在接受康复治疗的老年患者中,抑郁症状和心率变化之间的关联:一个横截面研究
Go Owari1, Kenichi Kono2, Daiki Kanouchi3
1Department of Rehabilitation, International University of Health and Welfare Narita Hospital.
概括
在老年康复患者中,较低的心率变化 (HRV) 和较差的身体表现与抑郁症状增加有关. 非常低频 (VLF) HRV可能有助于在这个群体中检测抑郁症.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 心率变化 (HRV) 与抑郁症状有关.
- 在康复期间老年住院患者中,HRV和抑郁症之间的关系尚不清楚.
研究的目的:
- 调查HRV与老年住院患者接受康复治疗的抑郁症状之间的关联.
- 为了确定潜在的生物标志物来检测该人口中的抑郁症.
主要方法:
- 五十名65岁以上的患者使用老年抑郁症量表评估了抑郁症状.
- 使用频率分析测量HRV.
- 简单和多重线性回归分析被用来检查HRV指数,身体表现 (短物理性能电池 - SPPB),认知功能 (迷你精神状态检查) 和抑郁症状之间的关系.
主要成果:
- 较低的非常低频率 (VLF) HRV与较高的抑郁症状严重程度 (β = -2.13,P <0.05) 有意义地相关.
- 较低的SPPB分数表明体力表现较差,也与较高的抑郁症状严重程度 (β = -0.30,P < 0.05) 有显著的关联.
- 在这个队列中,VLF HRV和SPPB分数都是抑郁症状的独立预测指标.
结论:
- 非常低频率 (VLF) HRV和身体表现与接受康复的老年人抑郁症状有关.
- 在这种患者群体中,VLF HRV可以作为潜在的生物标志物来识别抑郁症状.
- 针对身体功能的干预措施也可能影响老年康复患者的情绪.
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