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美国养老院住户患有慢性阻塞性肺部疾病的焦虑和抑郁症

Seun Osundolire¹, Robert J Goldberg¹, Kate L Lapane¹

¹Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, 01605, USA.

International journal of chronic obstructive pulmonary disease

|September 4, 2023

概括

在患有慢性阻塞性肺病 (COPD) 的养老院居民中,焦虑和抑郁很普遍. 女性,医疗复杂的患者和中度至重度疼痛患者的风险更高,需要有针对性的临床治疗.

科学领域:

老年医学老年医学
肺部病理学肺部病理学
精神病学是一个精神病学.

背景情况:

慢性阻塞性肺病 (COPD) 显著影响养老院居民.
在这个人群中,心理相关疾病的研究不足.
养老院中COPD的高患病率强调了对其心理健康影响的研究的需要.

研究的目的:

确定COPD的养老院居民中焦虑和抑郁症的流行率.
在这个人口群体中确定与焦虑和抑郁相关的因素.
在住护理院的COPD患者中为心理健康提供临床管理策略的信息.

主要方法:

使用美国2018年最低数据集 (MDS) 的横截面研究.
包括239,615名50岁以上患有COPD的养老院居民.
基于临床数据,检查和治疗的焦虑和抑郁症的诊断;使用多变量调整的Poisson模型进行统计分析.

主要成果:

患病率高:37.2%患有焦虑症,57.6%患有抑郁症,27.5%患有两种疾病.
相关因素包括女性性别,目前的烟草使用,50-64岁,中度至重度疼痛和多病症.
女性和医疗复杂的疼痛患者表现出焦虑或抑郁的可能性增加.

结论:

焦虑和抑郁是美国COPD的养老院居民常见的并发症.
特定的患者群体 (女性,医疗复杂,疼痛患者) 需要集中精神健康评估.
临床团队应实施有针对性的干预措施,以有效管理和改善生活质量.

关键词:

老化的老化衰老的老化焦虑是一种焦虑.慢性阻塞性肺病慢性阻塞性肺病抑郁抑郁症抑郁症抑郁症抑郁症养老院就是一个养老院.

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