心血管疾病的老年患者中抑郁症和药物坚持之间的关系:系统性审查和元分析
Mina Berimavandi1, Parvin Abbasi2, Behnam Khaledi-Paveh3
1Student Research Committee Kermanshah University of Medical Sciences Kermanshah Iran.
Health science reports
|May 7, 2025
概括
抑郁症显著影响心血管疾病 (CVD) 的老年人服用药物的坚持. 解决抑郁症对于改善患者对治疗的遵从性和健康状况至关重要.
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:
- 心血管疾病 (CVD) 和抑郁症是全球导致残疾的主要原因.
- 药物坚持对于心血管疾病患者的结果至关重要.
- 抑郁症对心血管疾病患者的药物服药有负面影响.
研究的目的:
- 为了调查抑郁症和药物坚持在被诊断为心血管疾病的老年患者之间的联系.
主要方法:
- 在八个主要数据库中进行系统的文献搜索,截至2021年12月.
- 使用乔安娜·布里格斯研究所规模的偏见风险评估.
- 使用随机效应模型和CMA 2软件进行的元分析.
主要成果:
- 分析了7项涉及10,153名老年心血管疾病患者的研究.
- 在抑郁症和药物坚持之间发现了显著的反向关系.
- 抑郁症与药物坚持率降低40% (OR 0.603) 相关.
结论:
- 抑郁症在患有心血管疾病的老年人中大大降低了药物坚持.
- 建议进行进一步的初级研究来证实这些发现.
- 针对抑郁症和坚持治疗的综合护理对于心血管疾病管理至关重要.
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