连续住院的心力衰竭老年患者的身体表现参数和抑郁症之间的关系
Malgorzata Kupisz-Urbańska1,2, Urszula Religioni3, Wiktoria Niegowska2
1Department of Geriatrics, Medical Centre of Postgraduate Education, 00-416 Warsaw, Poland.
Nutrients
|October 16, 2024
概括
抑郁症在老年心力衰竭患者中很常见. 身体衰退,通过计时和行动测试和五次坐立测试来衡量,与这个群体的抑郁症严重程度有关.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 伴随性疾病在老年人中显著影响心脏代谢疾病的风险.
- 心力衰竭 (HF) 患者经常经历并发症,增加他们的脆弱性.
- 抑郁症是老年人群中普遍存在的问题,特别是那些住院治疗的人群.
研究的目的:
- 为了确定住院心力衰竭患者中抑郁症的患病率.
- 在这个人口群体中调查身体表现和抑郁症严重程度之间的关联.
主要方法:
- 包括206名65岁以上的住院心力衰竭患者.
- 使用老年抑郁量表 (GDS) 评估抑郁症.
- 通过握力强度,背部划痕测试,定时上下测试 (TUGT),五次坐立测试 (5xSST) 和6分钟步行测试来评估体力表现.
主要成果:
- 33%的参与者表现出抑郁症的迹象.
- 抑郁症的严重程度与经济状况,压力事件,一般健康状况和HF严重程度相关 (NYHA类).
- 经过对辅助因子进行调整后,定时起来和去测试 (TUGT) 和五次坐到站测试 (5xSST) 与抑郁症严重程度有显著的关联.
结论:
- 在老年住院的心力衰竭患者中观察到抑郁症的高发病率.
- 身体性能下降,特别是通过TUGT和5xSST进行评估,与抑郁症严重程度有关.
- 握力和6分钟步行测试显示,在这个人群中,抑郁症得分与抑郁症得分没有显著关联.
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