的患者抑郁状况突出。 结论 精神分裂症患者的抑郁状况明显,需要加强对病情的评估;加强对家属的教育,提高患者的社会支持;早期对患者进行心理干预;以预防自杀的发生。【Abstract】 Objective To find out the depressive situation of patients with schizophrenia in the acute phase under a whole open management, and to provide a scientific basis for the open management. Methods From October to November 2009, 95 patients with schizophrenia were investigated via Calgary depression scale with schizophrenia (CDSS). Results The incidence of depression in patients with schizophrenia was 38.95%, which had no relationship with gender, education level, or frequency of hospitalization. However, the course of the disease was closely related. The depressive symptoms were prominent in patients with the duration more than five years. Conclusion The patients with schizophrenia have obvious depressive symptoms we should. strengthen the evaluation of the disease, improve the family education and the patient′s social support, and implement psychological intervening with patients in the early phase in order to prevent the occurrence of suicide and improve the quality of management.

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • A pilot study on the ameliorative effect of "Mom’s Good Mood" on antenatal depression

    Objective To preliminarily assess the ameliorative effect of Mom’s Good Mood (MGM) on the prevalence of antenatal depression based on a pilot study, and to provide evidence for a scale-up study. Methods This study was conducted in Ma’anshan Maternal and Child Health Center as a pilot study of an implementation study conducted in China called the Perinatal Depression Screening and Management (PDSM) program. In 2019, 1 189 participants (gestational week ≤14+6 weeks) were included in the implementation group. Females were recruited in the first trimester and followed up in the second and third trimesters. At each time point, the participants’ depression status was screened by the Edinburgh postpartum depression scale (EPDS), and those who were screened as having depression were provided the MGM intervention. In 2020, 1 708 participants who underwent screening with the EPDS in either the first, second or third trimester at Ma’anshan Maternal and Child Health Center were included in the control group. Mann‒Whitney U test, Chi-square, and multivariate logistic regression analysis were used to compare the EPDS scores and depression prevalence between the control and implementation groups to assess the ameliorative effect of MGM (screening and intervention) on antenatal depression. Results In the first trimester, there were no statistically significant differences in EPDS scores or depression prevalence between the two groups (P>0.05). In the second and third trimesters, both the EPDS scores and depression prevalence of the implementation group were lower than those of the control group (P<0.05). After adjusting for confounders, logistic regression analysis showed that the risks of depression in the implementation group in both the second and third trimesters were lower than those in the control group (ORsecond trimester=0.55, 95%CI 0.37 to 0.81, P=0.003; ORthird trimester=0.51, 95%CI 0.35 to 0.74, P<0.001). Conclusion Implementation of the MGM based on the primary care system can effectively reduce the prevalence of antenatal depression, providing evidence for further scale up.

    Release date:2022-10-25 02:19 Export PDF Favorites Scan
  • 健康教育对住院 2 型糖尿病患者焦虑抑郁的影响

    目的 调查住院2型糖尿病患者焦虑、抑郁的发病率,并探讨健康教育的治疗效果。 方法 对2009年1月-2012年5月住院诊断为2型糖尿病的695例患者进行焦虑、抑郁调查,并针对焦虑、抑郁情况进行健康教育,出院时再进行评估,并就健康教育的效果和作用进行评价。 结果 住院2型糖尿病患者中22.45%存在焦虑,11.37%存在抑郁,健康教育后焦虑患者较入院时明显减少(P<0.05),特别是轻中度焦虑患者效果明显,重度焦虑患者则无明显改善;而对抑郁患者的疗效均较差,特别是对中重度抑郁患者无效。 结论 焦虑、抑郁在住院2型糖尿病患者中发病率较高,健康教育对轻、中度焦虑患者治疗有效。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • Family Function on Patients with Depression and Its Influential Factors

    ObjectiveTo explore the family function on patients with depression and its influential factors, in order to provide a basis for family support treatment for the patients. MethodsA total of 122 depressed patients from Mental Health Center of West China Hospital between February 2012 and June 2013, and one of their family members were chosen to be the study subjects. Another 122 non-clinical controls and one of their family members were recruited from a community near Sichuan University were regarded as the controls. All the subjects were asked to finish the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Family Assessment Device (FAD). Additionally, the patients received a diagnostic interview to provide the features of their depression. ResultsThe general average score of Q-LES-Q in families with depressed patients was significantly lower than that in the control families (t=-6.243, P<0.01). The general average score of each dimension in FAD for families with depressed patients was significantly higher than that for control families (t=3.644, 3.872, 2.694, 3.369, 5.369, 4.941, 5.241; P<0.01). According to FAD health division scoring, the unhealthy proportion in terms of communication, emotional reaction, emotional link, behavioral control and general function for families with depressed patients was significantly higher than that for control families (χ2=6.778, 23.698, 26.580, 39.875, 17.123, 10.712; P<0.05). The Q-LES-Q scores and the five FAD dimensional scores (except role and affective involvement) were negatively correlated (r=-0.388, -0.188, -0.200, -0.276, -0.370; P<0.05). The scores of perceived social support for families with depressed patients had significant positive correlations with the scores of all FAD dimensions except affective involvement (r=0.363, 0.345, 0.244, 0.418, 0.328, 0.457; P<0.05). The risk factors for unhealthy family function included: female (OR=1.141, P<0.05), poor education (OR=0.948, P<0.01), first-episode (OR=1.416, P<0.05), suicidal attempt (OR=1.014, P<0.05), incomplete suicide (OR=1.367, P<0.01) and depression episode number (OR=1.035, P<0.05). ConclusionDepression is associated with impaired family function in Chinese families. Female, poor education, first episode of depression, suicidal attempt, incomplete suicide and depression episode number are the influential factors for family function on patients with depression.

    Release date: Export PDF Favorites Scan
  • Correlation between Self-care Efficacy and the Feeling of Anxiety and Depression in Patients with Gynecologic Cancer undergoing Chemotherapy

    目的 探讨妇科化学治疗(化疗)患者自我管理效能感与焦虑抑郁的关系。 方法 2011年10月-2012年1月采用中文版癌症自我管理效能感量表和医院焦虑抑郁量表对110例妇科化疗患者进行问卷调查。 结果 共收回有效问卷106份。33例(31.70%) 患者焦虑阳性,43例(41.30%) 抑郁阳性,35例(33.70%) 焦虑抑郁均为阳性;自我管理效能感得分为(86.31 ± 27.06)分,并与焦虑呈负相关(r = −0.793,P = 0.000),与抑郁呈负相关(r = −0.753,P = 0.000)。 结论 妇科化疗患者自我管理效能感与焦虑抑郁密切相关,在以后的护理工作中应该重视妇科肿瘤患者自我管理项目的构建,提高患者的自我效能,从而改善其心理状况。

    Release date:2016-09-08 09:11 Export PDF Favorites Scan
18 pages Previous 1 2 3 ... 18 Next

Format

Content